Document
Exhibit 5-4: **Sample ** Certification for Qualified Long-Term Care Insurance Expenses
ICR 200902-2502-005 · OMB 2502-0204 · Object 10507302.
This document may belong to an older filing. More recent activity for OMB 2502-0204:
Document Viewer [doc]
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 | 2008-10-20 |
| File Created | 2026-10-06 |
| Conversion State | complete |