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Get and Sign Form 8889 2014-2022
Contracts, if required.
Part I
HSA Contributions and Deduction. See the instructions before completing this part. If you are filing jointly
and both you and your spouse each have separate HSAs, complete a separate Part I for each spouse.
1
Check the box to indicate your coverage under a high-deductible health plan (HDHP) during
2014 (see instructions). . . . . . . . . . . . . . . . . . . . . . . . ▶
2
HSA contributions you made for 2014 (or those made on your behalf), including those...
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