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CYMA Forms
P.O. Box 681
Tarrytown, NY 10591


Phone:
800-449-6533

(914) 829-9643
Fax:
800-261-1499
Email:
info@cymaforms.com

1099-SA

5100 - 1096 Transmittal

The 1096 transmittal form summarizes all 1099 forms that a company submits. Payers must use a separate transmittal form for each type of 1099 form. One form per page. Three transmittal forms will be included free with your 1099 Copy A order. Sold in packs of 50 sheets.
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5123 - 1099-SA Copy A Federal

Distributions from HSA or Medicare Advantage MSA Federal Copy A. Form 1099-SA Copy A is printed in red scannable ink. Three forms per page. Three free transmittal forms will be included with your order. Sold in packs of 50 sheets.
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5124 - 1099-SA Copy B Recipient

Distributions from HSA or Medicare Advantage MSA Recipient Copy B. Three forms per page. Sold in packs of 50 sheets.
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5125 - 1099-SA Copy C Payer/State

Distributions from HSA or Medicare Advantage MSA Payer and/or State Copy C. Three forms per page. Sold in packs of 50 sheets.
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