Page 17 - Taxforms
P. 17

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
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