Form 8889 Examples Filled Out - Syair Sdy -

Enter $1,000 (the total distribution received from the HSA).

IRS Form 8889 is used to report Health Savings Account (HSA) contributions, calculate your deduction, and report any distributions. Form 8889 Examples Filled Out - Syair SDY

Enter $1,000 (the amount used for qualified medical expenses). Enter $1,000 (the total distribution received from the HSA)

$1,500 (Reported on Form W-2, Box 12, Code W) Distributions Taken: $1,000 (Reported on Form 1099-SA) Qualified Medical Expenses: $1,000 ✍️ How to Fill Out the Form Part I: Contributions and Deductions Line 1: Check the Family box. Line 2: Enter $3,000 (your out-of-pocket contributions). calculate your deduction

Enter $1,500 (the amount contributed by your employer).