Forms › Form 8853
Fill out Form 8853, Archer MSAs and Long-Term Care Insurance Contracts, free in your browser. Open the official IRS form, click each field, and type your entries. Nothing is uploaded to any server. No signup, no watermark. Download your completed PDF when done.
Form 8853 is an IRS form attached to your Form 1040. It reports Archer MSA and Medicare Advantage MSA contributions and distributions, and figures the taxable amount of payments from certain long-term care (LTC) insurance contracts.
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You generally use Form 8853 if you (or your employer) made contributions to an Archer MSA, you received distributions from an Archer MSA or Medicare Advantage MSA, or you received payments from a long-term care insurance contract on a per-diem basis. It is filed as an attachment to your Form 1040. Check the official IRS instructions for your situation.
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Yes. This is the official, current Form 8853 published by the U.S. government, which is public domain. You fill the genuine document.