B98MSFD05 - Form 5498-SA HSA, Archer MSA, Or Medicare ...

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  • B98MSFD05 - Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Copy A Federal
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B98MSFD05 - Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Copy A Federal Enable zoom controls ↑ ← → ↓
  • B98MSFD05 - Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Copy A Federal
B98MSFD05 - Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Copy A Federal B98MSFD05 UPC: Bulk Pricing: Buy in bulk and save

Bulk discount rates

Below are the available bulk discount rates for each individual item when you purchase a certain amount

  • Buy 2 - 24 and pay only $1.0630 each
  • Buy 25 - 49 and pay only $1.0630 each
  • Buy 50 - 99 and pay only $0.5780 each
  • Buy 100 - 199 and pay only $0.3870 each
  • Buy 200 - 499 and pay only $0.3040 each
  • Buy 500 - 999 and pay only $0.2670 each
  • Buy 1000 - 2499 and pay only $0.2040 each
  • Buy 2500 - 4999 and pay only $0.1860 each
  • Buy 5000 - 200000 and pay only $0.1670 each
Current Stock:

Price per item:

MSRP: $0.00 Was: $0.00 Now: $1.06 (You save $0.00 )

Total:

$ 25 Qty: Order a minimum of 25 and in multiples of 25 ! Order in multiples of 25
  • Description

HSA, Archer MSA, or Medicare Advantage MSA Information Use Form 5498-SA Copy A to print and mail payment information to the IRS. 5498-SA Forms are 3up on an 8 1/2 x 11" sheet with a 1/2" side perforation and are printed with black ink on 20# laser paper. Mail in a batch to the IRS. Order by number of forms, not sheets.

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