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9380 - Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Copy B Participant

9380

Price per item:

$0.68

Total:

$ 25
Qty: Order a minimum of 25 and in multiples of 25
! Order in multiples of 25

HSA, Archer MSA, or Medicare Advantage MSA Information. Use Form 5498-SA Copy B to print and mail payment information to the recipient. 5498-SA Forms are 3up on an 8 1/2 x 11" sheet with a 1/2" side perforation and are printed on 20# laser paper. Mail to the recipient in compatible window envelopes. Order by number of forms, not sheets

Compatible Envelopes: 99DWENV05 (Moisture Seal) | 99DWENVS05 (Self Seal) | 99DWENVSTE (Self Seal Tamper Evident)