
Get the free Form 8853
Show details
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,
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
To use our professional PDF editor, follow these steps:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit form 8853. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Create an account to find out for yourself how it works!
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 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.
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 a tax form used by individuals to report contributions to Health Savings Accounts (HSAs) and other medical savings accounts.
Who is required to file Form 8853?
Individuals who have made contributions to Health Savings Accounts (HSAs) or have distributions from such accounts are required to file Form 8853.
How to fill out 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.
What is the purpose of Form 8853?
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.
What information must be reported on Form 8853?
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.
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.