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HSA DIRECT TRANSFER
INSTRUCTIONS (FORM 2625H)
Please Print or Type
TO:Current HSA, MSA, or IRA FiduciaryAccount Number at Current Institutionalizing Address of Current HSA, MSA, or IRA FiduciaryPlease
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How to fill out hsa direct transfer instructions

How to fill out hsa direct transfer instructions
01
To fill out HSA direct transfer instructions, follow these steps:
02
Obtain the necessary transfer forms from your current HSA provider.
03
Fill out your personal information, such as your name, address, and contact details, on the transfer forms.
04
Provide the details of your current HSA, including the account number and the name of the HSA provider.
05
Specify the amount you wish to transfer from your current HSA to the new HSA. You can transfer the full balance or a partial amount.
06
Indicate the name and address of the HSA provider where you want the funds to be transferred.
07
Attach any required additional documentation, if applicable.
08
Double-check all the information on the transfer forms for accuracy.
09
Sign and date the forms to authorize the transfer.
10
Submit the completed transfer forms to your current HSA provider either online, by mail, or in-person.
11
Keep a copy of the transfer forms for your records.
12
Wait for the transfer to be processed by your current HSA provider, which may take a few days to a few weeks depending on their procedures.
13
Once the transfer is completed, verify the funds are successfully transferred to your new HSA by checking the account balance.
Who needs hsa direct transfer instructions?
01
HSA direct transfer instructions are needed by individuals who currently have a Health Savings Account (HSA) with one provider and want to transfer their funds to another HSA with a different provider.
02
Typically, if you switch jobs or change your HSA provider, you may need to fill out HSA direct transfer instructions to move your HSA funds from the old account to the new one.
03
These instructions are also useful for individuals who want to consolidate multiple HSAs into a single account.
04
It is recommended to consult with your HSA provider and check their specific requirements for direct transfers before initiating the process.
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What is hsa direct transfer instructions?
HSA direct transfer instructions are guidelines provided to facilitate the direct transfer of funds from one Health Savings Account (HSA) to another without incurring tax penalties.
Who is required to file hsa direct transfer instructions?
Individuals who wish to move their HSA funds from one custodian or trustee to another without facing tax implications are required to file HSA direct transfer instructions.
How to fill out hsa direct transfer instructions?
To fill out HSA direct transfer instructions, provide your personal information, details of the current HSA custodian, the new custodian's information, and the amount to be transferred. Ensure all sections are completed accurately and sign where required.
What is the purpose of hsa direct transfer instructions?
The purpose of HSA direct transfer instructions is to ensure that funds are transferred correctly between HSAs without triggering tax liabilities or penalties.
What information must be reported on hsa direct transfer instructions?
Information that must be reported includes the account holder's name, current and new custodian's details, account numbers, and the amount to be transferred.
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