CYMA Forms P.O. Box 681 Tarrytown, NY 10591 Phone: (800) 449-6533 Fax: (800) 261-1499
Please send the following samples: Note: To select more than one item, hold the CTRL key while selecting each item. 1096-1 - 1099 Transmittal form1096-2 - 1096 Annual Summary & Transmittal form119L - High Security Blank Check on top128L - High Security blank check on bottom135L - Blank check in the middle2222-1 - Double Window Envelope for 3-Up 10992222-2 - Self-Seal Double Window Envelope for 3-up 1099276L - Laser Accounts Payable check in middle345L - Laser Payroll/Accounts Payable check at top40-224 - Large Self Seal Double Window Envelope40-338 - Self-Seal Double Window Check Envelope40-858 - Self-Seal Double Window Check Envelope412L - Laser Payroll check at top44-005 - Double Window Check Envelope44-212 - Return Payment Envelope44-808 - Double Window Envelope44-909 - Double Window Forms Envelope5100-1 - 1096-Summary & Transmittal Form (single sheet)5110 - 1099-MISC Miscellaneous Income5111 - 1099-MISC Miscellaneous Income5111B - 1099-MISC Miscellaneous Income-bulk pack5112 - 1099-MISC Miscellaneous Income5112B - 1099 MISC MIscellaneous Income-bulk pack5120 - 1099-INT Interest income5120B - 1099 INT Interest Income-bulk pack5121 - 1099-INT Interest income5121B - 1099-INT Interest income-bulk pack5122 - 1099-INT Interest income5123 - 1099-SA Distributions from HSA or Medicare Advantage MSA5124 - 1099-SA Distributions from HSA or Medicare+Advantage MSA.5125 - 1099-SA Distributions from HSA or Medicare+Advantage MSA5130 - 1099- DIV Dividends and Distributions5130B - 1099- DIV Dividends and Distributions-bulk pack5131 - 1099- DIV Dividends and Distributions5132 - 1099- DIV Dividends and Distributions5137 - 1099-C Cancellation of Debt5138 - 1099-C Cancellation of Debt5139 - 1099-C Cancellation of Debt5140 - 1099-R Distributions from Pensions, Annuities, Retirement Plans5140B - 1099 R Distrib. from Pensions, Annuities, Retirement Plans-bulk pack5141 - 1099-R Distributions from Pensions, Annuities, Retirement Plans5142 - 1099-R Distributions from Pensions, Annuities, Retirement Plans5143 - 1099-R Distributions from Pensions, Annuities, Retirement Plans5146 - 1099-A Acquisition/Abandonment of Secured Property5147 - 1099-A Acquisition/Abandonment of Secured Property5148 - 1099-A Acquisition/Abandonment of Secured Property5153 - 1099-B -Proceeds from Broker/Barter Exchange Transactions5154 - 1099-B -Proceeds from Broker/Barter Exchange Transactions5155 - 1099-B Proceeds from Broker/Barter Exchange Transactions5160 - 1099-S Proceeds from Real Estate Transactions5161 - 1099-S Proceeds from Real Estate Transactions5162 - 1099-S Proceeds from Real Estate Transactions5163 - 1099-OID Original Issue Discount5164 - 1099-OID Original Issue Discount5165 - 1099-OID Original Issue Discount5166 - 1099-PATR Taxable Distributions received from Cooperatives 5167 - 1099-PATR Taxable Distributions received from Cooperatives 5168 - 1099-PATR Taxable Distributions received from Cooperatives5200-1 - Form W-3-Transmittal of Income & Tax Statements (Single Sheet)5201 - W-2 -Copy A-Employer Federal IRS copy-2up5202 - W-2 -Copy B -Employee Federal IRS copy -2up5203 - W-2-Copy C-Employee Record-2up5204 - W-2 -Copy D-Employer copy-2 up5205 - W-2 Employee copies B/C/2/25207 - W-2 - 2up blank form without instructions5209 - W2 -4up with backer instructions558L - Laser Accounts Payable check on bottom5625 - 6 Part 2-Up W-2 EZ Pack (25 Employees)5645 - 4 Part 2up W-2 EZ Pack (50 employees)564525 - 4 Part 2up W-2 EZ Pack (25 employees)5645E - 4 Part 2up W-2 EZ Pack (50 employees)5650 - 6 Part 2-Up W-2 EZ Pack (50 Employees) 5650BB - 6-Part Blank 2up W-2 EZ Pack(50 employees)5746 - Blank 6 part 4up W-2 EZ pack (50 employees)574625 - Blank 6 part 4up EZ Pack (25 employees)5844 - 4 Part 4up W-2 EZ Pack (50 employees)5846 - 6 part 4up W-2 EZ Pack (50 employees)6102 - 1099-MISC 3 Part EZ Pack (50 recipients)6103 - 1099 MISC 4 Part EZ Pack (50 Recipients)610325 - 1099 MISC 4 Part EZ Pack (25 Recipients)6106 - 1099-INT 4 Part EZ Pack (50 Recipients)6107 - 1099-DIV 4 part EZ Pack (50 recipients)610725 - 1099-DIV 4 part EZ Packs (25 recipients)6108 - 1099-MISC 3 part EZ Packs (100 recipients)6666-1 - W-2 -2up regular seal envelope 6666-2 - W-2 - 2up self-seal envelope 7150 - 1099-INT7152 - 1099 DIV 1-wide carbonless7154 - 1099-MISC 1-Wide Carbonless7164 - 1099-MISC NCR w/ copies B, 2, and C7600 - Form W-2 Twin Sets Employer Carbonless7640 - Form W-2 Twin Sets Employee Carbonless7777-1 - 1099 2up regular seal envelope7777-2 - 1099 2up self-seal envelope809L - Laser Invoice816L - Laser Statement with tear-off remittance9811 - W-2 1-Wide Carbonless9999-1 - W-2-4up regular seal envelope 9999-2 - W-2 - 4up self-seal envelope Z811 - Pressure Seal Laser Multi-Purpose Check
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