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COBRA Recipients [Line 12b].

Example:

Internal Revenue Manual Part 3. Submission Processing · 2026-10-03 edition · updated 2026-10-04 · United States

91.1..111

If the number is incomplete, input the available numbers and put a period in the remaining spaces.

If the number is missing, put in nine periods.

Cannot be blank if money amounts are present on same line.

Line nn Column b- St Code

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▸Contents — Internal Revenue Manual Part 3. Submission Processing
Internal Revenue Manual Part 3. Submission Processing

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