Item #: 920036 | Model #: L5498SAREC
TOPS® 5498ESA Tax Form, 1 Part, Beneficiary, HSA, Archer MSA, or Medicare Advantage MSA Information - Copy B, 50 Sheets/Pack
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TOPS® 5498ESA Tax Form, 1 Part, Beneficiary, HSA, Archer MSA, or Medicare Advantage MSA Information - Copy B, 50 Sheets/Pack

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Product Details
  • 50 sheets per pack
  • Laser printer compatible
  • Size 8 1/2" x 11"
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3.39
3.39
https://www.staples-3p.com/s7/is/image/Staples/s0553326
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TOPS
TOPS® 5498ESA Tax Form, 1 Part, Beneficiary, HSA, Archer MSA, or Medicare Advantage MSA Information - Copy B, 50 Sheets/Pack
Product Description
5498SA HSA, Archer MSA, or Medicare Advantage MSA Information - 1 part laser cut sheet Copy B form. Laser printer compatible. Size: 8 1/2" x 11".

Satisfy IRS Tax requirements with TOPS 5498ESA Tax Forms. 5498SA HSA, Archer MSA, or Medicare Advantage MSA Information - 1 part laser cut sheet Copy B form. Laser printer compatible. Size: 8 1/2" x 11".

  • 50 sheets per pack
  • Laser printer compatible
  • Size 8 1/2" x 11"
  • Printed in black ink
  • Includes one W-3 and 1096 Transmittal form
Specifications
Form Format Laser
Tax Form Pack Size 50
Tax Form Type W-3
Tax Forms Number of Recipient or Employees 26-50
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