ABLE Account Contribution Information Revision Date 12/01/2022

• Legal Form Number: 5498-QA
• Year: 2025
• Issuer: Treasury Department
• Section: Treasury Department

Form 5498-QA

2024

Cat. No. 67556T

ABLE Account

Contribution

Information

Department of the Treasury - Internal Revenue Service

Copy A

For

Internal Revenue

Service Center

File with Form 1096.

OMB No. 1545-2262

For Privacy Act and

Paperwork Reduction

Act Notice, see the

2024 General

Instructions for

Certain Information

Returns.

2A2A VOID CORRECTED

ISSUER’S name, street address, city or town, state or province, country,

and ZIP or foreign postal code

ISSUER’S TIN BENEFICIARY’S TIN

BENEFICIARY’S name

Street address (including apt. no.)

City or town, state or province, country, and ZIP or foreign postal code

Account number (see instructions)

1 ABLE contributions

$

2 ABLE to ABLE Rollovers

$

3 Cumulative contributions

$

4 Fair market value

$

5 Check if account opened

in 2024

6 Basis of eligibility

7 Code

Form 5498-QA www.irs.gov/Form5498QA

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