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Instructions for Form 8853 (2003)
Archer MSAs and Long-Term Care Insurance Contracts
Section references are to the Internal Revenue Code unless otherwise noted.
2003
Table of Contents
General Instructions
Purpose of Form
Who Must File
Specific Instructions
Section A—Archer MSAs
Part I—General Information
Lines 1a and 2a
Lines 1b and 2b
Lines 1c and 2c
Part II—Archer MSA Contributions and Deductions
Figuring Your Archer MSA Deduction
How To Complete Part II
Lines 3a and 3b
Line 4
Line 5
Line 6
Line 7
Part III—Archer MSA Distributions
Line 8a
Line 8b
Line 9
Lines 11a and 11b
Section B—Medicare+Choice MSA Distributions
Line 12
Line 13
Lines 15a and 15b
Section C—Long-Term Care (LTC) Insurance Contracts
Definitions
Line 17
Line 20
Line 21
Line 23
Line 24
Line 26
Multiple Payees
Example 1
Example 2
Instructions for Form 8853 - Notices
Paperwork Reduction Act Notice.
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