Form preview

Get the free Form 5498-SA

Get Form
This document provides information regarding contributions made to Health Savings Accounts (HSA), Archer Health Savings Accounts (Archer MSA), or Medicare Advantage MSAs for reporting to the Internal
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign form 5498-sa

Edit
Edit your form 5498-sa form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your form 5498-sa form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit form 5498-sa online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit form 5498-sa. 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
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or 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.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out form 5498-sa

Illustration

How to fill out Form 5498-SA

01
Obtain Form 5498-SA from the IRS website or other authorized sources.
02
Fill in your name and address in the designated fields.
03
Enter your Social Security Number (SSN) or Taxpayer Identification Number (TIN).
04
Indicate the type of account by checking the appropriate box (HSA, Archer MSA, or Medicare Advantage MSA).
05
Report the contributions made during the tax year in the appropriate section.
06
Provide the total fair market value of the account as of December 31 of the tax year.
07
If applicable, report rollover contributions.
08
Sign and date the form where required before submitting it.
09
Keep a copy of the filled form for your records.

Who needs Form 5498-SA?

01
Individuals who have contributed to a Health Savings Account (HSA), Archer Medical Savings Account (MSA), or Medicare Advantage MSA during the tax year.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
41 Votes

People Also Ask about

You don't have to file this form with your tax return. The financial institution that issued it will share this information with the IRS. Form 5498 can help you keep track of contributions you've made to a traditional IRA, Roth IRA, SEP IRA, or SIMPLE IRA.
In addition to Form 5498, there are two related forms: Form 5498-ESA for Coverdell education savings account (ESA) plan contributions and Form 5498-SA for health savings accounts (HSA) or medical savings accounts (MSA).
No. You aren't required to do anything with Form 5498 because it's for informational purposes only.
Due to carryback contributions that can be made up until tax filing date (typically April 15) of the following year, the IRS does not require IRS Form 5498s to be mailed until May 31 of the year following the tax year being reported.
The trustee of your HSA, Archer MSA, or MA MSA may provide other information about your account on this form. Note: Don't attach Form 5498-SA to your income tax return. Instead, keep it for your records.
The trustee of your HSA, Archer MSA, or MA MSA may provide other information about your account on this form. Note: Don't attach Form 5498-SA to your income tax return. Instead, keep it for your records.
Yes, there are specific forms you will receive to properly complete your income tax return if you have an HSA.
What happens if you don't report your HSA on taxes? You may owe penalties and interest for not reporting withdrawals of contributions on your tax return. For 2024, the interest rate for not paying taxes is 8%.

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.

Form 5498-SA is a tax form used to report contributions to a Health Savings Account (HSA), Archer Medical Savings Account (MSA), or Medicare Advantage MSA, as well as to report any rollover contributions and the fair market value of the account at the end of the year.
The trustee or custodian of an HSA or MSA is required to file Form 5498-SA. This includes banks, credit unions, and other financial institutions that manage these accounts.
To fill out Form 5498-SA, include the account holder's name, address, and Social Security number, along with the total contributions made to the account during the tax year, any rollover contributions, and the fair market value of the account at year-end.
The purpose of Form 5498-SA is to provide the IRS and the account holder with information about contributions to the HSA or MSA, ensuring accurate reporting for tax purposes.
Form 5498-SA requires reporting of the account holder's details, total contributions made during the year, any rollover amounts, the fair market value of the account as of December 31, and any other relevant information regarding the account.
Fill out your form 5498-sa 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.

Get started now
Form preview
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.