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P.O. Box 681
Tarrytown , NY 10591
(800) 544-3427
Fax: (800) 261-1499

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No. 5130:  1099-DIV Federal Copy A

Item type: Tax Forms
Description: Printed in red dropout ink. For reporting distributions of paid dividends and other distributions on stock of $10 or more. This set is not required if filing electronically. 50 sheets/pkg. 1 sheet equals 2 forms.
Size: 8 ½” x 11” overall,
  Click thumbnail to see a larger image.

Pricing:  (per package)

Qty.Price
1-5 $12.17
6-10 $11.58
11-20 $10.83
21-40 $10.07

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Prices subject to change without notice.