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  • Form 8853

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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.

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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.

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Related links form

IRS 8300 2011 IRS 8300 2004 IRS 8316 2006 IRS 8316 1992

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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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
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
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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