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COBRA Recipients [Line 12b].

Note:

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

If the word "No" or "N" is present, clear the field and press .

LN nn Col s- HP Exp FL (form revisions 2022 (Rev. Jun 2022) through 2023 (Rev. March 2023))

LN nn Col t- HP Exp FL (form revision 2020)

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

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