Page 16 - Taxforms
P. 16

ACA RECIPIENT FORMATS                                                                                                                                                                    ACA RECIPIENT MAILING ENVELOPES


        ACA Recipient Formats                                                                                                      ACA Recipient Mailing Envelopes




        Order in increments of 25                                                                                                  Order in increments of 25


        ACA RECIPIENT FORMATS                                                                                                      RECIPIENT MAILING ENVELOPES
        The following forms have been developed to simplify the                                                                    These envelopes are designed for the specified recipient copies only .
        process of issuing and mailing recipient copies . These                                                                    Window envelopes will not work with federal landscape ACA forms .
        forms cannot be filed with the IRS. Check with your
        software for compatibility . Order 1 form per employee/                                                                                                                 Compatible
        insured .                                                                                                                  Item #      Description                       Forms
                                                                                                                                   95DWENV05   Double Window Envelope Moisture Seal   B95BHPREC05
                                                                                                                                                                              B95CHPREC05
        1095-B                                                                                                                                                                B95BFPREC05
        Item #      Description               Form Type                                                                                                                       B95CFPREC05
        B95BFPREC05  1095-B Full Page Recipient  Form                                                                                                                         B95BPERFI05*      95DWENV05 - Moisture Seal
                    w/Instructions on Back   Preprinted Laser                                                                                                                 B95CPERFI05*      95DWENVS05 - Self Seal
        B95BHPREC05  1095-B Half Page Recipient                                                                                    95DWENVS05   Double Window Envelope Self Seal   B95BHPREC05
                    Form w/Instructions on Front   Preprinted Laser                                                                                                           B95CHPREC05
        B95BPERFI05   1095-B Form w/Instructions on Back   Blank Laser                                                                                                        B95BFPREC05
        B95BLANK    1095 w/Fold Perforation    Blank Laser   1095-B Full Page Recipient Form    1095-B Half Page Recipient Form                                               B95CFPREC05
        81651*      Pressure Seal 14" EZ 1095-B   Preprinted   w/Instructions on Back       w/Instructions on Front                                                           B95BPERFI05*
                    w/Instructions on Back   Pressure Seal   B95BFPREC05                    B95BHPREC05                                                                       B95CPERFI05*
        81650*      Pressure Seal 14" EZ 1095-B or   Blank                                                                         1964**      Double Window Envelope Moisture Seal -   B95BHPREC05
                    1095-C                   Pressure Seal                                                                                     Machine Inserter               B95CHPREC05
                                                                                                                                                                              B95BFPREC05
        1095-C                                                                                                                                                                B95CFPREC05
        Item #      Description               Form Type                                                                                                                       B95BPERFI05*
        B95CFPREC05  1095-C Full Page Recipient Form                                                                                                                          B95CPERFI05*
                    w/Instructions on Back    Preprinted Laser                                                                     RDWENV05    Double Window Envelope Moisture Seal   95CRCBT   1964 - Moisture Seal
        B95CHPREC05  1095-C Half Page Recipient Form                                                                               RDWENVS05   Double Window Envelope Self Seal   95CRCBT
                    w/Instructions on Front    Preprinted Laser                                                                    4UPDWENV05   Double Window Envelope Moisture Seal   B95CPERFI05
        95CRCBT     1095-C Blank Top Half Page Recipient                                                                           4UPDWENVS05   Double Window Envelope Self Seal   B95BLANK
                    Form w/Instructions on Back   Preprinted Laser                                                                 *Blank forms can be used with various software packages . Check with software for
        95CRCCNP    1095-C Blank Top Half Page                                                                                     envelope compatibility .
                     Recipient Continuation Form   Preprinted Laser                                                                **Order in increments of 500
        B95CPERFI05   1095-C Form w/Instructions
                     on Back                  Blank Laser
        B95BLANK    1095 w/Fold Perforation    Blank Laser
        PS95CISB*   Pressure Seal 14" EZ Fold 1095-C    Blank
                    w/Instructions on Back   Pressure Seal   1095-C Full Page Recipient Form    Blank 1095-C Form w/Instructions
        PS95CMW*    Pressure Seal 14" EZ Fold 1095-C    Preprinted   w/Instructions on Back  on Back
                    w/Instructions on Back   Pressure Seal   B95CFPREC05                    B95CPERFI05                                                                                         RDWENV05 - Moisture Seal
        81652*      Pressure Seal 14" EZ Fold 1095-C    Preprinted                                                                                                                              RDWENVS05 - Self Seal
                                             Pressure Seal
        81650*      Pressure Seal 14" EZ 1095-B or   Blank
                    1095-C                   Pressure Seal
        *Order in increments of 500










                                                                                                                                                                                                 4UPDWENV05 - Moisture Seal
                                                                                                                                                                                                 4UPDWENVS05 - Self Seal



                                                                            Eccentric Z-Fold

                  COMPATIBLE                                                                1095-C Preprinted Pressure Seal
                  ENVELOPES                                                                 14" EZ Fold
                  ON PAGE 17                                                                81652
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