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2017 Laser 5498 SA, Copy B Item No. TF5134     Size: 11" x 8 1/2" x 11"

2017 Laser 5498 SA, Copy B
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2017 Laser 5498 SA, Copy B

2017 Laser 5498 SA, Copy B Item No. TF5134

Meets all government and IRS filing requirements.Popular format is ideal for reporting HAS, Archer MSA or Medicare Advantage MSA information.


Paper Filing Due Date: To Participant May 31st.


The Internal Revenue Service (IRS) requires banks and other financial institutions to issue IRS Tax Forms 5498-SA if there is any contribution activity in Health Savings Accounts (HSA), Archer Medical Savings Accounts (MSA) and Medicare Advantage MSAs during the previous tax year. While Copy A of the 5498 tax form goes to the IRS, Copy B, which is displayed here, is sent to the owner of the account. Information provided in the form is a convenient source of tax information that helps taxpayers in filing their federal income tax returns.


We offer all variants of 5498 tax form for printing on laser and inkjet printers. Designed for three filings per page, the minimum you can order is 100 sheets.

Don't forget the compatible envelopes: TF22222

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