Form 1099-SA 3up Distributions from an HSA, Archer MSA, Or Medicare Advantage MSA - Copy B Recipient
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Form 1099-SA - Distributions From an HSA, Archer MSA, or Medicare Advantage MSA. Use Form 1099-SA Copy B to print and mail payment information to the recipient. 1099-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. Order the quantity equal to the number of recipients for which you need to file, not the sheets.
99DWENV05 - Moisture Seal
99DWENVS05 - Self Seal
99DWENVSTE - Self Seal Tamper Evident
Construction: Laser Preprinted
Form Name: Distributions From an HSA, Archer MSA, or Medicare Advantage MSA
Size: 8 1/2" x 11"
Copies_(Left to Right, Top to Bottom): B - Recipient
Forms /Sheet: 3up
Ink Color: Black
Horizontal Perforation: 3 2/3", 7 1/3"
Vertical Perforation: 1/2"