Get IRS 1099-SA 2010
-3676) or Order Information Returns and Employer Returns Online, and we ll mail you the scannable forms and other products. See IRS Publications 1141, 1167, 1179 and other IRS resources for information about printing these tax forms. 9494 VOID CORRECTED TRUSTEE S/PAYER S name, street address, city, state, and ZIP code OMB No. 1545-1517 2010 Form 1099-SA PAYER S federal identification number RECIPIENT S identification number 1 Gross distribution $ 2 Earnings on excess cont.
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