Health Insurance Costs of Eligible Individuals
1545-1875 Rev. Proc. 2004-12.pdf
Revenue Procedure 2004-12, Health Insurance Costs of Eligible Individuals
Health Insurance Costs of Eligible Individuals
OMB: 1545-1875
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1545-1875 can be found here:
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pdfFile Type | application/pdf |
File Modified | 2007-03-16 |
File Created | 2007-03-16 |