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TOP L1095BCONT Tops 1095B Continuation Sheet TOPL1095BCONT

TOP L1095BCONT Tops 1095B Continuation Sheet TOPL1095BCONT
Tops 1095B Continuation Sheet


 
TOPS  L1095BCONT, Health Coverage 1095B Continue Form, 8-1/2'' x 11'', 40/PK, WE Tax Form
List Price: $8.67
Our Price: $3.44
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• 50/PK
• TOPS 1095B Continuation Sheet
• 50 Sheet(s) - Legal - 11" x 8 1/2" Sheet Size - White Sheet(s) - Black Print Color - 50 / Pack
• 1095-B health coverage continuation page.
• Laser printer compatible.

Quantity in Stock:40
Product Code: TOPL1095BCONT
Qty:

  
Description Extended Information
 

Continuation sheet supplements the Affordable Care Act Tax Form to register health coverage with the Internal Revenue Service. This 1094-B Transmittal for 1095-B form includes prompts for covered individuals: name, social security number, date of birth and months of coverage. It is printed in black ink and is compatible with laser printers.

Features
  • TOPS 1095B Continuation Sheet - 50 Sheet(s) - Legal - 11" x 8 1/2" Sheet Size - White Sheet(s) - Black Print Color - 50 / Pack

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