Form 1099-SA 3up Distributions From an HSA, etc.- Copy A Federal

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Distributions From an HSA, Archer MSA, Medicare Advantage MSA. Use Form 1099-SA Copy A to print and mail payment information to the IRS. 1099-SA Forms are 3up on an 8 1/2 x 11" sheet with a 1/2" side perforation and are printed with black ink on 20# laser paper. Order the quantity equal to the number of recipients for which you file, not the sheet. Mail in a batch to the IRS.

 

Construction: Laser Preprinted
Form: 1099-SA
Form Name: Distributions From an HSA, Archer MSA, or Medicare Advantage MSA
Pages: 1
Size: 8 1/2" x 11"
Copies_(Left to Right, Top to Bottom): A - Federal
Forms /Sheet: 3up
Ink Color: Black
Horizontal Perforation: None
Vertical Perforation: 1/2"
  

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