IRS Form 5498-SA Hsa, Archer Msa, or Medicare Advantage Msa Information

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of IRS Form 5498-SA for the current year.

IRS Form 5498-SA Hsa, Archer Msa, or Medicare Advantage Msa Information

What Is IRS Form 5498-SA?

This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury. Check the official IRS-issued instructions before completing and submitting the form.

Form Details:

  • A 5-page form available for download in PDF;
  • This form cannot be used to file taxes for the current year. Choose a more recent version to file for the current tax year;
  • Additional instructions and information can be found on page 3 of the document;
  • Editable, printable, and free;
  • Fill out the form in our online filing application.

Download a fillable version of IRS Form 5498-SA through the link below or browse more documents in our library of IRS Forms.

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Download IRS Form 5498-SA Hsa, Archer Msa, or Medicare Advantage Msa Information

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