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Get the free IRS Form 1099-SA: What It Is, Who Has to File, and How

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HEALTH SAVINGS ACCOUNT CONTRIBUTION FORM Account Holders Name and AddressSpending Account ID #SA Last NameFirst NameMiddle InitialStateZipSocial Security # (if SA# is not known)Street AddressCityDaytime
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How to fill out irs form 1099-sa what

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How to fill out irs form 1099-sa what

01
To fill out IRS Form 1099-SA, follow these steps:
02
- Start with the payer's information. Enter their name, address, and taxpayer identification number (TIN).
03
- Provide the recipient's information. Include their name, address, and TIN.
04
- Enter the distribution information. Report the total distribution amount in box 1.
05
- Indicate the type of distribution in box 2.
06
- If the recipient has a disability, check the appropriate box in box 3.
07
- Complete box 4 if the recipient is deceased.
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- Enter any excess contributions in box 5.
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- Report any distribution code in box 6.
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- If applicable, enter the recipient's age in box 7.
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- Finally, sign and date the form.
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Make sure to file the form with the IRS and provide a copy to the recipient.

Who needs irs form 1099-sa what?

01
Anyone who has made distributions from a Health Savings Account (HSA), Archer Medical Savings Account (Archer MSA), or Medicare Advantage MSA needs to fill out IRS Form 1099-SA.
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IRS Form 1099-SA is used to report distributions from Health Savings Accounts (HSAs), Archer Medical Savings Accounts (MSAs), and Medicare Advantage MSAs.
Institutions that manage HSAs or MSAs must file Form 1099-SA when they distribute funds to account holders.
To fill out Form 1099-SA, enter the recipient's name, address, and taxpayer identification number, along with the total amount distributed and the type of account from which the distributions were made.
The purpose of Form 1099-SA is to report distributions for tax purposes, ensuring that account holders accurately report their HSAs or MSAs contributions and withdrawals.
Form 1099-SA requires reporting the recipient's information, the total amount of distributions, the type of distribution, and any contributions made during the year.
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