Fidelity Investments Form 1099-SA Distributions HSA
This document is your Form 1099-SA for Health Savings Account (HSA) distributions. It contains essential information for reporting your total HSA distributions and any associated earnings. Ensure you adhere to IRS regulations when using this form for tax purposes.
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How do I fill this out?
To fill out Form 1099-SA, begin by locating your personal information at the top of the form. Ensure all distributions are accurately recorded in the appropriate sections. Always verify that your entries comply with IRS guidelines before submitting.

How to fill out the Fidelity Investments Form 1099-SA Distributions HSA?
1
Locate your personal information on the form.
2
Fill in the total distributions made from your HSA.
3
Report any earnings on excess contributions.
4
Include the correct distribution code.
5
Double-check all entries for accuracy.
Who needs the Fidelity Investments Form 1099-SA Distributions HSA?
1
Individuals with Health Savings Accounts (HSAs) who need to report distributions for tax purposes.
2
Tax preparers and accountants needing information on a client's HSA distributions.
3
Business owners who offer HSAs through their employee benefits and need to track distributions.
4
Financial advisors assisting clients with HSA management and tax obligations.
5
Anyone undergoing an IRS audit related to their HSA distributions.
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What are the instructions for submitting this form?
To submit Form 1099-SA, first gather all necessary documentation regarding your HSA distributions. You can submit the form by mailing it to the address provided by your financial institution or electronically if available. Ensure you keep a copy for your records and consult a tax advisor if you have questions regarding submission.
What are the important dates for this form in 2024 and 2025?
Key dates for Form 1099-SA typically revolve around tax filing deadlines. In 2024, the due date for filing tax returns is April 15. Make sure to gather your HSA-related documents before this deadline to ensure timely submission.

What is the purpose of this form?
The purpose of Form 1099-SA is to inform taxpayers about distributions made from their Health Savings Accounts. This form must be filed with the IRS and provides essential details such as total distributions and any earnings on excess contributions. Accurate reporting using Form 1099-SA helps ensure compliance with tax regulations.

Tell me about this form and its components and fields line-by-line.

- 1. Gross Distribution: Total amount withdrawn from the HSA.
- 2. Earnings on Excess Contributions: Any earnings taxed on excess contributions.
- 3. Distribution Code: A code indicating the nature of the distribution.
- 4. Fair Market Value on Date of Death: Market value of the account on the date of the account holder's death.
- 5. Account Type: Type of Health Savings Account being reported.
What happens if I fail to submit this form?
If you fail to submit Form 1099-SA, the IRS may not have complete information regarding your HSA distributions. This could lead to complications with your tax return, including penalties and interest. Ensure timely submission to avoid problems.
- IRS Penalties: Failure to provide accurate information can lead to penalties.
- Tax Filing Issues: Missing or incorrect forms may delay your tax processing.
- Inaccurate Reporting: Not submitting the form can lead to discrepancies in your reported income.
How do I know when to use this form?

- 1. Tax Filing: When you need to report HSA distributions on your tax return.
- 2. IRS Audits: To provide necessary documentation during an IRS audit.
- 3. Account Monitoring: To keep track of HSA distributions for personal records.
Frequently Asked Questions
What is Form 1099-SA?
Form 1099-SA is used to report distributions from Health Savings Accounts.
How do I fill out Form 1099-SA?
You can fill out Form 1099-SA by entering your personal information and distribution details.
Who needs Form 1099-SA?
Individuals with an HSA and tax professionals need Form 1099-SA for reporting distributions.
Can I edit my Form 1099-SA?
Yes, you can easily edit your Form 1099-SA using PrintFriendly’s PDF editor.
How do I sign my PDF?
You can sign your PDF on PrintFriendly by using the signature option after editing.
How do I share my PDF?
You can share your PDF through PrintFriendly via email or a link.
Is Form 1099-SA required for tax filing?
Yes, Form 1099-SA is required for reporting HSA distributions on your tax return.
What are qualified medical expenses?
Qualified medical expenses include various medical, dental, and vision costs.
What happens if I don't file this form?
Failing to file Form 1099-SA may result in inaccurate tax reporting.
Can I download my edited PDF?
Yes, you can download your edited PDF directly from PrintFriendly.
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