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Tops 1095B Continuation Sheet
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L1095BCONT |
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TOPL1095BCONT |
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Printer Brand:
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Tops |
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InkMart Price:
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$ 8.67
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IN STOCK
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Quantity:  |
 [Product:AddToWishlistButton]
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| Health Coverage 1095B Continue Form, 8-1/2"x11", 40/PK, WE. 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.
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