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Form 1099-Sa - Distributions From An Hsa, Archer Msa, Or Medicare Advantage Msa - 2012 Page 6

Instructions for Trustee/Payer

General and specific form instructions are provided as

File Copy A of this form with the IRS by

separate products. The products you should use to

February 28, 2013. If you file electronically, the due date

complete Form 1099-SA are the 2012 General

is April 1, 2013. To file electronically, you must have

Instructions for Certain Information Returns and the

software that generates a file according to the

2012 Instructions for Forms 1099-SA and 5498-SA. A

specifications in Pub. 1220, Specifications for Filing

chart in the general instructions gives a quick guide to

Forms 1097, 1098, 1099, 3921, 3922, 5498, 8935, and

which form must be filed to report a particular payment.

W-2G Electronically. IRS does not provide a fill-in form

To order these instructions and additional forms, visit

option.

IRS.gov or call 1-800-TAX-FORM (1-800-829-3676).

Need help? If you have questions about reporting on

Caution: Because paper forms are scanned during

Form 1099-SA, call the information reporting customer

processing, you cannot file Forms 1096, 1097, 1098,

service site toll free at 1-866-455-7438 or 304-263-8700

1099, 3921, 3922, or 5498 that you print from the IRS

(not toll free). For TTY/TDD equipment, call

website.

304-579-4827 (not toll free). The hours of operation are

Monday through Friday from 8:30 a.m. to 4:30 p.m.,

Due dates. Furnish Copy B of this form to the recipient

Eastern time.

by January 31, 2013.

Form 1099-Sa - Distributions From An Hsa, Archer Msa, Or Medicare Advantage Msa - 2012 Page 6