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BMS Super Forms 9380 Form 5498 SA HSA Archer MSA or Medicare Advantage MSA Information Copy B Participant P2124079BMS-9380 https://cdnimages.opentip.com/full/BMS/BMS-9380.jpg Super Forms 9380 Form 5498 SA HSA Archer MSA or Medicare Advantage MSA Information Copy B Participant HSA, Archer MSA, or Medicare Advantage MSA Information. Use Form 5498-SA Copy B to print and mail payment information to the recipient. 5498-SA Forms are 3up on an 8 1/2 x 11\" sheet with a 1/2\" side perforation and are printed on 20# laser paper. Mail to the recipient in compatible window envelopes. Order by number of forms, not sheets. Compatible Envelopes: 99DWENV05 (Moisture Seal) | 99DWENVS05 (Self Seal) | 99DWENVSTE (Self Seal Tamper Evident)For the tax form, If you order before May, it will be for previous tax year (2023). If you order after May, it will be for the present tax year (2024). Please make a comment if you need previous year\'s form. 2124079 0.0600lbs 0.00 0.00 0.00
Super Forms
1.5 2025-04-26 In Stock

Super Forms 9380 - Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Copy B Participant, Price/EA

Brand Super Forms
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SKU: BMS-9380
Unit Price: $0.06
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Min.Order Price: $1.50 for 25 units
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Product Description

Price is for EA.

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

Compatible Envelopes: 99DWENV05 (Moisture Seal) | 99DWENVS05 (Self Seal) | 99DWENVSTE (Self Seal Tamper Evident)

For the tax form, If you order before May, it will be for previous tax year (2023).
If you order after May, it will be for the present tax year (2024). Please make a comment if you need previous year's form.

warning tips WARNING: This product can expose you to chemicals which are known to the State of California to cause cancer, birth defects, or other reproductive harm. For more information, go to www.p65warnings.ca.gov.

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Return Policy

Dated products, including tax forms, must be exchanged or returned unopened by December 1.
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