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2017 Laser 5498 SA, Trustee Copy Item No. TF5135     Size: 11" x 8 1/2" x 11"

2017 Laser 5498 SA, Trustee Copy
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2017 Laser 5498 SA, Trustee Copy

2017 Laser 5498 SA, Trustee Copy Item No. TF5135

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.


Tax form 5498-SA summarizes contributions to a Health Savings Account (HSA), Archer MSA, or Medicare Advantage MSA and also mentions the fair market value of the account. The custodian/trustee of the account, generally a bank or a financial institution such as an asset management company reports this to the IRS and sends a copy to the account holder. Displayed on this page is the trustee Copy C – three to a page – for printing on laser and inkjet printers.


Place your order at PrintEZ with the confidence that our tax forms are IRS approved and in accordance with government regulations. We offer all tax forms in a variety of formats compatible with popular software.

Don't forget the compatible envelopes: TF22222

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