Apparently, you didn't like my previous answer.from the IRS website:
Hardship distributions are includible in gross income unless they consist of designated Roth contributions. In addition, they may be subject to an additional tax on early distributions of elective contributions. Unlike loans, hardship distributions are not repaid to the plan. Thus, a hardship distribution permanently reduces the employee's account balance under the plan.
looks like you will probably owe at least $3750 in tax and penalty on that withdrawal (or your refund will be reduced by that much) - based on a 25% tax bracket
read the 1040 instructions for teh required forms -search for and download forms and instr at www.irs.gov
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