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E PHONE NUMBER E-MAIL (OPTIONAL) DISTRIBUTION REASON DATE OF BIRTH DATE OF DEATH (IF APPLICABLE) (For further information, see Additional Information included with this form.) Select One. l Normal l Death Type of Beneficiary: l Spouse l Estate l Other Distribution is in: l Year of Death l After Year of Death Fair Market Value of HSA as of Date of Death $ l Transfer l to my HSA l to spouse's HSA due to death l to former spouse's HSA due to divorce or legal separation l l l l Disability Pr.

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If you (or your spouse, if filing jointly) received HSA distributions in 2019, you must file Form 8889 with Form 1040, Form 1040-SR, or Form 1040-NR, even if you have no taxable income or any other reason for filing Form 1040, Form 1040-SR, or Form 1040-NR.

Form 1099-SA, "Distributions from an HSA, Archer MSA, or Medicare Advantage MSA," is the Internal Revenue Service (IRS) form that you receive if you must include a distribution from a health savings account (HSA), an Archer medical savings account (MSA), or a Medicare Advantage (MA) MSA on your federal taxes.

You don't receive form 8889 in the mail or online; it is created by TurboTax as part of your tax return process. TurboTax creates one or two forms: 8889-T for the primary taxpayer and 8889-S for the spouse (if necessary).

File Form 1099-SA to report distributions made from a: Health savings account (HSA). Archer Medical Savings Account (Archer MSA).

The HSA trustee or custodian tracks all HSA distributions and reports them to the account owner and the IRS using IRS Form 1099-SA. HSA owners report their distributions and medical expenses to the IRS using Form 8889.

If you have a health savings account (HSA), you must report both contributions to it and distributions from it to the Internal Revenue Service (IRS). You, as the account holder, need to report contributions to and distributions from HSAs on IRS Form 8889 and attached it to Form 1040.

Box 1 Gross Distribution: This box shows the total amount distributed from the account during the tax year. Box 2 Earnings on Excess Contributions: This box shows the earnings on any excess contributions distributed from an HSA by the filing due date of the current income tax return.

Distributions from a health savings account (HSA), Archer medical savings account (MSA), or Medicare Advantage (MA) MSA are reported to you on Form 1099-SA. File Form 8853 or Form 8889 with your Form 1040 or 1040-SR to report a distribution from these accounts even if the distribution isn't taxable.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232