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Health Savings Account (HSA) Distribution Form1HSA OWNER INFORM ACTION NAME, ADDRESS, CITY, STATE, AND EMAIL (OPTIONAL)HSA ACCOUNT NUMBER2DAYTIME PHONE NUMBERSOCIAL SECURITY NUMBER (SSN)DISTRIBUTION
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HSA owner information includes details about the individual who owns a Health Savings Account, such as their name, address, Social Security number, and account information.
Employers or financial institutions that manage HSA accounts are required to file HSA owner information with the IRS.
HSA owner information can be filled out using Form 1099-SA or through electronic filing methods provided by the IRS.
The purpose of HSA owner information is to report contributions, distributions, and other transactions related to Health Savings Accounts to the IRS.
The information reported on HSA owner information includes the account owner's details, contributions made to the account, distributions taken, and any other relevant transactions.
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