
Get the free Form 8853
Show details
Use Form 8853 to report Archer MSA contributions, figure your Archer MSA deduction, report distributions from Archer MSAs or Medicare Advantage MSAs, report taxable payments from long-term care insurance
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign form 8853

Edit your form 8853 form 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 form 8853 form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing form 8853 online
Here are the steps you need to follow to get started with our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit form 8853. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out form 8853

How to fill out Form 8853
01
Obtain Form 8853 from the IRS website or your tax professional.
02
Begin by entering your name, Social Security number, and the tax year at the top of the form.
03
Complete Part I, which involves reporting your Archer Medical Savings Accounts (MSAs).
04
Fill in the contributions made to your Archer MSA during the tax year.
05
Provide any distributions you received from your Archer MSA.
06
If you have a Health Savings Account (HSA), complete Part II to report that information.
07
Follow the instructions for any applicable adjustments or corrections.
08
Sign and date the form before submitting it with your tax return.
Who needs Form 8853?
01
Individuals who have an Archer Medical Savings Account (MSA) need to file Form 8853.
02
Taxpayers who have a Health Savings Account (HSA) may also need to file this form depending on their situation.
03
It is required for individuals who received distributions from MSAs or HSAs during the tax year.
Fill
form
: Try Risk Free
People Also Ask about
Do I have to report long-term care benefits on my tax return?
A tax-qualified long term care insurance contract qualifies for favorable federal income tax treatment. If the policy only pays benefits that reimburse you for qualified long-term care expenses you will not owe federal income tax on these benefits.
Do I need to fill out Form 8853?
You need to file Form 8853 if you contribute to an Archer MSA, receive distributions, inherit an MSA, or receive taxable payments from long-term care insurance or accelerated death benefits.
What is the IRS form for long-term care benefits?
The Form 1099-LTC report reflects payments made directly to you as well as those payments made to third parties on your behalf. People are often surprised to receive this report.
What is the IRS form to cancel all debt?
Form 1099-C. Lenders or creditors are required to issue Form 1099-C, Cancellation of Debt, if they cancel a debt owed to them of $600 or more. Generally, an individual taxpayer must include all canceled amounts (even if less than $600) on the "Other Income" line of Form 1040.
Who needs to file form 8853?
You need to file Form 8853 if you contribute to an Archer MSA, receive distributions, inherit an MSA, or receive taxable payments from long-term care insurance or accelerated death benefits.
Who qualifies for Archer, MSA?
To be eligible for an Archer MSA, you (or your spouse) must be an employee of a small employer or be self-employed. You (or your spouse) must be covered under an HDHP and have no other health coverage except permitted coverage. You must not be enrolled in Medicare and can't be another person's dependent.
Who needs to fill out form 8233?
Form 8233. The Form 8233 (pdf) should be used by nonresident alien students, teachers, and researchers to claim exemption from withholding on compensation for services that is exempt from taxation under a U.S. tax treaty. View IRS instructions for completing the form (pdf).
What is income from 8853?
Use Form 8853 to: Report Archer MSA contributions (including employer contributions), Figure your Archer MSA deduction, Report distributions from Archer MSAs or Medicare Advantage MSAs, Report taxable payments from long-term care (LTC) insurance contracts, or.
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is Form 8853?
Form 8853 is used to report Medical Savings Accounts (MSAs) and to report distributions from these accounts. It is utilized by individuals with MSAs to provide necessary information to the IRS.
Who is required to file Form 8853?
Individuals who have received distributions from a Medical Savings Account (MSA) or who claim a deduction for contributions to an MSA must file Form 8853.
How to fill out Form 8853?
To fill out Form 8853, individuals must provide personal information including their name and Social Security number, report contributions made to the MSA, report any distributions received, and calculate any tax owed or deductions available.
What is the purpose of Form 8853?
The purpose of Form 8853 is to ensure proper reporting of Medical Savings Accounts (MSAs) to the IRS, facilitating the correct tax treatment of contributions and distributions.
What information must be reported on Form 8853?
Form 8853 requires reporting of personal identification information, contributions to the MSA, distributions from the MSA, and any gains or losses associated with those distributions.
Fill out your form 8853 online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Form 8853 is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.