HSA activity is reported on IRS Forms 1099-SA and 5498-SA. ... Box 5: Check the “HSA” box on all Forms 1099-SA filed to report distributions from HSAs. ......

[Form 5498-SA (2005); Form 1099-SA (2005); Instructions for Forms ... For a copy of Form 1099-SA : http://www.irs.gov/pub/irs-pdf/f1099sa.pdf ......

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Attention: Copy A appears in red, similar to the official IRS form, but is for informational purposes only. A penalty of $50 per information return may be ......

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Form 1099-SA Payer/State Copy C, package of 25 sheets = 75 Recipients....