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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 2020 and 2021 only.

Total advances received from filing Form(s) 7200 from Form 943, Line 14i. (Line 14g form revision 2020)

Enter the amount from

column (r) box 1 through 5 of Sch R and/or box 1 through 8 of Sch R Continuation Sheet for form revision 2021

column (t) box 1 through 5 of Sch R and/or box 1 through 8 of Sch R Continuation Sheet for form revision 2020

LN nn Col s- Tot 18/19

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