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This document provides instructions for filing Form 8853 related to Archer Medical Savings Accounts (MSAs) and Long-Term Care Insurance Contracts for the tax year 2005. It outlines eligibility requirements,
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How to fill out form 8853

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How to fill out Form 8853

01
Obtain Form 8853 from the IRS website or your tax preparation software.
02
Fill out your personal information in Part I: 'Taxpayer Information'.
03
In Part II, provide details about the Health Savings Account (HSA) and any distributions made during the tax year.
04
Complete Part III, where you report any Archer Medical Savings Accounts (MSAs).
05
If applicable, fill out Part IV for the Qualified HSA Funding Distribution.
06
Review the instructions carefully for specific line items and requirements.
07
Ensure all necessary attachments are included, such as Form 8889 for HSAs.
08
Sign and date the form before submitting it with your tax return.

Who needs Form 8853?

01
Individuals who have received distributions from a Health Savings Account (HSA).
02
Taxpayers who have contributions or distributions related to Archer Medical Savings Accounts (MSAs).
03
Anyone who is reporting a Qualified HSA Funding Distribution.
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People Also Ask about

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.
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.
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.
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.
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.
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.
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).
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.

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Form 8853 is a tax form used by individuals to report contributions to Health Savings Accounts (HSAs) and other medical savings accounts.
Individuals who have made contributions to Health Savings Accounts (HSAs) or have distributions from such accounts are required to file Form 8853.
To fill out Form 8853, individuals need to provide personal information including their name and Social Security number, report contributions and distributions, and calculate any additional tax owed on excess contributions.
The purpose of Form 8853 is to ensure that taxpayers report their HSAs and medical savings accounts accurately for tax purposes, helping the IRS monitor compliance with tax laws related to these accounts.
Information that must be reported on Form 8853 includes contributions made to HSAs, distributions taken from HSAs, and any applicable taxes related to excess contributions.
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