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Get 2011 Form 8853

Equence No. 39 separate instructions. Social security number of MSA account holder. If both spouses have MSAs, see instructions Section A. Archer MSAs. If you have only a Medicare Advantage MSA, skip Section A and complete Section B. Part I Archer MSA Contributions and Deductions. See instructions before completing this part. If you are filing jointly and both you and your spouse have high deductible health plans with self-only coverage, complete a separate Part I for each spouse. 1 2 To.

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Keywords relevant to 2011 Form 8853

  • Unreimbursed
  • excludable
  • 2012
  • 13b
  • OMB
  • 13a
  • 1099-LTC
  • 14a
  • rollovers
  • 24091h
  • payees
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  • policyholder
  • taxable
  • worksheet
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