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TOPS L1094B 1094B Transmittal Tax Form

25 Sheet(s) - Legal - 8.50" x 11" Sheet Size - White Sheet(s) - Black Print Color - 25 / Pack

Item # TOPL1094B

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Retail/List price: $5.72
Your price:$4.41 for Pack
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Inventory last updated: 10/21/2016 1:00pm EDT

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  • Helps facilitate Health Coverage proof to the IRS
  • Use with the 1095-B
  • Laser-printer compatible
  • Black print for easy reading
The Manufacturer's Description Affordable Care Act Tax Form is a required form to register health coverage with the Internal Revenue Service. This 1094-B Transmittal for 1095-B form includes prompts for the filer's name, employee identification number, contact person, address, total number of 1095B forms and signature. It is printed in black ink and is compatible with laser printers.


Product TypeTax Form
Brand NameTOPS
ManufacturerTOPS Products
Product Name1094B Transmittal Tax Form
Manufacturer Part NumberL1094B
Manufacturer Website Address
Packaged Quantity25 / Pack


Sheet Size11" Width x 8.50" Length
Sheet StandardLegal
Sheet ColorWhite
Number of Sheets25
Country of OriginUnited States
Assembly RequiredNo
Print ColorBlack
Print TechnologyLaser


UPC code087958510904
Alternate code/substitution
Moore prefix and stock number
Product Classification CodeEFFA
Country of OriginUS
Ready to AssembleN
Recommended substitutions
Old item number
Minority/Women-Owned/Challenged Vendor
Old item number
Special order itemN
Relevant TermsTops,Forms,Tax ,Affordable Care Act Tax Form,1094-B / 1095-B,Laser Printable
 forms & record keeping tops l1094b 1033903347 14111814 087958510904 topl1094b top l1094b 0087958510904 tops 1094b transmittal tax form 25 sheets legal 8.50" 11" sheet size white sheets black print color 25 / pack 1094B Transmittal Tax Form Tax Form No
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