Home > 1099-SA 3up Fed. Copy A (BMSAFED05)

1099-SA 3up Fed. Copy A (BMSAFED05)

1099-SA 3up Fed. Copy A (BMSAFED05)
1099-SA 3up Fed. Copy A (BMSAFED05)
Item# BMSAFED05
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1099-SA 3up Fed. Copy A (BMSAFED05)
Distributions from an HSA, ARCHER MSA, or Medicare Advantage MSA: Use this form to print and mail payment information to the IRS. Forms are 3up format on an 8 1/2" x 11" sheet with a 1/2" side perforation and are printed with red scannable ink on 20# laser paper. Mail in a batch to the IRS.

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Order the quantity equal to the number of debtors you are filing.