Quantity Number of | Lot Price |
25 | $37.50 |
50 | $61.25 |
100 | $86.25 |
200 | $133.75 |
300 | $175.00 |
500 | $251.25 |
>500 | Call us at 1-800-982-3676 or Email Us For Price |
Use this transmittal as a coversheet when submitting each batch of form 1095-C to the IRS. This kit contains all 3 pages of the transmittal.