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6a Archer MSA Distributions Total distributions you and your spouse received in 2010 from all Archer MSAs see page 4 of the instructions. Total employer contributions to your Archer MSA s for 2010. through April 18 2011 that were for 2010. Unreimbursed qualified medical expenses see page 4 of the instructions. Taxable Archer MSA distributions. Cat. No. 24091H 13b Form 8853 2010 Name of policyholder as shown on Form 1040 Attachment Sequence No. Page 2 policyholder Section C. 13a Taxable...
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