IRS 1099-SA form

Distributions From an HSA, Archer MSA, or Medicare Advantage MSA

2023 1099-SA form

2023 1099-SA form

9494VOIDCORRECTEDTRUSTEE\'S/PAYER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number OMB No. 154515172019 Form 1099SA PAYER\'S RECIPIENT\'S RECIPIENT\'S name1 Gross distribution2...

2022 1099-SA form

2022 1099-SA form

9494VOIDCORRECTEDTRUSTEE\'S/PAYER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number OMB No. 154515172019 Form 1099SA PAYER\'S RECIPIENT\'S RECIPIENT\'S name1 Gross distribution2...

2021 1099-SA form

2021 1099-SA form

9494VOIDCORRECTEDTRUSTEE\'S/PAYER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number OMB No. 154515172019 Form 1099SA PAYER\'S RECIPIENT\'S RECIPIENT\'S name1 Gross distribution2...

2020 1099-SA form

2020 1099-SA form

9494VOIDCORRECTEDTRUSTEE\'S/PAYER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number OMB No. 154515172019 Form 1099SA PAYER\'S RECIPIENT\'S RECIPIENT\'S name1 Gross distribution2...

2019 1099-SA form

2019 1099-SA form

9494VOIDCORRECTEDTRUSTEE\'S/PAYER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number OMB No. 154515172019 Form 1099SA PAYER\'S RECIPIENT\'S RECIPIENT\'S name1 Gross distribution2...

2018 1099-SA form

2018 1099-SA form

9494VOIDCORRECTEDTRUSTEE\'S/PAYER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number OMB No. 154515172018 Form 1099SA PAYER\'S RECIPIENT\'S RECIPIENT\'S name1 Gross distribution2...

2017 1099-SA form

2017 1099-SA form

9494 VOID CORRECTED Trustees IS/PAYER IS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number OMB No. 1545-1517 2017 Form 1099-SA PAYER IS federal identification number RECIPIENT IS...

2016 1099-SA form

2016 1099-SA form

9494 VOID CORRECTED TRUSTEE'S/PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number OMB No. 1545-1517 2016 Form 1099-SA PAYER'S federal identification number RECIPIENT'S...

2013 1099-SA form

2013 1099-SA form

Attention: This form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. Do not file copy A downloaded from this website. The official printed version of this IRS form is scalable, but the online...

2012 1099-SA form

2012 1099-SA form

Form 1099-SA. 2012. Cat. No. 38471D. Distributions. From an HSA, Archer MSA, or. Medicare Advantage. MSA. Copy A. For. Internal Revenue. Service Center.

2011 1099-SA form

2011 1099-SA form

Notice, see the 2011. General. Instructions for. Certain Information. Returns. Archer. MSA. MA. MSA. 2011 ...

2010 1099-SA form

2010 1099-SA form

2010 Form 1099-SA. https://www.1099fire.com/learning center/ general instructions/forms/f1099sa.pdf. Printed version ...