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Get 1999 Form 8853. Medical Savings Accounts & Long-term Care Insurance Contracts

Turn 1999 Attachment Sequence No. See separate instructions. 39 Social security number of MSA account holder. If both spouses have MSAs, see page 1 Section A. Medical Savings Accounts (MSAs). If you only have a Medicare+Choice MSA, skip Section A and complete Section B. Part I General Information. You MUST complete this part if you (or your spouse, if married filing jointly) established a new MSA for 1999 (even if the contributions to the MSA were made by an employer). Yes No 1a b.

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