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TOPS 1095B Continuation Sheet - 50 Sheet(s) - Legal - 8.50" x 11" Sheet Size - White Sheet(s) - Black Print Color - 50 / Pack

TOPL1095BCONT

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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.

General Information
Manufacturer: TOPS Products
Manufacturer Part Number: L1095BCONT
Manufacturer Website Address: http://www.tops-products.com
Product Name: 1095B Continuation Sheet
Packaged Quantity: 50 / Pack

Product Information
Number of Sheets: 50
Sheet Standard: Legal
Sheet Size: 11" Width x 8.50" Length
Sheet Color: White
Print Color: Black
Print Technology: Laser

Physical Characteristics
Height: 0.1"
Width: 8.5"
Length: 11"