Reminder:
Internal Revenue Manual Part 3. Submission Processing · 2026-10-03 edition · updated 2026-10-04 · United States
Use these instructions for form revisions 2021 and 2022 only.
Total reported on Form 943, Lines 12e and 14g, from Form 943
Enter the amount from column (n) box 1 through 5 of Sch R and/or box 1 through 8 of Sch R Continuation Sheet for form revisions 2021 and 2022.
LN 1 Col o- Num COBRA
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