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HSA Tax Info and Resources | Benefits
Each year, Health Savings Account (HSA) participants must submit IRS Form 8889: Health Savings Account with Form 5498-SA or a list of 2021 contributions.
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2004 Instructions for Form 1040 (ALL) - IRS
See the instructions for Schedule A, line 6, on page A-3*. 1099-SA. Distributions from health savings accounts. Form 8889, line 12a.
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Instructions for Forms 1099-SA and 5498-SA (2023) - IRS
Nov 2, 2022 Box 4, the FMV of the account on the date of death, reduced by any payments from the HSA made for the decedents qualified medical expenses, if
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