Form 5330, Return of Excise Taxes Instructions

Enter the value of your account as of the last day of the year.

Enter any additional information or comments related to the employee benefit plan and the taxes reported.

Multiply the amount entered in line 1 by $20,000 and enter the result here. This value should also be entered on Part I, line 16.

Check this box if applicable. Refer to the form instructions for specific conditions.

Check this box if applicable. Refer to the form instructions for specific conditions.

Enter the telephone number of the person or entity filing the form.

Enter the day (DD) of the date.

Enter the year (YY) of the date.

Enter the specific detail required for the first column in the second row of the table on Page 4, Line 2.

Enter the specific detail required for the second column in the second row of the table on Page 4, Line 2.

Enter the specific detail required for the third column in the second row of the table on Page 4, Line 2.

Enter the specific detail required for the fourth column in the second row of the table on Page 4, Line 2.

Enter the specific detail required for the first column in the third row of the table on Page 4, Line 2.

Enter the specific detail required for the second column in the third row of the table on Page 4, Line 2.

Enter the specific detail required for the third column in the third row of the table on Page 4, Line 2.

Enter the specific detail required for the fourth column in the third row of the table on Page 4, Line 2.

Enter the specific detail required for the first column in the fourth row of the table on Page 4, Line 2.

Enter the specific detail required for the second column in the fourth row of the table on Page 4, Line 2.

Enter the specific detail required for the third column in the fourth row of the table on Page 4, Line 2.

Provide the specific information requested in this text field. Refer to the instructions for the exact details required.

Check this box if the condition specified in the form instructions applies to you.

Check this box if the condition specified in the form instructions applies to you.

Provide the specific information requested in this text field. Refer to the instructions for the exact details required.

Provide the specific information requested in this text field. Refer to the instructions for the exact details required.

Provide the specific information requested in this text field. Refer to the instructions for the exact details required.

Provide the specific information requested in this text field. Refer to the instructions for the exact details required.

Provide the specific information requested in this text field. Refer to the instructions for the exact details required. This field has a maximum length of 11 characters.

Provide the specific information requested in this text field. Refer to the instructions for the exact details required.

Enter the specific detail required for Line 5, Row 10 of the table on Page 5. This field is part of the detailed reporting for excise taxes.

Enter the value for Column E in Line 5, Row 10 of the table on Page 5. This field is part of the detailed reporting for excise taxes.

Enter the value for Column E in Line 5, Row 10 of the table on Page 5. This field is part of the detailed reporting for excise taxes.

Enter the value for Column E in Line 5, Row 10 of the table on Page 5. This field is part of the detailed reporting for excise taxes.

Enter the specific detail required for Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes.

Enter the value for Column B in Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes.

Enter the value for Column B in Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes.

Enter the value for Column B in Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes.

Enter the specific detail required for Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes. The maximum length for this field is 11 characters.

Enter the specific detail required for Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes.

Enter the value for Column E in Row 12 of Line 5 on Page 5.

Enter the value for Column E in Row 12 of Line 5 on Page 5.

Enter the value for the field on Page 5.

Enter the value for the field on Page 5.

Enter the amount of employer reversion.

Enter the applicable excise tax rate, either 20% or 50%.

Provide an explanation for why you qualify for a 20% rather than a 50% excise tax rate.

Provide additional information or continuation of the explanation for the excise tax rate qualification.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 4 of the table on Page 4.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 5 of the table on Page 4.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 5 of the table on Page 4.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 5 of the table on Page 4.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 5 of the table on Page 4.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 6 of the table on Page 4.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 6 of the table on Page 4.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 6 of the table on Page 4.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 6 of the table on Page 4.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 7 of the table on Page 4.

Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 7 of the table on Page 4.

Enter the specific value related to the excise tax for the first item in Column E of Line 5, Row 1 on Page 5.

Enter the specific value related to the excise tax for the second item in Column E of Line 5, Row 1 on Page 5.

Enter the specific value related to the excise tax for the third item in Column E of Line 5, Row 1 on Page 5.

Enter the specific value related to the excise tax for the first item in Row 2 of Line 5 on Page 5.

Enter the specific value related to the excise tax for the first item in Column B of Line 5, Row 2 on Page 5.

Enter the specific value related to the excise tax for the second item in Column B of Line 5, Row 2 on Page 5.

Enter the specific value related to the excise tax for the third item in Column B of Line 5, Row 2 on Page 5.

Enter the specific value related to the excise tax for the fourth item in Row 2 of Line 5 on Page 5. Maximum length is 11 characters.

Enter the specific value related to the excise tax for the fifth item in Row 2 of Line 5 on Page 5.

Enter the specific value related to the excise tax for the fourth item in Column E of Line 5, Row 2 on Page 5.

Enter the specific value related to the excise tax for the employee benefit plan as required in this section.

Provide the necessary information for the excise tax calculation for the employee benefit plan in this field.

Input the relevant data for the excise tax associated with the employee benefit plan in this section.

Fill in the required details for the excise tax computation for the employee benefit plan here.

Enter the necessary information for the excise tax related to the employee benefit plan in this field.

Provide the specific details required for the excise tax calculation for the employee benefit plan in this section.

Input the relevant value for the excise tax associated with the employee benefit plan, ensuring it does not exceed 11 characters.

Fill in the necessary data for the excise tax computation for the employee benefit plan in this field.

Enter the required information for the excise tax related to the employee benefit plan in this section.

Provide the specific value needed for the excise tax calculation for the employee benefit plan in this field.

Enter the specific value related to the excise tax for the employee benefit plan as required in this column.

Provide the necessary information for the excise tax calculation for the employee benefit plan in this field.

Input the relevant data for the excise tax computation for the employee benefit plan in this column.

Fill in the required information for the excise tax assessment for the employee benefit plan in this field.

Enter the appropriate value for the excise tax determination for the employee benefit plan in this column.

Provide the specific amount related to the excise tax for the employee benefit plan, ensuring it does not exceed 11 characters.

Input the necessary figure for the excise tax calculation for the employee benefit plan in this field.

Enter the relevant value for the excise tax computation for the employee benefit plan in this column.

Provide the required data for the excise tax assessment for the employee benefit plan in this field.

Fill in the appropriate information for the excise tax determination for the employee benefit plan in this column.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Provide the necessary information for the excise tax calculation for the employee benefit plan.

Input the relevant data required for the excise tax reporting for the employee benefit plan.

Enter the amount related to the excise tax for the employee benefit plan. Maximum length is 11 characters.

Provide the specific details needed for the excise tax reporting for the employee benefit plan.

Enter the value associated with the excise tax for the employee benefit plan in this column.

Provide the necessary information for the excise tax calculation in this column for the employee benefit plan.

Input the relevant data required for the excise tax reporting in this column for the employee benefit plan.

Enter the specific value related to the excise tax for the employee benefit plan in this row.

Provide the necessary information for the excise tax calculation in this row for the employee benefit plan.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Provide the relevant amount or detail for the excise tax applicable to the employee benefit plan.

Input the specific numeric value related to the excise tax for the employee benefit plan. Maximum length is 11 characters.

Enter the required detail or amount for the excise tax related to the employee benefit plan.

Provide the specific value or detail for the excise tax applicable to the employee benefit plan.

Enter the relevant amount or detail for the excise tax related to the employee benefit plan.

Input the specific value or detail for the excise tax applicable to the employee benefit plan.

Provide the required detail or amount for the excise tax related to the employee benefit plan.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Provide the relevant amount or detail for the excise tax applicable to the employee benefit plan.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Provide the amount related to the excise tax for the employee benefit plan. The value should not exceed 11 characters.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Enter the specific value related to the excise tax for the employee benefit plan in this field.

Enter the specific value related to the excise tax for the employee benefit plan as required in Line 5, Row 9, Column 1.

Provide the necessary information for the excise tax calculation in Line 5, Row 9, Column 2.

Input the relevant data for the excise tax in Line 5, Row 9, Column E.

Fill in the required information for the excise tax in Line 5, Row 9, Column E.

Enter the specific details for the excise tax in Line 5, Row 9, Column E.

Provide the necessary value for the excise tax in Line 5, Row 10, Column 1.

Input the relevant data for the excise tax in Line 5, Row 10, Column B.

Fill in the required information for the excise tax in Line 5, Row 10, Column B.

Enter the specific details for the excise tax in Line 5, Row 10, Column B.

Provide the necessary value for the excise tax in Line 5, Row 10, Column 1.

Enter the specific value related to the excise tax for the employee benefit plan as required in this section.

Provide the necessary information for the excise tax calculation for the employee benefit plan in this field.

Input the relevant data for the excise tax associated with the employee benefit plan here.

Enter the specific details required for the excise tax reporting for the employee benefit plan.

Provide the necessary information for the excise tax calculation for the employee benefit plan in this field.

Input the relevant data for the excise tax associated with the employee benefit plan here.

Enter the specific details required for the excise tax reporting for the employee benefit plan.

Provide the necessary information for the excise tax calculation for the employee benefit plan in this field. Maximum length is 11 characters.

Input the relevant data for the excise tax associated with the employee benefit plan here.

Enter the specific value related to the excise tax for the employee benefit plan as required in this section.

Provide a brief description of the failure and the correction, if any. This field requires a detailed explanation of what went wrong and how it was fixed.

This field appears to be a continuation or related to the previous field. Ensure to provide any additional details about the failure and correction here.

Enter the name of the filer as per the instructions.

Enter the number, street, and room or suite number. If using a P.O. box or foreign address, see instructions.

Enter the city or town, state or province, country, and ZIP or foreign postal code.

Enter the social security number (SSN) of the filer.

Enter the name of the filer.

Enter the specified value for this field. The maximum length is 11 characters.

Enter the specified value for this field as per the form instructions.

Enter the specified value for this field as per the form instructions.

Enter the identifying number of the filer. The maximum length is 11 characters.

Enter the name of the filer.

Enter the identifying number of the filer. This number should not exceed 11 characters.

Enter the full name of the filer of this form.

Enter the identifying number of the filer, such as a Social Security Number (SSN) or Employer Identification Number (EIN). This field has a maximum length of 11 characters.

Enter the filer's identifying number, which can be a Social Security Number (SSN) or Employer Identification Number (EIN). Maximum length is 11 characters.

Check this box if applicable. Refer to the specific instructions for this checkbox in the form's guidelines.

Enter the relevant information as required by the form. Refer to the form's instructions for details on what to enter here.

Enter the relevant information as required by the form. Refer to the form's instructions for details on what to enter here.

Enter the relevant information as required by the form. Refer to the form's instructions for details on what to enter here.

Enter the relevant information as required by the form. Refer to the form's instructions for details on what to enter here.

Enter the relevant information as required by the form. Refer to the form's instructions for details on what to enter here.

Check this box if applicable. Refer to the specific instructions for this checkbox in the form's guidelines.

Check this box if applicable. Refer to the specific instructions for this checkbox in the form's guidelines.

Enter the relevant information as required by the form. Refer to the form's instructions for details on what to enter here.

Enter the relevant information as required by the form. Refer to the form's instructions for details on what to enter here.

Enter the relevant information as required by the form. Refer to the form's instructions for details on what to enter here.

Enter the relevant information as required by the form. Refer to the form's instructions for details on what to enter here.

Enter the relevant information as required by the form. Refer to the form's instructions for details on what to enter here.

Check this box if applicable.

Enter the relevant information for this field. The maximum length is 11 characters.

Enter the relevant information for this field.

Enter the relevant information for this field as specified in the instructions for Form 5330.

Enter the relevant information for this field as specified in the instructions for Form 5330.

Enter the relevant information for this field as specified in the instructions for Form 5330.

Enter the relevant information for this field as specified in the instructions for Form 5330.

Enter the relevant information for this field as specified in the instructions for Form 5330.

Enter the relevant information for this field as specified in the instructions for Form 5330.

Enter the relevant information for this field as specified in the instructions for Form 5330.

Enter the relevant information for this field as specified in the instructions for Form 5330.

Enter the relevant information for this field as specified in the instructions for Form 5330.

Enter the relevant information for this field as specified in the instructions for Form 5330.

Enter the relevant information for field f6_01 on Page 6.

Enter the relevant information for field 1b on Page 6.

Enter the relevant information for field f6_03 on Page 6.

Enter the relevant information for field 2a on Page 6.

Enter the relevant information for field f6_05 on Page 6.

Enter the relevant information for field f6_06 on Page 6.

Enter the relevant information for field 2d on Page 6.

Check this box if applicable for field c6_1[0]_1 on Page 6.

Check this box if applicable for field c6_1[1]_2 on Page 6.

Enter a 4-digit value for field f6_08 on Page 6.

Enter the appropriate code or value as specified in the form instructions.

Enter the appropriate code or value as specified in the form instructions.

Enter the appropriate code or value as specified in the form instructions.

Enter the appropriate code or value as specified in the form instructions.

Enter the appropriate code or value as specified in the form instructions.

Enter the appropriate code or value as specified in the form instructions.

Enter the appropriate code or value as specified in the form instructions.

Enter the appropriate code or value as specified in the form instructions.

Enter the relevant information for this section. The specific details required are not clear from the field name.

This field appears to be part of a read order or sequence. The specific details required are not clear from the field name.

This field appears to be part of a read order or sequence. The specific details required are not clear from the field name.

This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.

Enter the number of days in the noncompliance period.

Enter the value for line 16 as specified in the form instructions.

Enter the amount from Part I, line 7, 12, 13, 14, 15, or 16, whichever is applicable.

Enter the specified value for this field as per the form instructions.

Enter the value for line 19 as specified in the form instructions.

Enter the name of the employee benefit plan.

Enter the four-digit plan number.

Enter the date the plan was established.

Enter the four-digit plan year ending date.

Enter the employer identification number (EIN) of the plan sponsor.

Enter the plan sponsor's name.

Enter the plan sponsor's address.

Enter the employer identification number (EIN) of the plan sponsor.

Enter the plan year ending date in MM/DD/YYYY format.

Enter the plan year beginning date in MM/DD/YYYY format.

Print or type the name of the preparer of this form.

Enter the name of the firm preparing the form.

Enter the Employer Identification Number (EIN) of the firm preparing the form. The maximum length is 10 characters.

Enter the address of the firm preparing the form.

Enter the phone number of the firm preparing the form.

Enter the value for Column 1 in Row 1 of Schedule E on Page 5.

Enter the value for Column 2 in Row 1 of Schedule E on Page 5.

Enter the value for Column 3 in Row 1 of Schedule E on Page 5.

Enter the value for Column 4 in Row 1 of Schedule E on Page 5.

Enter the value for Column 5 in Row 1 of Schedule E on Page 5.

Enter the value for Column 1 in Row 2 of Schedule E on Page 5.

Enter the value for Column 2 in Row 2 of Schedule E on Page 5.

Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 2.

Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 2.

Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 2.

Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 3.

Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 3.

Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 3.

Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 3.

Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 3.

Enter the total tax amount for Schedule E.

Enter the value for line 10a as specified in the form instructions.

Enter the value for line 10b as specified in the form instructions.

Enter the value for line 10c as specified in the form instructions.

Enter the value for the specified field as per the form instructions.

Enter the value for the specified field as per the form instructions.

Enter the total Section B taxes by adding lines 8a through 10d or 11. This value should also be entered on Part II, line 17.

Enter the value for line 13 as specified in the form instructions.

This field appears to be part of a table. Enter the required information as per the form instructions.

This field appears to be part of a table. Enter the required information as per the form instructions.

This field appears to be part of a table. Enter the required information as per the form instructions.

This field appears to be part of a table. Enter the required information as per the form instructions.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the specific tax amount related to the employee benefit plan for the corresponding line item.

Enter the amount or value associated with the excise tax for this specific column and row.

Enter the amount or value associated with the excise tax for this specific column and row.

Enter the amount or value associated with the excise tax for this specific column and row.

Enter the amount or value associated with the excise tax for this specific column and row.

Enter the amount or value associated with the excise tax for this specific column and row.

Enter the amount or value associated with the excise tax for this specific column and row.

Enter the amount from line 6 that is carried forward and deductible in this tax year.

Enter the tentative taxable excess contributions by adding the amounts from lines 3 and 8.

Enter the taxable excess contributions by subtracting the amount on line 10 from the amount on line 9.

Enter the total of all prior years' distributions out of the account included in your gross income under section 72(e) and not previously used to reduce excess contributions.

Enter the taxable excess contributions by adding the amounts from lines 3 and 7.

Enter the result of multiplying the value from line 8 by 6%.

Enter the lesser value between line 9 and line 11. This amount represents the excess contributions tax and should also be entered on Part I, line 2.

Enter 30% of line 3 here and on Part I, line 11.

Enter 30% of line 3 here and on Part I, line 11.

Multiply line 1 by 10% and enter here and on Part I, line 13.

Multiply line 1 by 10% and enter here and on Part I, line 13.

Enter the specific tax amount or detail required for Line 2, Row 10, Column 1 on Page 4.

Enter the specific tax amount or detail required for Line 2, Row 10, Column 2 on Page 4.

Enter the specific tax amount or detail required for Line 2, Row 10, Column 3 on Page 4.

Enter the specific tax amount or detail required for Line 2, Row 11, Column 1 on Page 4.

Enter the specific tax amount or detail required for Line 2, Row 11, Column 2 on Page 4.

Enter the specific tax amount or detail required for Line 2, Row 11, Column 3 on Page 4.

Enter the specific tax amount or detail required for Line 2, Row 11, Column 4 on Page 4.

Enter the specific tax amount or detail required for Line 2, Row 12, Column 1 on Page 4.

Enter the specific tax amount or detail required for Line 2, Row 12, Column 2 on Page 4.

Enter the specific tax amount or detail required for Line 2, Row 12, Column 3 on Page 4.

Enter the specific tax amount or detail required for Line 2, Row 12, Column 4 on Page 4.

Enter the specific details or description related to the excise tax being reported in this row.

Enter the specific details or description related to the excise tax being reported in this row.

Enter the specific details or description related to the excise tax being reported in this row.

Enter the amount of Section 4976 tax on disqualified benefits for funded welfare plans. Refer to the form's instructions for details.

Enter the amount of Section 4971(a) tax on failure to meet minimum funding standards. Refer to Schedule D, line 2 for details.

Enter the total contributions for your tax year to your qualified employer plan under section 401(a), 403(a), 408(k), or 408(p).

Enter the relevant information for this field.

Enter the relevant information for this field.

Enter the amount of any prior year nondeductible contributions made for years beginning after 12/31/86.

Enter the amount of any prior year nondeductible contributions for years beginning after 12/31/86 returned to you in this tax year for any prior tax year.

Enter the total amount or value for the excise tax in this row, ensuring it does not exceed 11 characters.