Home >

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)

Share your knowledge of this product with other customers... Be the first to write a review


2018 W-2G Winner Record Copy C (18BW2GEEC05)
W-2 Form - Copies C/B/2/2 4up Ver. 1A Condensed (W24UPA)
Winfiler 2012 - Blank Forms (WFBLANK12) $249.95
Tax Return Folder with Side-Staple Tabs and Official 1040 Window - Ivory & Burgundy (TABCVRO10)
1099-R Distributions from Pensions, etc. - Copy C Recipient (BRREC05)
1098 - 2-part Electronic Reporting Self Mailer (MMPA1098052)
1098-T Tuition Statement - 2-part Electronic Filing Self Mailer (MMPA98T052)
Redi Tags - Sign Here (Blue) (8103414)
NJ State Tax Envelope for Refunds - #10 (NJR410)