Wiki source code of IRS FORM 1094-B
Version 2.1 by steveny on 2023/05/04 15:06
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| 1 | == FORM 1094-B == | ||
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| 3 | ===== [[image:/xwiki/bin/get/Windows/U.S./Affordable%20Care%20Act%20(ACA)%20%C2%BB/IRL%20Forms/IRS%20FORM%201094-B/?sheet=CKEditor.ResourceDispatcher&outputSyntax=plain&language=en&type=attach&typed=true&reference=1.png]]// Click on the individual boxes below for specific IRS Instructions | ||
| 4 | [[image:attach:1.png]]// ===== | ||
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| 7 | |**Part IV: Covered Individuals (Continuation)** | ||
| 8 | |[[Line 1, Filer's Complete Name>>url:https://www.irs.gov/instructions/i109495b/ar01.html#d0e585]] | ||
| 9 | |[[Line 2, Filer's EIN>>url:https://www.irs.gov/instructions/i109495b/ar01.html#d0e590]] | ||
| 10 | |[[Lines 3 and 4, Contact Person's Name and Telephone Number>>url:https://www.irs.gov/instructions/i109495b/ar01.html#d0e598]] | ||
| 11 | |[[Lines 5-8, Filer's Complete Address>>url:https://www.irs.gov/instructions/i109495b/ar01.html#d0e603]] | ||
| 12 | |[[Line 9, Total number of 1095-B forms transmitted with 1094-B>>url:https://www.irs.gov/instructions/i109495b/ar01.html#d0e608]] | ||
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| 14 | ===== ===== | ||
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