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
Enable zoom controls ↑ ← → ↓ 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
Price per item:
MSRP: $0.00 Was: $0.00 $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.
- Related Products
9380 - Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Copy B Participant
MSRP: $0.00 Was: $0.00 $1.06
9381 - Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Copy C Trustee
MSRP: $0.00 Was: $0.00 $1.06
BMSAFED05 - Form 1099-SA Distributions from an HSA, Archer MSA, Or Medicare Advantage MSA - Copy A Federal
MSRP: $0.00 Was: $0.00 $1.06
9377 - Form 1099-SA Distributions from an HSA, Archer MSA, Or Medicare Advantage MSA - Copy B Recipient
MSRP: $0.00 Was: $0.00 $1.06
9378 - Form 1099-SA Distributions from an HSA, Archer MSA, Or Medicare Advantage MSA - Copy C Payer
MSRP: $0.00 Was: $0.00 $1.06 OK XTag » What Is Form 5498 Sa
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