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