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Form 1099-SA (Rev. 11-2019)
ICR 202107-1545-012 · OMB 1545-1517 · Object 113292601.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Form 1099-SA (Rev. 11-2019) |
| Subject | Distributions From an HSA, Archer MSA, or Medicare Advantage MSA |
| Author | SE:W:CAR:MP |
| File Modified | 2019-10-21 |
| File Created | 2019-10-21 |
| Conversion State | complete |