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5498-SA 3-part - 3up Carbonless (9954862)
5498-SA 3-part - 3up Carbonless (9954862)
 


Product Code: 9954862

Description SIZE/SPECS
 
Form 5498-SA: HSA, Archer MSA or Medicare Advantage MSA Information. Use this form for reporting contributions to an HSA (including transfers and rollovers) or Archer MSA and the FMV of an HSA, Archer MSA or Medicare Advantage MSA.

This 3-part continuous form includes Copy A (federal), Copy B (Participant and Copy C (Trustee).
Specifications
  • 5498-SA 3-part - 3up Carbonless (9954862)

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