For Paperwork Reduction Act Notice see your tax return instructions. Cat. No. 37621P 14b 14c 17b Form 8889 2010 Page 2 Income and Additional Tax for Failure To Maintain HDHP Coverage. Form Department of the Treasury Internal Revenue Service OMB No* 1545-0074 Health Savings Accounts HSAs Attach to Form 1040 or Form 1040NR* Name s shown on Form 1040 or Form 1040NR See Attachment Sequence No* 53 separate instructions. Social security number of HSA beneficiary. If both spouses have HSAs see...instructions Before you begin Complete Form 8853 Archer MSAs and Long-Term Care Insurance Contracts if required* Part I HSA Contributions and Deduction* See the instructions before completing this part. If you are filing jointly and both you and your spouse each have separate HSAs complete a separate Part I for each spouse. Check the box to indicate your coverage under a high-deductible health plan HDHP during 2010 see instructions. from January 1 2011 through April 18 2011 that were for 2010....Do not include employer contributions contributions through a cafeteria plan or rollovers see instructions. If you were under age 55 at the end of 2010 and on the first day of every month during 2010 you were or were considered an eligible individual with the same coverage enter 3 050 6 150 for family coverage. All others see the instructions for the amount to enter. Enter the amount you and your employer contributed to your Archer MSAs for 2010 from Form 8853 lines 1 and 2. If you or your...spouse had family coverage under an HDHP at any time during 2010 also include any amount contributed to your spouse s Archer MSAs. Subtract line 4 from line 3. If zero or less enter -0-. family coverage under an HDHP at any time during 2010 see the instructions for the amount to enter. If you were age 55 or older at the end of 2010 married and you or your spouse had family coverage under an HDHP at any time during 2010 enter your additional contribution amount see instructions. Add lines 6 and...7. Employer contributions made to your HSAs for 2010. Qualified HSA funding distributions. Add lines 9 and 10. HSA deduction* Enter the smaller of line 2 or line 12 here and on Form 1040 line 25 or Form 1040NR line 25. Caution If line 2 is more than line 13 you may have to pay an additional tax see page 5 of the 14a 17a Family HSA Distributions. If you are filing jointly and both you and your spouse each have separate HSAs complete a separate Part II for each spouse. Total distributions you...received in 2010 from all HSAs see instructions. b Distributions included on line 14a that you rolled over to another HSA. Also include any excess withdrawn by the due date of your return see instructions. Unreimbursed qualified medical expenses see instructions. Self-only Taxable HSA distributions. Subtract line 15 from line 14c* If zero or less enter -0-. Also include this amount in the total on Form 1040 line 21 or Form 1040NR line 21. On the dotted line next to line 21 enter HSA and the...amount. If any of the distributions included on line 16 meet any of the Exceptions to the Additional 10 Tax see instructions check here.
pdfFiller is not affiliated with IRS
Get, Create, Make, and Sign IRS 8889
Edit your IRS 8889 online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your IRS 8889 via URL. You can also download, print, or export forms to your preferred cloud storage service.
Instructions and Help about IRS 8889
How to edit IRS 8889
How to fill out IRS 8889
Instructions and Help about IRS 8889
How to edit IRS 8889
To edit the IRS 8889 form, you can use pdfFiller's editing tools. Upload the form to the platform, use the text fields to make changes, and save your updated version. This allows for quick modifications without the need for printing or handwriting corrections.
How to fill out IRS 8889
Filling out the IRS 8889 involves several steps. First, gather relevant information regarding your Health Savings Account (HSA). Next, complete personal details, including your name and Social Security Number. Follow the instructions for reporting contributions and distributions. Use pdfFiller to easily input data, which can help ensure clarity and accuracy in your submission.
About IRS 8 previous version
What is IRS 8889?
What is the purpose of this form?
Who needs the form?
When am I exempt from filling out this form?
Components of the form
What information do you need when you file the form?
Is the form accompanied by other forms?
Where do I send the form?
What are the penalties for not issuing the form?
About IRS 8 previous version
What is IRS 8889?
IRS 8889 is a tax form used to report contributions to and distributions from a Health Savings Account (HSA). This form is essential for individuals who have an HSA and need to provide the IRS with details about their transactions for the tax year.
What is the purpose of this form?
The purpose of IRS 8889 is to ensure that taxpayers accurately report their HSA transactions. This includes reporting any contributions made to the account and distributions taken during the tax year, which may affect tax liabilities.
Who needs the form?
Individuals who have a Health Savings Account (HSA) need to file IRS 8889 if they made contributions or took distributions from the account during the tax year. This applies to those who are eligible for HDHP (High Deductible Health Plan) coverage and wish to benefit from tax advantages associated with HSA accounts.
When am I exempt from filling out this form?
You are exempt from filling out IRS 8889 if you did not contribute to an HSA during the tax year and did not take any distributions. Only individuals with active HSA accounts and those who engaged in contributions or distributions are required to file this form.
Components of the form
IRS 8889 consists of several key components. It includes sections for reporting contributions to your HSA, distributions made from the account, and calculations to determine any tax deductions or penalties. Accurate completion of these components is crucial for compliance and to avoid penalties.
What information do you need when you file the form?
When filing IRS 8889, you will need your personal information, such as your name, address, and Social Security Number. Additionally, gather information about your HSA, including total contributions made throughout the year and any distributions taken. Having Form 5498-SA on hand, which reports contributions, can also be beneficial.
Is the form accompanied by other forms?
IRS 8889 is often filed alongside your standard tax return (Form 1040). Depending on your situation, you may also need to include other supporting forms, such as Form 5498-SA, which details your HSA contributions made during the year.
Where do I send the form?
You should send IRS 8889 to the address specified in the Form 1040 instructions. If you are filing electronically, you will submit it alongside your electronic tax return, ensuring all information is accurate and complete.
What are the penalties for not issuing the form?
Failing to file IRS 8889 when required can lead to penalties, including fines for inaccurate reporting or failure to report HSA transactions. Additionally, if you do not report excess contributions, you may be subject to excise taxes on those amounts.
FAQ about IRS 8889
What should I do if I realize I made a mistake after submitting my 8889 form 2010?
If you find an error post-submission, you can file an amended 8889 form 2010 to correct the information. It is important to clearly indicate that you are making a correction, as this helps avoid confusion with the IRS. Keep a copy of the amended form and any correspondence related to the correction for your records.
How can I verify the status of my submitted 8889 form 2010?
To check the status of your 8889 form 2010, you can use the IRS's online tools for tracking your submission. Additionally, if you e-filed, you may receive automatic notifications regarding the processing of your form. Be aware of common e-file rejection codes to preemptively resolve any issues.
Are there any special considerations for nonresidents filing the 8889 form 2010?
Nonresidents may face specific rules when filing the 8889 form 2010, particularly concerning eligibility and reporting requirements. It's essential to review IRS guidelines for foreign payees and consider seeking professional tax advice to ensure compliance with all applicable regulations.
What should I do if my 8889 form 2010 submission is rejected?
If your submission of the 8889 form 2010 is rejected, carefully review the rejection notice for specific reasons. You can correct the errors and resubmit the form as soon as possible. Ensure you follow any additional instructions provided by the IRS to facilitate successful processing.
How long should I retain records related to my 8889 form 2010?
You should keep records related to your 8889 form 2010 for at least three years from the date you filed it or the date it was due, whichever is later. This retention period is crucial for ensuring you can provide documentation if required for audits or inquiries by the IRS.
See what our users say
Read user feedback and try pdfFiller to explore all its benefits for yourself
An easy method of filling out and sending documents. Problem with sending document due to 'Bugs' in the system
It took three tries to send off a document and I still do not have a confirmation that it was send nor d I have a date in which the document would be received.
The concept is good as I can go to the website and complete a document and send it off. Still some bugs
Roger L
pleasant, but form was rejected because I cannot print it in red ink.
Use this catalog to find any type of IRS forms. We've gathered all of them under this section uncategorized to help you to find a proper form faster. Once you spot it on this list, have a look at the versions and schedules you might need as attachments. All returns are available for 2016 and for previous fiscal years.
