Your **** Form ****-R Information as of January **, 2023
Payer's Federal Identification Number:
Figures Are Final
Edward Jones Account Number:
***-*****-*-* *********'s Name
and Address:
1099R Form Number:
3186279
Financial Advisor:
TRAVIS J. GAYNOR KEVIN ALFORD
3505 CANTERBURY DR
BAYTOWN TX 77521-2803
Telephone Number:
Edward Jones, its employees and financial advisors cannot provide tax or legal advice. You should consult your attorney or qualified tax advisor regarding your situation.
edwardjones.com
201 Progress Parkway
Maryland Heights, MO 63043-3042
Enclosed is your 2022 Form 1099-R, which reports to you and the IRS:
• Distributions and excess contributions withdrawn from your self-directed retirement account in 2022;
• Conversions and recharacterizations completed during 2022. Official Tax Document
Form 1099-R is an official tax document for your Edward Jones account number listed above and should be used to prepare your tax return. Edward Jones is required to report this information to you and the IRS. It is important for you to retain a copy of this form for your records. For additional information, refer to Instructions for Recipients on the next page. Online Resources
Visit www.edwardjones.com/taxcenter for guides, tax reporting information and answers to common questions.
Online Access Features
• View, print and download your tax forms any time after they are generated.
• Share your tax forms securely with your tax professional from the Documents screen. To get started, select the forms to share and click "Share with Third Party".
• Import your Consolidated 1099 and Form 1099-R tax information into Turbo Tax®, H&R Block at Home™ or other tax preparation software.
Visit www.edwardjones.com/access to learn more about these services. Restrictions may apply.
Ask Your Branch to Share Your Tax Forms Securely
At your request, your Edward Jones branch team can share your tax forms securely with your tax professional.
Turbo Tax® and Other Tax Preparation Software
You can import your Edward Jones tax information into Turbo Tax® or H&R Block at Home™ using the software's import feature. Instructions for manually entering certain items of supplemental information are available at www.edwardjones.com/turbotax. Download options for other tax preparation software also are available via Online Access. Edward Jones does not provide support for tax preparation software. Please contact the software provider for assistance.
Rollover - Why did I receive Form 1099-R?
An indirect rollover is reported in two parts: The distribution is reported on Form 1099-R and the rollover (deposit) is reported on Form 5498.
Qualified Charitable Distribution (QCD) - Why Form 1099-R? Your IRA custodian does not determine whether a distribution satisfies the requirements for treatment as a QCD. We are required to issue Form 1099-R for the distribution. Consult a tax professional to determine if your distribution is a QCD. Why is Taxable Amount Not Determined checked in Box 2b? Edward Jones is not able to calculate the taxable amount, except in the case of an excess contribution removal, for which we know the earnings and can calculate the amount for Box 2a. In all other circumstances, we cannot assume we have all information necessary to calculate the taxable amount for Box 2a. Federal Income Tax Withheld
If Box 4 (Federal Income Tax Withheld) on your Form 1099-R contains a dollar amount greater than $0.00, the IRS requires that you include Copy B of Form 1099-R with your tax return. Notice of De Minimus Safe Harbor for Revised Forms If there is an incorrect dollar amount on your tax form, Edward Jones is not required to correct it if the error differs from the correct amount by no more than $100 (or $25 in the case of tax withheld). You may elect to receive all corrected forms regardless of the dollar amount by calling us at 1-800-***-****.
Questions?
• Preparing your tax return: Contact your tax professional, call the IRS at 800-***-**** or visit the IRS website
(www.irs.gov). Edward Jones does not provide tax advice.
• Using Turbo Tax® or H&R Block at Home™ software: Contact Turbo Tax® or H&R Block at Home™ customer support. Edward Jones does not provide support for tax preparation software.
• Understanding this tax document: Call Edward Jones at 800-***-****. Associates are available (Central time):
• Tax Season (Jan. 30 - April 18): Monday - Friday, 7 a.m. to 7 p.m., and Saturdays, (Feb. 11 - April 15), 9 a.m. to 2 p.m.
• Outside Tax Season: Monday - Friday, 8 a.m. to 6 p.m. edwardjones.com
201 Progress Parkway
Maryland Heights, MO 63043-3042
Instructions for Recipient
Generally, distributions from retirement plans
(IRAs, qualified plans, section 403(b) plans, and
governmental section 457(b) plans), insurance
contracts, etc., are reported to recipients on Form 1099-R.
Qualified plans and section 403(b) plans. If
your annuity starting date is after 1997, you must use the simplified method to figure your taxable
amount if your payer didn't show the taxable
amount in box 2a. See the Instructions for your
tax return.
IRAs. For distributions from a traditional
individual retirement arrangement (IRA),
simplified employee pension (SEP), or savings
incentive match plan for employees (SIMPLE),
generally the payer isn't required to compute the
taxable amount. See the instructions for your tax
return to determine the taxable amount. If you're
at least age 72, you must take minimum
distributions from your IRA (other than a Roth
IRA). If you don't, you're subject to a 50% excise tax on the amount that should've been
distributed. See Pub. 590-A and Pub. 590-B for
more information on IRAs.
Roth IRAs. For distributions from a Roth IRA,
generally the payer isn't required to compute the
taxable amount. You must compute any taxable
amount on Form 8606. An amount shown in box
2a may be taxable earnings on an excess
contribution.
Loans treated as distributions. If you borrow
money from a qualified plan, section 403(b) plan,
or governmental section 457(b) plan, you may
have to treat the loan as a distribution and
include all or part of the amount borrowed in your income. There are exceptions to this rule. If your loan is taxable, code L will be shown in box 7.
See Pub. 575.
Recipient's taxpayer identification number
(TIN). For your protection, this form may show
only the last four digits of your TIN (SSN, ITIN,
ATIN, or EIN). However, the payer has reported
your complete TIN to the IRS.
Account number. May show an account, policy,
or other unique number the payer assigned to
distinguish your account.
Box 1. Shows the total amount you received this
year. The amount may have been a direct
rollover, a transfer or conversion to a Roth IRA, a recharacterized IRA contribution; or you may
have received it as periodic payments, as
nonperiodic payments, or as a total distribution.
Report the amount on Form 1040, 1040-SR, or
1040-NR on the line for "IRA distributions" or
"Pensions and annuities" (or the line for "Taxable amount") and on Form 8606, as applicable.
However, if this is a lump-sum distribution, see
Form 4972. If you haven't reached minimum
retirement age, report your disability payments on the line for "Wages, salaries, tips, etc." on your tax return. Also report on that line permissible
withdrawals from eligible automatic contribution
arrangements and corrective distributions of
excess deferrals, excess contributions, or excess
aggregate contributions except if the distribution is of designated Roth contributions or your
after-tax contributions or if you are self-employed. If a life insurance, annuity, qualified long-term
care, or endowment contract was transferred tax
free to another trustee or contract issuer, an
amount will be shown in this box and code 6 will
be shown in box 7. If a charge or payment was
made against the cash value of an annuity
contract or the cash surrender value of a life
insurance contract for the purchase of qualified
long-term care insurance, an amount will be
shown in this box and code W will be shown in
box 7. You need not report these amounts on
your tax return. If code C is shown in box 7, the
amount shown in box 1 is a receipt of reportable
death benefits that is taxable in part.
Box 2a. This part of the distribution is generally taxable. If there is no entry in this box, the payer may not have all the facts needed to figure the
taxable amount. In that case, the first box in box 2b should be checked. You may want to get one
of the free publications from the IRS to help you
figure the taxable amount. For an IRA
distribution, see IRAs and Roth IRAs, earlier. For a direct rollover, other than from a qualified plan, sec. 403(b) plan, or governmental sec. 457(b)
plan to a designated Roth account in the same
plan or to a Roth IRA, zero should be shown and
you must enter zero (-0-) on the "Taxable
amount" line of your tax return. If you roll over a distribution (other than a distribution from a
designated Roth account) from a qualified plan,
sec. 403(b) plan, or governmental sec. 457(b)
plan to a designated Roth account in the same
plan or to a Roth IRA, you must include on the
"Taxable amount" line of your tax return the
amount shown in this box plus the amount in box
6, if any.
If this is a total distribution from a qualified plan and you were born before January 2, 1936 (or
you're the beneficiary of someone born before
January 2, 1936), you may be eligible for the
10-year tax option. See the Form 4972
instructions for more information.
If you're an eligible retired public safety officer who elected to exclude from income distributions
from your eligible plan used to pay certain
insurance premiums, the amount shown in box
2a hasn't been reduced by the exclusion amount.
See the instructions for your tax return for more
information.
Box 2b. If the first box is checked, the payer was unable to determine the taxable amount, and box
2a should be blank, except for an IRA. It's your
responsibility to determine the taxable amount. If the second box is checked, the distribution was a
total distribution that closed out your account.
Box 3. If you received a lump-sum distribution
from a qualified plan and were born before
January 2, 1936 (or you're the beneficiary of
someone born before January 2, 1936), you may
be able to elect to treat this amount as a capital gain on Form 4972 (not on Schedule D (Form
1040)). See the Form 4972 instructions. For a
charitable gift annuity, report as a long-term
capital gain as explained in the Instructions for
Form 8949.
Box 4. Shows federal income tax withheld.
Include this amount on your income tax return as
tax withheld, and if box 4 shows an amount (other
than zero), attach Copy B to your return.
Generally, if you receive payments that aren't
eligible rollover distributions, you can change
your withholding or elect not to have income tax
withheld by giving the payer Form W-4P.
Box 5. Generally, this shows the employee's
investment in the contract (after-tax
contributions), if any, recovered tax free this year; the portion that's your basis in a designated Roth account; the part of premiums paid on
commercial annuities or insurance contracts
recovered tax free; the nontaxable part of a
charitable gift annuity; or the investment in a life insurance contract reportable under section
6050Y. This box doesn't show any IRA
contributions. If the amount shown is your basis
in a designated Roth account, the year you first
made contributions to that account may be
entered in box 11.
Box 6. If you received a lump-sum distribution
from a qualified plan that includes securities of
the employer's company, the net unrealized
appreciation (NUA) (any increase in value of such
securities while in the trust) is taxed only when
you sell the securities unless you choose to
include it in your gross income this year. See
Pub. 575 and Form 4972. If you roll over the
distribution to a designated Roth account in the
same plan or to a Roth IRA, see the instructions
for box 2a. For a direct rollover to a designated
Roth account in the same plan or to a Roth IRA,
the NUA is included in box 2a. If you didn't
receive a lump-sum distribution, the amount
shown is the NUA attributable to employee
contributions, which isn't taxed until you sell the securities.
Box 7. The following codes identify the
distribution you received. For more information
on these distributions, see the instructions for
your tax return. Also, certain distributions may be subject to an additional 10% tax. See the
Instructions for Form 5329.
1-- Early distribution, no known exception (in
most cases, under age 59 1/2).
2-- Early distribution, exception applies (under
age 59 1/2).
3-- Disability.
4-- Death.
5-- Prohibited transaction.
6-- Section 1035 exchange (a tax-free exchange
of life insurance, annuity, qualified long-term
care insurance, or endowment contracts).
7-- Normal distribution.
8-- Excess contributions plus earnings/excess
deferrals (and/or earnings) taxable in 2022.
9-- Cost of current life insurance protection.
A-- May be eligible for 10-year tax option (see
Form 4972).
B-- Designated Roth account distribution.
Note: If code B is in box 7 and an amount is
reported in box 11, see the Instructions for Form
5329.
C-- Reportable death benefits under section
6050Y.
D-- Annuity payments from nonqualified annuities
that may be subject to tax under section
1411.
E-- Distributions under Employee Plans
Compliance Resolution System (EPCRS).
F-- Charitable gift annuity.
G-- Direct rollover of a distribution to a qualified plan, a section 403(b) plan, a governmental
section 457(b) plan, or an IRA.
H-- Direct rollover of a designated Roth account
distribution to a Roth IRA.
J-- Early distribution from a Roth IRA, no known
exception (in most cases, under age 59 1/2).
K-- Distribution of traditional IRA assets not
having a readily available FMV.
L-- Loans treated as distributions.
M-- Qualified plan loan offset.
N-- Recharacterized IRA contribution made for
2022 and recharacterized in 2022.
P-- Excess contributions plus earnings/excess
deferrals (and/or earnings) taxable in 2021.
Q-- Qualified distribution from a Roth IRA.
R-- Recharacterized IRA contribution made for
2021 and recharacterized in 2022.
S-- Early distribution from a SIMPLE IRA in first
2 years, no known exception (under age 59
1/2).
T-- Roth IRA distribution, exception applies.
U-- Dividend distribution from ESOP under
section 404(k).
Note: This distribution isn't eligible for rollover. W-- Charges or payments for purchasing
qualified long-term care insurance contracts
under combined arrangements.
If the IRA/SEP/SIMPLE box is checked, you've
received a traditional IRA, SEP, or SIMPLE
distribution.
Box 8. If you received an annuity contract as
part of a distribution, the value of the contract is shown. It isn't taxable when you receive it and
shouldn't be included in boxes 1 and 2a. When
you receive periodic payments from the annuity
contract, they're taxable at that time. If the
distribution is made to more than one person, the
percentage of the annuity contract distributed to
you is also shown. You'll need this information if you use the 10-year tax option (Form 4972). If
charges were made for qualified long-term care
insurance contracts under combined
arrangements, the amount of the reduction in the
investment (but not below zero) in the annuity or
life insurance contract is reported here.
Box 9a. If a total distribution was made to more
than one person, the percentage you received is
shown.
Box 9b. For a life annuity from a qualified plan or from a section 403(b) plan (with after-tax
contributions), an amount may be shown for the
employee's total investment in the contract. It is used to compute the taxable part of the
distribution. See Pub. 575.
Box 10. If an amount is reported in this box, see
the Instructions for Form 5329 and Pub. 575.
Box 11. The first year you made a contribution to
the designated Roth account reported on this
form is shown in this box.
Box 12. If checked, the payer is reporting on this Form 1099 to satisfy its Internal Revenue Code
chapter 4 account reporting requirement under
FATCA. Your may also have a filing requirement.
See the Instructions for Form 8938.
Box 13. Shows the date of payment for
reportable death benefits under section 6050Y.
Boxes 14 - 19. If state or local income tax was
withheld from the distribution, boxes 16 and 19
may show the part of the distribution subject to
state and/or local tax.
edwardjones.com
201 Progress Parkway
Maryland Heights, MO 63043-3042
2022 Form 1099-R
Figures are Final
Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. OMB No. 1545-0119
Recipient's Name:
KEVIN ALFORD
Issuer's Federal Identification Number:
43-1591643
Information as of:
January 16, 2023
Edward Jones Account Number:
821-89383-1-7
Recipient's Identification Number:
2637
1099-R Form Number:
3186279
Copy B - Report this income on your Federal tax return. If this form shows Federal income tax withheld in box 4, attach this copy to your return. This information is being furnished to the Internal Revenue Service. 1 Gross distribution $7,077.72
2a Taxable amount $7,077.72
2b Taxable amount not determined X Total distribution 3 Capital gain (included in box 2a) $0.00
4 Federal income tax withheld $0.00
5 Employee contributions/ Designated Roth
contrib. or insurance premiums
$0.00
6 Net unrealized appreciation in employer's
securities
$0.00
7 Distribution code(s) 2
IRA/SEP/SIMPLE X
8 Other $0.00
9a Your percentage of total distribution %
9b Total employee contributions $0.00
10 Amount allocable to IRR within 5 years $0.00
11 1st year of designated Roth contribution
15 State or Payer's state no 14 State tax withheld 16 State distribution $0.00
17 Local tax withheld $0.00
18 Name of locality
19 Local distribution $0.00
2022 Form 1099-R
Figures are Final
Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. OMB No. 1545-0119
Recipient's Name:
KEVIN ALFORD
Issuer's Federal Identification Number:
43-1591643
Information as of:
January 16, 2023
Edward Jones Account Number:
821-89383-1-7
Recipient's Identification Number:
2637
1099-R Form Number:
3186279
Copy C - For Recipient's Records. This information is being furnished to the Internal Revenue Service. 1 Gross distribution $7,077.72
2a Taxable amount $7,077.72
2b Taxable amount not determined X Total distribution 3 Capital gain (included in box 2a) $0.00
4 Federal income tax withheld $0.00
5 Employee contributions/ Designated Roth
contrib. or insurance premiums
$0.00
6 Net unrealized appreciation in employer's
securities
$0.00
7 Distribution code(s) 2
IRA/SEP/SIMPLE X
8 Other $0.00
9a Your percentage of total distribution %
9b Total employee contributions $0.00
10 Amount allocable to IRR within 5 years $0.00
11 1st year of designated Roth contribution
15 State or Payer's state no 14 State tax withheld 16 State distribution $0.00
17 Local tax withheld $0.00
18 Name of locality
19 Local distribution $0.00