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TOPS L1095BCONT 1095B Continuation Sheet TOPL1095BCONT
Manufacturer: TOPS
Mfg Number: TOPL1095BCONT
UPC: 025932109508
SKU: L1095BCONT
Condition: New
TOPS L1095BCONT 1095B Continuation Sheet TOPL1095BCONT
Product TypeTax Form
Brand NameTOPS
ManufacturerTOPS Products
Product Name1095B Continuation Sheet
Manufacturer Part NumberL1095BCONT
Manufacturer Website Addresshttp://www.tops-products.com
Packaged Quantity50 / Pack
Country of OriginUnited States
RecycledNo
Height0.1"
Width8.5"
Sheet Size11" Width x 8 1/2" Length
Sheet StandardLegal
Sheet ColorWhite
Number of Sheets50
Print ColorBlack
Continuation sheet supplements the Affordable Care Act Tax Form to register health coverage with the Internal Revenue Service. This 1094-B Transmittal for 1095-B form includes prompts for covered individuals: name, social security number, date of birth and months of coverage. It is printed in black ink and is compatible with laser printers.