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Toll Free: (800) 6621113 Fax: (844) 5606754 P.O. Box 258886 Oklahoma City, OK 73125 Website: americanfidelity.com Email: WGAcctAdminHSA@americanfidelity.comHEALTH SAVINGS ACCOUNT Application and Custodial
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How to fill out m-3256-0319 hsa contribution form

01
To fill out the m-3256-0319 HSA contribution form, follow these steps:
02
Begin by entering your name and contact information in the appropriate fields.
03
Provide your Social Security number or employer identification number (EIN) if applicable.
04
Indicate the tax year for which you are making the HSA contribution.
05
Specify the type of contribution you are making, such as regular or catch-up.
06
Enter the contribution amount for each type you selected.
07
If you are funding your HSA through a transfer or rollover, provide the necessary details.
08
Review the form for accuracy and completeness.
09
Sign and date the form.
10
Attach any additional required documents, if applicable.
11
Submit the form to the appropriate entity as instructed.

Who needs m-3256-0319 hsa contribution form?

01
Those who need the m-3256-0319 HSA contribution form are individuals who want to contribute to their Health Savings Account (HSA) and are required to file relevant tax forms for claiming deductions or reporting contributions.
02
HSA contributors may include self-employed individuals, employees with a high-deductible health plan, or those who qualify for HSA contributions under other circumstances.
03
It is important to consult with a tax advisor or refer to official IRS guidelines to determine the eligibility and requirements for using this form.
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The m-3256-0319 HSA contribution form is a tax form used to report contributions made to Health Savings Accounts (HSAs) by individuals or employers for tax purposes.
Individuals who have made contributions to an HSA during the tax year, as well as employers who contribute to an employee's HSA, are required to file the m-3256-0319 HSA contribution form.
To fill out the m-3256-0319 form, you need to provide your personal information, the details of the HSA, and report the total contributions made during the tax year, ensuring that the amounts are accurate and within the contribution limits.
The purpose of the m-3256-0319 form is to accurately report HSA contributions to the IRS, which helps in determining tax deductions and ensuring compliance with HSA contribution limits.
The information that must be reported on the m-3256-0319 form includes the contributor's name and taxpayer identification number, the HSA account number, the total contributions made, and any relevant deductions claimed.
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