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IA: HSA Transfer Form Individual
081513HSA TRANSFER FORM: INDIVIDUAL
Instructions
1. Complete this form and return it to your current HSA provider. Keep a copy of this form for your records.
2. If
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How to fill out i-a hsa transfer form

How to fill out i-a hsa transfer form
01
Obtain the i-a HSA transfer form from your current HSA provider or download it from their website.
02
Fill out the account holder information section with your personal details, including name, address, and Social Security number.
03
Provide the necessary information about your current HSA, such as the account number and current HSA provider's name.
04
Indicate the amount you wish to transfer to the new HSA. Make sure to follow any specific instructions regarding minimum or maximum transfer limits.
05
If required, provide the information of your new HSA provider, including their name, address, and account number.
06
Check if there are any fees or charges associated with the transfer and provide payment information if necessary.
07
Review all the filled information and make sure it is accurate and complete.
08
Sign and date the form to authorize the HSA transfer.
09
Submit the completed form to your current HSA provider, either by mailing it or delivering it in person. Keep a copy for your records.
Who needs i-a hsa transfer form?
01
Anyone who currently holds a Health Savings Account (HSA) and wishes to transfer their funds to a new HSA provider.
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What is i-a hsa transfer form?
The i-a HSA transfer form is a document used to facilitate the transfer of funds from one Health Savings Account (HSA) to another without incurring tax penalties.
Who is required to file i-a hsa transfer form?
Individuals who wish to transfer their HSA funds from one account to another are required to file the i-a HSA transfer form.
How to fill out i-a hsa transfer form?
To fill out the i-a HSA transfer form, provide personal identification details, account information for both the originating and receiving HSAs, and sign the form to authorize the transfer.
What is the purpose of i-a hsa transfer form?
The purpose of the i-a HSA transfer form is to ensure a smooth and tax-free transfer of funds between HSA accounts, complying with IRS regulations.
What information must be reported on i-a hsa transfer form?
The i-a HSA transfer form must report personal details, the account numbers for both the sending and receiving HSAs, and the amount to be transferred.
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