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5498 Forms
 | 5133 - 5498-SA HSA or Medicare Advantage MSA Copy A-Federal copy. Printed in red drop out ink. This form is not required when filing electronically. 1 sheet equals 3 forms. Sold in packs of 50 sheets. |  |
 | 5134 - 5498-SA HSA or Medicare Advantage MSA Not available in Accounting CS/Service Bureau Payroll CS. Copy B Participant copy. 1 sheet equals 3 forms. Sold in packs of 50 sheets. | |
 | 5135 - 5498-SA HSA or Medicare Advantage MSA Not available in Accounting CS/Service Bureau Payroll CS. Copy C-Trustee copy. 1 sheet equals 3 forms. Sold in packs of 50 sheets. | |
 | 5170 - 5498 IRA Contribution Information Copy A-Federal copy. Printed in red drop out ink. This form is not required when filing electronically. 1 sheet equals 2 forms. Sold in packs of 50 sheets. | |
 | 5171 - 5498 IRA Contribution Information Not available in Accounting CS/Service Bureau Payroll CS. Copy B- Recipient copy. 1 sheet equals 2 forms. Sold in packs of 50 sheets. | |
 | 5172 - 5498 IRA Contribution Information Not available in Accounting CS/Service Bureau Payroll CS. Copy C-Trustee or Issuer and/or State Copy. 1 sheet equals 2 forms. Sold in packs of 50 sheets. | |
