Form 8889 2016 pdf-2025

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  1. Click 'Get Form' to open it in the editor.
  2. Begin by entering your name and Social Security number as shown on Form 1040 or Form 1040NR. If applicable, complete Form 8853 before starting this form.
  3. In Part I, check the box indicating your coverage under a high-deductible health plan (HDHP) for 2018. Then, enter your HSA contributions made during the year.
  4. Follow the instructions to calculate your maximum contribution limits based on your age and coverage type. Enter these amounts in the appropriate fields.
  5. Proceed to Part II to report total distributions received from all HSAs. Ensure you account for any rollovers or excess contributions.
  6. Finally, review all entries for accuracy, then print, download, or share the completed form directly from our platform.

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Use Form 8889 to: Report health savings account (HSA) contributions (including those made on your behalf and employer contributions), Figure your HSA deduction, Report distributions from HSAs, and Figure amounts you must include in income and additional tax you may owe if you fail to be an eligible individual.
Go to .irs.gov/Form8889 for instructions and the latest information.
If you hold an HSA account (or are the beneficiary of a deceased HSA holder), youre required to attach Form 8889 to your Form 1040 when filing your personal income tax or information return. If you fail to do so, youll be unable to deduct your HSA contributions.
If you contribute to an HSA, or take a distribution, you need to complete and file IRS Form 8889 with your tax return.
Go to .irs.gov/Form8889 for instructions and the latest information. Name(s) shown on Form 1040, 1040-SR, or 1040-NR Social security number of HSA beneficiary.