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Health Savings Account (HSA) Close Account Form Instructions: Complete this form to close your account. Do not use this form for a trustee to trustee transfer. Instead, contact your new provider to
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A health savings account (HSA) is a tax-advantaged savings account that allows individuals to contribute money on a pre-tax basis to pay for qualified medical expenses.
Individuals who have an HSA and have made contributions to it during the tax year are required to file Form 8889 with their tax return.
To fill out a health savings account, individuals must report their HSA contributions, distributions, and any other relevant information on Form 8889. This form should be attached to the individual's tax return.
The purpose of a health savings account is to help individuals save and pay for qualified medical expenses on a tax-advantaged basis.
Information such as HSA contributions, distributions, account balances, and any qualified medical expenses paid with HSA funds must be reported on a health savings account.
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