Wiki source code of IRS FORM 1094-B

Version 3.2 by steveny on 2023/05/04 15:08

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1 == FORM 1094-B ==
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3 ===== [[image:/xwiki/bin/download/Windows/U.S./Affordable%20Care%20Act%20%28ACA%29%20%C2%BB/IRL%20Forms/IRS%20FORM%201094-B/WebHome/1.png?rev=1.1||alt="1.png"]][[image:/xwiki/bin/download/Windows/U.S./Affordable%20Care%20Act%20%28ACA%29%20%C2%BB/IRL%20Forms/IRS%20FORM%201094-B/WebHome/1.png?rev=1.1||alt="1.png"]]// Click on the individual boxes below for specific IRS Instructions
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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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