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TOPS® 5498SA Tax Form, 3 Part, White, 9" x 3 2/3", 102 Forms/Pack

Item: 919985   Model: 9954862
$9.39 102/Pack

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  • 102 forms per pack
  • Dot matrix printer compatible
  • Copies A, B, C

5498SA HSA, Archer MSA, or Medicare Advant. MSA Information - 3 part carbonless continuous form. Dot matrix printer compatible. Copies A, B, C.

  • 102 forms per pack
  • Dot matrix printer compatible
  • Copies A, B, C
  • Size 9" x 3 2/3"
  • Copy A printed in scannable red ink, other copies printed in black ink
  • Includes one W-3 and 1096 Transmittal form

Form FormatContinuous

Tax Form Pack Size102

Tax Form TypeW-3

Tax Forms Number of Recipient or Employees51+

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