Page 5 of replacement superbill forms
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Tax Forms (152) -
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ComplyRight 2025 1098 Tax Form, 1-Part, 2-Up, Copy A, 25/Pack (515025)
Item #: 901-24431091
Item #: 901-24431091
Form 1098 is used by taxpayers to report the amount of interest and related expenses paid on a mortgage during the tax year ($600 or more).
Federal Copy A
1 Page Equals 2 Forms
ComplyRight 2025 1099-INT Tax Form, 1-Part, 2-Up, Copy C, 50/Pack (512250)
Item #: 901-24507942
Item #: 901-24507942
File form 1099-INT, interest income, for each person: to whom you paid amounts of at least $10 (or at least $600 of interest paid in the course of your trade or business)
Payer Copy C and/or State, 2-Up
1 Page Equals 2 Forms
ComplyRight 2025 1099-DIV Tax Form, 1-Part, 2-Up, Payer Copy C, 50/Pack (513250)
Item #: 901-24507965
Item #: 901-24507965
File form 1099-DIV for each person: to whom you have paid dividends (including capital gain dividends and exempt-interest dividends) and other distributions on stock of $10 or more; for whom you have withheld and paid any foreign tax on dividends and
other distributions on stock; for whom you have withheld any federal income tax on dividends under the backup withholding rules; or to whom you have paid $600 or more as part of a liquidation. ...
other distributions on stock; for whom you have withheld any federal income tax on dividends under the backup withholding rules; or to whom you have paid $600 or more as part of a liquidation. ...
Payer Copy C and/or State, 2-Up
ComplyRight 2025 1099-R Tax Form, 1-Part, 2-Up, Recipient Copy B, 50/Pack (514150)
Item #: 901-24507943
Item #: 901-24507943
File form 1099-R for each person to whom you have made a distribution of $10 or more from profit-sharing or retirement plans, any individual retirement arrangements (IRAs), annuities, and more
Recipient Copy B, 2-Up
1 Page Equals 2 Forms
ComplyRight 2025 1095-B Tax Form, 1-Part, 2-Up, 500/Pack (1095BCBLK500)
Item #: 901-24578207
Item #: 901-24578207
File the blank Form 1095-B and Form 1095-C with pressure seals and backer instructions according to the IRS guidelines
2-up format: one sheet equals two forms
500 tax forms per pack
ComplyRight 2025 1095-B Tax Form, 1-Part, White/Black, 50/Pack (1095B50)
Item #: 901-24507929
Item #: 901-24507929
1095-B tax form used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage
Consists of two parts
For laser printers
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #: 901-398021
Item #: 901-398021
Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
Complies with HIPAA’s authorization requirements
Size: 8 1/2" x 11"
ComplyRight 2025 1099-NEC Tax Form, 4-Part, 3-Up, Copy A, B, C/2, 1096 Transmittal, 100/Pack (NEC6103100)
Item #: 901-24578197
Item #: 901-24578197
1099-NEC (nonemployee compensation) is an IRS form created for companies to report payments made to an individual who performed services in the course of business as a nonemployee
Includes four-part tax forms
3-Up forms: three forms on a single sheet
ComplyRight 2025 1099-NEC Tax Form, 1-Part, 3-Up, Recipient Copy B, 50/Pack (NEC511150)
Item #: 901-24507937
Item #: 901-24507937
File form 1099-NEC for each person in the course of your business to whom you have paid during the year.
Recipient Copy B, 3-Up
1 Page Equals 3 Forms
ComplyRight 2025 W-2 Tax Form Envelopes/Recipient Copy Only (No Backer), 1-Part, 4-Up, 50/Pack (5221E)
Item #: 901-24578231
Item #: 901-24578231
W-2/1099 recipient-only tax form with envelope is designed for organizations that will be required to e-file and therefore will not need Copy A or transmittal forms 1096 or W-3
Tax form page format: 4-up
50 tax forms per pack
ComplyRight 2025 1099-MISC Tax Form Envelopes/Recipient Copy Only, 3-Part, 25/Pack (6112E25)
Item #: 901-24578202
Item #: 901-24578202
Recipient-only tax form with envelope designed for organizations that will be required to e-file, and therefore will not need Copy A or transmittal forms 1096 or W-3
Consists of three parts
25 tax forms with envelopes per pack
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 50/Pack (1095CIRS50)
Item #: 901-24507913
Item #: 901-24507913
Form 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for employees
Consists of two parts
For laser printers
ComplyRight 2025 W-2 Tax Form Envelopes/Recipient Copy Only, 1-Part, 4-Up, Copy B, C, 2 and 2 combined, 25/Pack (5205E25)
Item #: 901-24578182
Item #: 901-24578182
W-2 recipient-only tax form with envelope is designed for organizations that will be required to e-file, and therefore will not need Copy A or transmittal forms 1096 or W-3
4-up page format
Includes copies B, C, 2 and 2 combined
ComplyRight 2025 Double-Window Envelopes For 1099-R Tax Forms, 4-Up Box, Self-Seal, Pack Of 100
Item #: 901-24650541
Item #: 901-24650541
Double-window envelope accommodates 4-Up 1099-R (5175) forms.
Features a self-seal flap.
Pack of 100 envelopes.
ComplyRight 2025 1099-NEC Recipient Copy Only Tax Form, Envelopes and LaserLink Software, 3-Part, 3-Up, White, 50/Pack
Item #: 901-24614850
Item #: 901-24614850
1099-NEC Blank Tax Form, No Backer (50), Self-Seal Envelopes (50) and LaserLink Software – 1 Page Equals 3 Forms
Includes LaserLink software: A simple, efficient desktop software application for preparing 1099s and W-2s. Backed by reliable, Windows-based functionality, this software provides the features you need to print or e-file your 1099 and W-2 forms.
Pack of 50
ComplyRight 2025 1099-MISC Tax Form Envelopes and Recipient Copy Only, 3-Part, 2-Up, Copy B, C/2, 50/Pack (6113E)
Item #: 901-24578226
Item #: 901-24578226
1099-MISC recipient-only tax form with envelope is designed for organizations that will be required to e-file, and therefore will not need Copy A or transmittal forms 1096 or W-3
Consists of three parts
2-up format: one sheet equals two forms
ComplyRight 2025 W-2 Tax Form, 2-Part, 2-Up, Employee Copy C, 50/Pack (520350)
Item #: 901-24507933
Item #: 901-24507933
W-2 form provides wage and income information to your employees, the SSA, the IRS, and state and local governments
2-up: Employee Copy C and/or State, City, or Local Copy 2
For laser printers
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 50/Pack (1095C50)
Item #: 901-24507939
Item #: 901-24507939
Form 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for employees
Consists of two parts
For laser printers
ComplyRight 2025 1099-MISC Tax Form, 4-Part, Copy A, C, B, 50/Pack (95914E)
Item #: 901-24431084
Item #: 901-24431084
1099-MISC tax form for payments, such as miscellaneous income made in the course of a trade or business
Pre-packaged four-part form set contains copies A, B, C, "Copy 2", with envelopes and three 1096 transmittal forms
Compatible with laser printer
ComplyRight 2025 1095-B Tax Form, 1-Part, White/Black, 500/Pack (1095B500)
Item #: 901-24507931
Item #: 901-24507931
1095-B tax form
Single-part
For laser printers
ComplyRight 2025 W-2 Tax Form, 1-Part, 2-Up, Employer Copy D, 50/Pack (520450)
Item #: 901-24507909
Item #: 901-24507909
W-2 form provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part, 2-up: Employer Copy D and/or State, City, or Local Copy 2
For laser printers
ComplyRight 2025 1095-C Tax Form, 1-Part, White/Black, 25/Pack (1095CIRSC25)
Item #: 901-24507963
Item #: 901-24507963
1095-C continuation form is used to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees
Consists of two parts
For laser printers
ComplyRight 2025 W-2 Tax Form Recipient Copy Only, 5-Part, 2-Up, Copy B, C/2, D/1, 50/Pack (5648)
Item #: 901-24578222
Item #: 901-24578222
W-2 recipient-only tax form set designed for organizations that will be required to e-file, and therefore will not need Copy A or transmittal forms 1096 or W-3
Includes five-part tax forms
2-Up forms: two forms on a single sheet
Adams Employee's Copies Cut Sheet 2025 Blank W-2 Tax Form, 1-Part, 2-Up, 100/Pack (BLW2Q)
Item #: 901-5207
Item #: 901-5207
2025 Blank W-2 Forms for up to 100 employees
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Use Adams Tax Forms Helper to eFile to the IRS/SSA
Blank W-2 forms with blank backers
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