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BMSAFED05 - Form 1099-SA Distributions from an HSA, Archer MSA, Or Medicare Advantage MSA - Copy A Federal

BMSAFED05 - Form 1099-SA Distributions from an HSA, Archer MSA, Or Medicare Advantage MSA - Copy A Federal

BMSAFED05
Bulk Pricing:
Buy in bulk and save

Bulk discount rates

Below are the available bulk discount rates for each individual item when you purchase a certain amount

  • Buy 2 - 24 and pay only $1.0320 each
  • Buy 25 - 49 and pay only $1.0320 each
  • Buy 50 - 99 and pay only $0.5610 each
  • Buy 100 - 199 and pay only $0.3760 each
  • Buy 200 - 499 and pay only $0.2950 each
  • Buy 500 - 999 and pay only $0.2590 each
  • Buy 1000 - 2499 and pay only $0.1980 each
  • Buy 2500 - 4999 and pay only $0.1770 each
  • Buy 5000 - 200000 and pay only $0.1590 each

Price per item:

$1.03

Total:

$ 25
Qty: Order a minimum of 25 and in multiples of 25
! Order in multiples of 25

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. Mail in a batch to the IRS. es. Order by number of forms, not sheets.