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Form 8963 (Rev. February 2016)
ICR 201705-1545-002 · OMB 1545-2249 · Object 73432301.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Form 8963 (Rev. February 2016) |
| Subject | Report of Health Insurance Provider Information |
| Author | IRS |
| File Modified | 2016-02-03 |
| File Created | 2016-02-03 |
| Conversion State | complete |