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8889 PDF Form: What You Should Know

Form 8889 form — filler Form 8889 -HSA tax forms. Form 8889-HSA will tell you how you should report your HSA contributions. Instructions for How to Fill in Form 8889-HSA Your HSA's income should not exceed the amount allowed on your most recent tax return. Your 1099-SA should show your account balance, or total amount paid by your health savings account, plus distributions to your health savings account from that account for medical expenses and items such as eyeglasses, braces, etc. IRS Form 8889 tax forms. The most recent regulations for reporting HSA tax statements for 2024 and further guidance for the 2019, 2020, and 2024 taxes can be found here : IRS Notice 2019-63 To determine if you are eligible for health savings accounts (HSA), click here: IRS Notice 2018-849 or IRS Notice 2018-845 — 2024 HSA information & forms. IRS Form 8889-Health Savings Account Contribution Statement. This form will confirm that you are eligible to use a health savings account. In this case, the following statement should be reported on your tax return: Health Savings Account Form 8889 For Form 8889, there are three columns in the form: First column of Form 8889-HSA contribution statement contains information about the account used to pay for the medical expenses.  Second column of Form 8889-HSA contribution statement contains information about the account and amounts paid from that account. This column includes a statement about the total of all the account income(s) and all the health expenses included in the column(s). This section also includes information on the contributions made from any other source(s) used for medical expenses. Third column of Form 8889-HSA contribution statement includes this information: The statement “Health savings account (HSA) contribution is made from HSA.” includes the statement “HSA contribution is made by the Health Savings Account issuer, as defined in paragraph (1) of section 223(b) of the Internal Revenue Code, and is made to the qualified health savings account (HSA) account owner(s).” This section also includes a statement that a health savings account is for tax-free medical and dental expenses. The statement “Health Savings Account holder is the taxpayer and is subject to tax if the qualified HSA (HSA) account is used for qualified medical expenses.

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