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Get the free 2021 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 2021 form 5498-sa hsa

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How to fill out 2021 form 5498-sa hsa

01
Start by gathering all the necessary information and documents, including your HSA account details, contribution amounts, and any distributions or transfers made during the year.
02
Download or obtain a copy of the 2021 form 5498-SA HSA from the official IRS website or any authorized sources.
03
Carefully read the instructions provided with the form to ensure you understand all the requirements and sections.
04
Begin filling out the form by accurately entering your personal information, such as your name, address, and Social Security number.
05
Proceed to the applicable sections related to your HSA contributions. Fill in the contribution amount for the tax year and any excess contributions being reported.
06
If you made any distributions or transfers from your HSA during the year, provide the necessary details in the relevant sections.
07
Double-check all the information you entered before submitting the form to avoid any errors or discrepancies.
08
Sign and date the form where required to certify the accuracy of the information provided.
09
Keep a copy of the completed form for your records and submit the original to the IRS as instructed in the form's instructions or guidance.

Who needs 2021 form 5498-sa hsa?

01
Individuals who have a Health Savings Account (HSA) and made contributions to it during the tax year need to fill out the 2021 form 5498-SA HSA.
02
Employers who made contributions to their employees' HSAs on their behalf also need to provide a copy of the completed form to the employees.
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Form 5498-SA is used to report HSA (Health Savings Account) contributions and rollovers for the year.
Financial institutions that administer HSAs are required to file Form 5498-SA to report contributions and rollovers.
To fill out Form 5498-SA, provide the required information such as the account holder's name, HSA contributions, rollovers, fair market value, and other relevant details.
The purpose of Form 5498-SA is to report HSA contributions and rollovers to the IRS and the account holder.
Information such as the account holder's name, contributions, rollovers, fair market value, and other relevant details must be reported on Form 5498-SA.
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