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Exhibit 5-4: **Sample ** Certification for Qualified Long-Term Care Insurance Expenses
ICR 200712-2502-002 · OMB 2502-0204 · Object 5510801.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Exhibit 5-4: **Sample ** Certification for Qualified Long-Term Care Insurance Expenses |
| Author | H05232 |
| Last Modified By | Writer |
| File Modified | 2007-12-27 |
| File Created | 2026-08-13 |
| Conversion State | complete |