Navigation:  Deposit Reports > Deposit Reports - Alphabetical Order > HSA, Archer MSA, or Medicare+Choice MSA 5498-SA (Year-end) Report and Forms (FPSDR104) >

FPSDR104 Example

Navigation:  Deposit Reports > Deposit Reports - Alphabetical Order > HSA, Archer MSA, or Medicare+Choice MSA 5498-SA (Year-end) Report and Forms (FPSDR104) >

FPSDR104 Example

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fpsdr104example

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