Sample File = Schema\2020\TEXT\T5498SA.txt String fields are displayed within quotations CRLF=Carriage Return Line Feed (Hex 0D0A)
"Street address line 1" "Street address line 2" "City" "State" "Zip code" "Foreign address indicator" ¹ "Foreign city, province, postal code, etc." "TIN Type" Box 1 - Employee or self-employed person's Archer MSA contributions Box 2 - Total contributions made in 2020 Box 3 - Total HSA or Archer MSA contributions made in 2021 for 2020 Box 4 - Rollover contributions Box 5 - FMV of HSA, Archer MSA, or MA MSA "Health Savings Account (HSA) indicator" ¹ "Archer MSA indicator" ¹ "Medicare Advantage (MA) MSA indicator" ¹ "E-Mail address" CRLF
¹ "X" if applicable, otherwise, enter a null string "" |