Form 5498 IRA Contribution Information Trustee/Issuer Copy C

(B5498PY05)
IRA Contribution Information Use Form 5498 Copy C to print and mail payment information to the state or for Trustee/Issuer's files. 1099-INT Forms are 2up on an 8 1/2" x 11" sheet and are printed on 20# laser paper. Order the quantity equal to the number of participants for which you file.
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Quantity / Unit Price
1 / Free Sample
25 - 49 / $0.5
50 - 99 / $0.286
100 - 199 / $0.214
200 - 499 / $0.204
500 - 999 / $0.1793
1000 - 2499 / $0.1586
2500 - 4999 / $0.1421
5000+ / $0.1277
Enter Quantity
First Text
Minimum order of 25
or increments of 25
$000.00
Construction: Laser Preprinted
Form: 5498
Form Name: IRA Contribution Information
Pages: 1
Size: 8 1/2" x 11"
Copies_(Left to Right, Top to Bottom): C - Trustee or Issuer
Forms /Sheet: 2up
Ink Color: black
Horizontal Perforation: 5 1/2"
Vertical Perforation: none