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TOPS L1095B 1095B Affordable Care Act Tax Form

50 Sheet(s) - Legal - 8.50" x 11" Sheet Size - White Sheet(s) - Black Print Color - 50 / Pack

Item # TOPL1095B

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Retail/List price: $8.34
Your price:$4.86 for Pack
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Inventory last updated: 10/21/2016 7:30am EDT

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  • Laser-printer compatible
  • Black print for easy reading
  • Mandatory IRS form to prove health coverage
  • Offers prompts for necessary information
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 information about the responsible individual; employer sponsored coverage; issuer or other coverage provider; and covered individuals. It is printed in black ink and is compatible with laser printers.


Product TypeTax Form
Brand NameTOPS
ManufacturerTOPS Products
Product Name1095B Affordable Care Act Tax Form
Manufacturer Part NumberL1095B
Manufacturer Website Address
Packaged Quantity50 / Pack


Sheet Size11" Width x 8.50" Length
Sheet StandardLegal
Sheet ColorWhite
Number of Sheets50
Country of OriginUnited States
Assembly RequiredNo
Print ColorBlack
Print TechnologyLaser


UPC code087958510959
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 l1095b 1033903348 14111814 087958510959 topl1095b top l1095b 0087958510959 tops 1095b affordable care act tax form 50 sheets legal 8.50" 11" sheet size white sheets black print color 50 / pack 1095B Affordable Care Act Tax Form Tax Form No
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