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2020 Laser 5498 SA Federal Copy A TF5133Popular format is ideal for reporting HAS, Archer MSA or Medicare Advantage MSA information. Meets all government and IRS filing requirements. Use to Report Contributions to an HSA including transfers and rollovers or Archer MSA and the FMV of an HSA, Archer MSA or Medicare Advantage MSA. Amounts to Report All amounts. Tax forms per sheet Three filings per sheet.
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