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5498-SA [B] Participant Copy B - Laser Forms
5498-SA [B] Participant Copy B - Laser Forms


 
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5498-SA Participant Copy B - Laser Forms. Print and mail this 5498-SA Copy B form to report HSA, Archer MSA, or Medicare Advantage information to the participant. Forms are 3-up on an 8 x 11 sheet with a side perforation and are printed on 20# laser paper. Order the quantity equal to the number of recipients for which you need to file (in lots of 25).

Quantity Lots as low as: $0.99
Starting Lots of 25 forms: $1.80
This item has been designed to be used for the Tax Year: 2021

Availability:: Usually Ships Within 3 Business Days
Product Code: L54SX3B

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 $1.80 $3.06 $3.78 $3.96 $4.95 $5.94 $6.93 $7.92 $8.91 $9.90
                   
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 $19.80 $29.70 $39.60 $79.20 $99.00 $118.80 $158.40 $198.00 $297.00 $396.00

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Description
 
5498-SA Participant Copy B - Laser Forms - HSA, Archer MSA, or Medicare Advantage

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