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Use Form 8853 to report general information about newly established medical savings accounts (MSAs), to figure your MSA deduction, and to figure your taxable distributions from MSAs. Also use the
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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 a tax preparation software.
02
Fill in your personal information including your name, address, and Social Security number.
03
Complete Part I to report contributions to your Health Savings Account (HSA).
04
In Part II, provide information about distributions from your HSA.
05
If applicable, fill out Part III for Archer Medical Savings Accounts (MSAs).
06
Ensure all calculations are accurate and double-check all entries.
07
Sign and date the form before submitting it with your tax return.

Who needs Form 8853?

01
Individuals who have a Health Savings Account (HSA) or Archer Medical Savings Account (MSA).
02
Taxpayers who made contributions to or took distributions from these accounts during the tax year.
03
Those who need to report excess contributions or calculate the tax on distributions not used for qualified medical expenses.
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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 to report Health Savings Accounts (HSAs) and Archer Medical Savings Accounts (MSAs) for tax purposes in the United States.
Individuals who have made contributions to Health Savings Accounts (HSAs) or Archer Medical Savings Accounts (MSAs) during the tax year are required to file Form 8853.
To fill out Form 8853, taxpayers should provide personal information, report contributions made to HSAs or MSAs, indicate any distributions received, and provide any additional information required by the form's instructions.
The purpose of Form 8853 is to report contributions, distributions, and other relevant information related to Health Savings Accounts (HSAs) and Archer Medical Savings Accounts (MSAs), which helps determine tax liability and compliance.
Form 8853 requires reporting of the total contributions made to HSAs or MSAs, any distributions taken, and any amounts rolled over from other accounts, along with personal identification information.
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