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- 1095-B tax form
- Single-part
- For laser printers
MADE IN AMERICA
ComplyRight 2025 1095-B Tax Form, 1-Part, White/Black, 500/Pack (1095B500)
Item #: 24507931Model #: 1095B500
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$64.99
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About this product
Form 1095-B is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage. Every person that provides minimum essential coverage to an individual during a calendar year must file an information return reporting the coverage. Small employers that aren't subject to the employer shared responsibility provisions sponsoring self-insured group health plans will use forms 1094-B and 1095-B to report information about covered individuals.
- 1095-B tax form
- Single-part
- For laser printers
- Pack of 500
Frequently bought together
Price is $0.79
Delivery by Fri, Sep 19
30-min pickup
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Over 30
Price is $59.99, Regular price was $129.99, You save 53%
Free delivery by Fri, Sep 19
30-min pickup
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Over 30
Price is $7.79
Delivery by Fri, Sep 19
30-min pickup
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ASUS TUF A15 15.6" FHD 144Hz Gaming Laptop, NVIDIA GeForce RTX 4060, AMD Ryzen 5 7535HS, 16GB RAM, 512GB SSD, Windows 11 is In-store only
Price is $649.99, Regular price was $899.99, You save 27%
Price is $169.99, Regular price was $319.99, You save 46%
Free delivery by Fri, Sep 19
30-min pickup
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Over 30
Price is $15.99, Regular price was $26.14, You save 38%
Unit of measure 1500/Carton
Delivery by Fri, Sep 19
30-min pickup
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Over 30
Price is $19.99
Unit of measure 100/Box Price per unit $0.20/File Folder
Delivery by Fri, Sep 19
30-min pickup
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Over 30
Price is $39.97, Regular price was $68.99, You save 42%
Unit of measure 4000/Carton
Free delivery by Fri, Sep 19
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Over 30
Price is $2.69
Price per unit $2.69/Folder
Delivery by Fri, Sep 19
30-min pickup
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Price is $149.99, Regular price was $299.99, You save 50%
Free delivery by Fri, Sep 19
30-min pickup
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Over 30
Price is $549.99, Regular price was $879.99, You save 37%
Free delivery by Mon, Sep 22
30-min pickup
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Over 30
Price is $46.99, Regular price was $79.99, You save 41%
Unit of measure 5000/Carton
Free delivery by Fri, Sep 19
30-min pickup
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Over 30
Price is $59.99, Regular price was $89.99, You save 33%
Free delivery by Fri, Sep 19
30-min pickup
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Over 30
Price is $299.99, Regular price was $529.99, You save 43%
Free delivery by Fri, Sep 19
30-min pickup
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Over 30
Nintendo Switch 2, 256GB, Mario Kart World Bundle, Black (BEESKB6LA) is New at Staples
Price is $499.99
Free delivery by Fri, Sep 19
30-min pickup
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Over 30
Price is $2.69
Price per unit $2.69/Folder
Delivery by Fri, Sep 19
30-min pickup
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Price is $6.79
Delivery by Fri, Sep 19
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Price is $0.79
Delivery by Fri, Sep 19
30-min pickup
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Over 30
Price is $4.39
Delivery by Fri, Sep 19
30-min pickup
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Featured Products
Price is $17.39
Unit of measure 50/Pack
Delivery by Wed, Sep 24
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Over 30
Price is $21.95
Delivery by Mon, Sep 29
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Over 30
Price is $21.95
Delivery by Mon, Sep 29
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Over 30
Price is $19.59
Delivery by Mon, Sep 29
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Over 30
Price is $20.19
Delivery by Mon, Sep 29
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Over 30
Price is $26.49
Unit of measure 50/Pack
Delivery by Wed, Sep 24
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Over 30
Price is $56.19
Free delivery by Mon, Sep 29
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Over 30
Price is $59.59
Free delivery by Mon, Sep 29
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Over 30
Price is $17.95
Delivery by Mon, Sep 29
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Over 30
Price is $21.69
Delivery by Mon, Sep 29
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Over 30
Price is $60.39
Free delivery by Mon, Sep 29
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Over 30
Price is $252.29
Unit of measure 250/Pack
Free delivery by Wed, Sep 24
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Over 30
Price is $79.69
Unit of measure 500/Box
Free delivery by Wed, Sep 24
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Over 30
Price is $57.29
Free delivery by Mon, Sep 29
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Over 30
Price is $53.79
Unit of measure 50/Pack
Free delivery by Wed, Sep 24
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Over 30