gov revenue formsandresources forms MSA_fill-in

This document provides instructions for completing an annual reporting form for a Montana medical care savings account. It defines key terms like eligible medical expenses and dependents. It explains that account holders can establish their own self-administered accounts and contribute an unlimited amount each year, but can only deduct up to $3,000 plus interest for individuals or $6,000 plus interest for joint filers from their federal adjusted gross income. Withdrawals not used for eligible medical expenses are subject to a 10% penalty. Account holders must maintain documentation that withdrawals were used for eligible medical expenses.