Get the free 2016 Form 5498-SA. HSA, Archer MSA, or Medicare Advantage MSA Information
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2727VOIDCORRECTEDTRUSTEES name, street address, city or town, state or province, country,
ZIP or foreign postal code, and telephone number1 Employee or self-employed
persons Archer MSA
contributions
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How to fill out 2016 form 5498-sa hsa
How to fill out 2016 form 5498-sa hsa
01
Gather all the necessary information and documents such as your HSA account details, contributions made to the account in 2016, and any distributions taken from the account.
02
Start by providing your personal information, including your name, Social Security number, and address.
03
Fill in the details of your HSA custodian, including their name, address, and employer identification number.
04
Enter the total contributions made to your HSA account during the tax year 2016.
05
Indicate if any of the contributions were made by your employer or if they were made on a pre-tax basis through payroll deductions.
06
Report any distributions taken from your HSA account in 2016, including the amounts and the purpose of the distributions.
07
Provide any additional information required for the form, such as any excess contributions made to your HSA or any corrective distributions received.
08
Carefully review the completed form for accuracy and completeness.
09
Sign and date the form before submitting it, either electronically or by mail, as instructed by the IRS.
Who needs 2016 form 5498-sa hsa?
01
Individuals who had a Health Savings Account (HSA) during the tax year 2016 need to complete Form 5498-SA.
02
Employers who made contributions to their employees' HSAs need to provide a copy of the filled-out Form 5498-SA to the employees for their records.
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