Get the free 2004 Form 5498-SA. HSA, Archer, Medicare&Choice MSA Information - irs
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2727 VOID CORRECTED 1 Employee or self-employed person's Archer MSA contributions made in 2004 and 2005 for 2004 OMB No. 1545-1518 TRUSTEE'S name, street address, city, state, and ZIP code $2 Total
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How to fill out 2004 form 5498-sa hsa
How to fill out 2004 form 5498-sa hsa:
01
To start filling out the form, gather all the necessary information such as your name, social security number, and address.
02
Next, provide the details about your health savings account (HSA), such as the HSA trustee or custodian's name, address, and employer identification number (EIN).
03
You will also need to enter the fair market value of your HSA on December 31, 2003.
04
If any contributions have been made to your HSA in 2003, report the total amount contributed.
05
If there were any excess contributions for 2003, fill in the necessary information regarding the excess contributions and any corrective distributions made to fix the excess amount.
06
Report any contributions made to your HSA by the employer, including both employer and employee contributions.
07
Lastly, fill in any additional required details, sign and date the form, and send it to the appropriate IRS address.
Who needs 2004 form 5498-sa hsa:
01
Individuals who have a health savings account (HSA) need to file the 2004 form 5498-sa to report the contributions made to the HSA in the previous year.
02
Employers who made contributions to their employees' HSAs during 2003 also need to file this form to report those contributions.
03
Financial institutions or trustees that serve as custodians of HSAs are required to provide this form to HSA holders to help them in reporting contributions accurately to the IRS.
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What is form 5498-sa hsa archer?
Form 5498-SA HSA Archer is a tax form used to report contributions made to a Health Savings Account (HSA) that is supported by an Archer Medical Savings Account (MSA).
Who is required to file form 5498-sa hsa archer?
Financial institutions, such as banks and mutual fund companies, are responsible for filing Form 5498-SA HSA Archer to report contributions made to HSAs supported by Archer MSAs.
How to fill out form 5498-sa hsa archer?
To fill out Form 5498-SA HSA Archer, financial institutions must provide details of contributions made to HSAs supported by Archer MSAs. This includes the account holder's information, contribution amounts, and any rollovers or transfers.
What is the purpose of form 5498-sa hsa archer?
The purpose of Form 5498-SA HSA Archer is to provide the IRS with information about contributions made to HSAs supported by Archer MSAs. It helps ensure that individuals are complying with the tax rules related to these accounts.
What information must be reported on form 5498-sa hsa archer?
Form 5498-SA HSA Archer requires reporting of the account holder's name, address, and Social Security number. It also includes information about contributions made to the HSA, as well as any rollovers or transfers.
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