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COBRA Recipients [Line 12b].

Reminder:

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

Use these instructions for form revisions 2010 through 2014 only.

Total Deposits and COBRA Payments from Form 941, Line 13, plus any payments made with the return allocated to the listed client EIN

Enter the amount from column (g) box 1 through 15 of Sch R and/or box 1 through 25 of Sch R Continuation Sheet, for form revisions 2010 through 2014.

LN nn Col k Qual Tx (form revisions 2021 and Later)

LN nn Col j Qual Tx (form revision 2020)

LN nn Col g Qual Tx (form revisions 2017 and 2018)

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