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1094-B Transmittal Form (Landscape Style)


1094-B

Available in increments of 25
Quantity
Total Percent Off Per Unit
$13.80 0% $0.5520
$19.32 30% $0.3864
$33.12 40% $0.3312
$60.72 45% $0.3036
$110.40 50% $0.2760
$117.30 57.5% $0.2346
$144.90 65% $0.1932
$162.80 70.5% $0.1628
$219.45 73.5% $0.1463
$345.00 75% $0.1380
$621.00 77.5% $0.1242
$1,159.00 79% $0.1159


1094-B transmittal form to be used with Form 1095-B and mailed to the IRS.

Priced by the sheet. We are currently shipping 2023 forms. Images may reflect prior years.
Use with Form 1095-B




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In addition to standard credit card verification procedures which insure the credit card is not stolen, we also verify the computer IP address, phone numbers, etc., to ensure the person placing the order is not doing so for fraudulent purposes. We work with all applicable agencies to prevent and/or report fraudulent or suspicious activity.

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