
Get the free Form 8853
Show details
This document provides instructions for completing Form 8853, which is used to report contributions to Archer Medical Savings Accounts (MSAs) and distributions from Archer MSAs or Medicare+Choice
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.
How to edit form 8853 online
Use the instructions below to start using our professional PDF editor:
1
Log in to account. Start Free Trial and sign up a profile if you don't have one.
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. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
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 software.
02
Fill out your personal information at the top of the form, including your name, address, and Social Security number.
03
If applicable, complete Part I by providing details of any Health Savings Accounts (HSAs) you contributed to during the tax year.
04
In Part II, report any distributions from your HSAs and specify the purpose of the distribution.
05
Provide information about any Archer Medical Savings Accounts (MSAs) in Part III, if you have one.
06
Double-check all entries for accuracy and completeness.
07
Sign and date the form before submitting it with your tax return.
Who needs Form 8853?
01
Individuals who made contributions to Health Savings Accounts (HSAs) during the tax year.
02
Taxpayers who received distributions from HSAs or Archer MSAs.
03
People who are claiming a tax deduction for the contributions made to their HSAs.
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 the Health Savings Account (HSA) and other tax-favored health plans, including Archer Medical Savings Accounts (MSAs) and Health Reimbursement Arrangements (HRAs).
Who is required to file Form 8853?
Individuals who have contributions to a Health Savings Account (HSA), or who received distributions from an Archer MSA or other similar health accounts must file Form 8853.
How to fill out Form 8853?
To fill out Form 8853, taxpayers need to provide information about their HSAs or MSAs, including contributions made, distributions received, and any qualified medical expenses paid. Specific instructions and guidelines are available in the IRS instructions for Form 8853.
What is the purpose of Form 8853?
The purpose of Form 8853 is to report contributions to and distributions from health savings accounts and other tax-favored plans, allowing the IRS to verify compliance with tax laws related to these accounts.
What information must be reported on Form 8853?
Form 8853 requires reporting information such as the contributions made to HSAs, distributions taken from HSAs, contributions or distributions related to Archer MSAs, and any adjustments necessary in connection with these accounts.
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.