Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Form 8853

Get Form 8853

Form 8853 Department of the Treasury Internal Revenue Service (99) Archer MSAs and Long-Term Care Insurance Contracts OMB No. 1545-0074 Information about Form 8853 and its separate instructions is.

This website is not affiliated with IRS

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Form 8853 online

Form 8853 is a tax form used to report Archer Medical Savings Account (MSA) contributions and distributions, as well as long-term care insurance contracts. This guide will provide you with clear, step-by-step instructions on how to complete the form online efficiently and accurately.

Follow the steps to fill out Form 8853 online:

  1. Press the ‘Get Form’ button to access the form and open it in your chosen online editor.
  2. Begin with Section A, Archer MSAs. Fill out your name(s) as shown on your tax return and the social security number of the MSA account holder. If both you and your partner have MSAs, ensure you separately report for each account holder.
  3. Provide the total employer contributions to your Archer MSAs for the applicable year in Line 1. Then, in Line 2, enter the total Archer MSA contributions you made.
  4. Refer to the instructions to determine the limitation for Line 3 and complete Line 4 with your compensation from the employer maintaining the high-deductible health plan.
  5. Calculate your Archer MSA deduction by entering the smallest value from Lines 2, 3, or 4 into Line 5. This amount should also be included on your Form 1040 or Form 1040NR.
  6. Proceed to the distributions section. Enter the total distributions received from all Archer MSAs in Line 6a. Then, record any rollovers or excess contributions in Line 6b.
  7. Subtract Line 6b from Line 6a for Line 7. Enter any unreimbursed qualified medical expenses in Line 8 and calculate the taxable distributions for Line 9a.
  8. Complete Section B by entering the total distributions received from Medicare Advantage MSAs, followed by any relevant expenses and taxable distributions in the given fields.
  9. Finally, review Section C for Long-Term Care Insurance Contracts. Input the necessary details like the name and social security number of the insured, and complete the lines related to gross payments received.
  10. Once all sections are filled out, you can save your changes, download a copy, print the form, or share it as needed.

Complete your Form 8853 online today to ensure accurate reporting and compliance.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Form 8853 - Internal Revenue Service
Form 8853. Department of the Treasury. Internal Revenue Service (99). Archer MSAs and...
Learn more
Instructions for Form 8853, Archer MSAs and...
Instructions for Form 8853, Archer MSAs and long-term care insurance contracts. Author:...
Learn more
Service Parts - Dormakaba
When used with flat form non-hold open arms, the MJ bracket must be used ... 8853. Floor...
Learn more

Related links form

NIAGARA LSC SWIMMING ALL-STAR TEAM ATHLETE APPLICATION 2009 Summer Swim Programs In Fremont - TeamUnify Huronia Regional Long Course Championships 2011 - Swim Ontario Chaperone Application Form

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Go to .irs.gov/Form8853 for instructions and the latest information. Attach to Form 1040, 1040-SR, or 1040-NR. Section A.

When to use Form 8853. There are a few situations that require Form 8853: If you or your employer made contributions to an Archer MSA within a tax year. If you received distributions from an Archer MSA or Medicare Advantage MSA.

Note that MSA account withdrawals for qualified medical expenses are tax-free, while account withdrawals for non-medical expenses are subject to both income tax and a 50% tax penalty.

you must file Form 8853 with Form 1040, 1040-SR, or 1040-NR even if you have no taxable income or any other reason for filing Form 1040, 1040-SR, or 1040-NR. Name and social security number (SSN). Enter your name(s) and SSN as shown on your tax return.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Form 8853
Get form
  • 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
  • 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
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
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
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program