Instructions For Form 8889 - Health Savings Accounts (Hsas) - 2017 Page 7

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in income in the year in which you fail to
contribution was made to determine the
amount. Examples of this computation
be an eligible individual.
contribution you could have made if the
are in Pub. 969.
last-month rule did not apply. Enter on
Line 18
Line 19
line 18 the excess of the amount
You can use the
Line 3 Limitation Chart
Enter the total of any qualified HSA
contributed over the redetermined
and Worksheet
for the year the
funding distribution (see line 10).
Form 8889 (2017)
-7-

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