HSA, Archer MSA, or Medicare Advantage MSA

5498-SA Copy A

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Part Number: TF5133

Availability: In Stock. Free Shipping.

Feature: Size: 8 1/2" x 11"

Feature: 100 Recipients Per Unit

Feature: After June 1st Tax Prep form is for current Tax Prep year.

Quantity	Price
2 - 9	$33.04
10 - 49	$28.91
50+	$24.78

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HSA, Archer MSA, or Medicare Advantage MSA Information Use Form 5498-SA Copy to print and mail payment information . 5498-SA Forms are 3up on an 8 1/2 x 11 sheet with a 1/2 side perforation and are printed with black ink on 20# laser paper. Order by number of forms, not sheets. You are required to file if you are the trustee or custodian of an HSA, Archer MSA, or MA MSA. A separate form is required for each type of plan.

Order by quantity of recipients needed. After June 1st Tax Prep form is for current Tax Prep year.

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IRS Approved 5498-SA Participant Copy B Laser Tax Form - 150 Recipients

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5498-SA Copy A

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