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CONTRIBUTION AND INVESTMENT SELECTION PART 1. HSA OWNER PART 2. HSA TRUSTEE OR CUSTODIAN Name (First/MI/Last) To be completed by the HSA trustee or custodian AMERICAN STATE BANK CUSTODIAN Name 525
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How to fill out hsa owner

01
Gather all necessary documents, such as proof of identity and proof of eligibility.
02
Research and choose a suitable HSA provider.
03
Complete the application form provided by the chosen HSA provider.
04
Provide accurate and truthful information regarding personal details, employment information, and financial information.
05
Ensure that all designated sections are properly filled out, including beneficiary information if applicable.
06
Review the completed form for any errors or missing information.
07
Submit the filled-out form to the HSA provider through the designated submission method, such as mail, online portal, or in-person.
08
Wait for confirmation and approval from the HSA provider.
09
Fund the HSA account as per the provider's instructions once approved.
10
Keep records of contributions, withdrawals, and any documentation related to HSA expenses for future reference.
11
Periodically review and update HSA information as necessary.

Who needs hsa owner?

01
Individuals who have a high deductible health plan (HDHP) are eligible for an HSA owner.
02
Those who anticipate having significant medical expenses and want to save on taxes can benefit from having an HSA owner.
03
Employers may require employees to have an HSA owner in certain cases.
04
Anyone who wants to take advantage of tax-free contributions, tax-free earnings, and tax-free withdrawals for qualified medical expenses should consider having an HSA owner.
05
Families or individuals who want to save for future healthcare expenses can benefit from having an HSA owner.
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The HSA owner is the individual who owns a Health Savings Account (HSA) and has the authority to make contributions, withdrawals, and investment decisions.
The HSA owner is required to file their HSA information when filing their taxes.
The HSA owner can fill out their HSA information on Form 8889 and include it with their tax return.
The purpose of the HSA owner is to track contributions, withdrawals, and use of funds in the Health Savings Account.
The HSA owner must report contributions, withdrawals, and any qualified medical expenses paid with HSA funds.
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