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5498-SA [A] Federal Copy A - Laser Forms
5498-SA [A] Federal Copy A - Laser Forms


 
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5498-SA Federal Copy A - Laser Forms. Use this 5498-SA Copy A form to report HSA, Archer MSA, or Medicare Advantage information by mailing with 1096 to the IRS. Forms are 3-up on an 8½” x 11” sheet with a ½” side perforation and are printed on 20# laser paper with the required red scannable ink. Order the quantity equal to the number of recipients for which you need to file (in lots of 25).

Quantity Lots as low as: $1.82
Starting Lots of 25 forms: $3.30
This item has been designed to be used for the Tax Year: 2023


Availability:: Usually Ships Within 3 Business Days
Product Code: L54SX3A

Lot(s) 1 2 3 4 5 6 7 8 9 10
Qty 25 50 75 100 125 150 175 200 225 250
Lot Price $3.30 $5.61 $6.93 $7.26 $9.08 $10.89 $12.71 $14.52 $16.34 $18.15
                   
Lots 20 30 40 80 100 120 160 200 300 400
Qty 500 750 1,000 2,000 2,500 3,000 4,000 5,000 7,500 10,000
Lot Price $36.30 $54.45 $72.60 $145.20 $181.50 $290.40 $290.40 $363.00 $544.50 $726.00

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Description
 
5498-SA Federal Copy A - Laser Forms - HSA, Archer MSA, or Medicare Advantage

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