Miraflores · Okafor-Lindqvist 2025
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For Priya Raman
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Retirement & HSA › F8889.14a
F8889.14a · federal · F8889 line 14a

Total distributions

2,150
engine v3
not yet verified

How this number was built

R-HSA Form 8889 from W-2 code W, Form 5498-SA and Form 1099-SA.
Sources (1) — where the inputs came from
2025 Form 1099-SA - HSA (Ngozi Okafor)
D44 · page 1 · field box1 · “Box 1 gross distribution”
read as “2,150.00” → 2,150 99%
Flows into

History — nothing is overwritten

v1 · 2026-03-04: 2,150v2 · 2026-03-19: 2,150v3 · 2026-06-23: 2,150
Adjust this number
Reviewer approves; over 1,000 tax effect needs the partner.

Evidence & discussion

Record how you verified it