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This document provides instructions for completing Form 8853, which is used to report medical savings accounts (MSAs), MSA deductions, taxable distributions from MSAs, and payments from long-term
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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 software.
02
Fill in your personal information at the top of the form, including your name, address, and Social Security Number.
03
Report the information regarding your Health Savings Account (HSA) contributions on Part I of the form.
04
If you are required to report distributions from your HSA, complete Part II of the form.
05
Use Part III to calculate any taxable amount from your HSA distributions, if applicable.
06
Ensure you have included any supporting documents like Form 8889 if filing jointly with a spouse.
07
Review the filled form for accuracy and completeness.
08
Attach Form 8853 to your tax return before submitting it to the IRS.

Who needs Form 8853?

01
Individuals who have a Health Savings Account (HSA)
02
Taxpayers who make contributions to an HSA or take distributions from it
03
Eligible individuals enrolled in high-deductible health plans (HDHPs) seeking tax benefits
04
Those required to report excess contributions or taxable withdrawals from HSAs
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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 taxpayers to report contributions to and distributions from a Health Savings Account (HSA) and to claim the tax deduction for contributions made to an HSA.
Taxpayers who have made contributions to a Health Savings Account (HSA) or received distributions from an HSA in the tax year are required to file Form 8853.
To fill out Form 8853, taxpayers must provide their personal information, report contributions to the HSA, report distributions from the HSA, and calculate any applicable deductions. It is advisable to refer to the IRS instructions for detailed guidance.
The purpose of Form 8853 is to ensure that taxpayers accurately report their contributions and distributions related to HSAs, and claim any deductions or credits they are eligible for regarding these accounts.
Form 8853 requires taxpayers to report information such as the total contributions made to the HSA, total distributions taken from the HSA, and any applicable deductions for those contributions.
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