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5498-SA Form - Copy B (Participant) (9380)
5498-SA Form - Copy B (Participant) (9380)
5498-SA Form - Copy B (Participant) (9380)
  
1099 Preprinted Forms



Product Code: 9380

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Form 5498-SA: H-S-A, Archer MSA or Medicare Advantage MSA Information. Use this form for reporting contributions to an H-S-A (including transfers and rollovers) or Archer MSA and the FMV of an H-S-A, Archer MSA or Medicare Advantage MSA.

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5498 Participant Copy B