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Form 14095 (Rev. 8-2020)
ICR 202111-1545-022 · OMB 1545-2152 · Object 117207000.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Form 14095 (Rev. 8-2020) |
| Subject | The Health Coverage Tax Credit (HCTC) Reimbursement Request |
| Author | SE:W&I:CAS:SP:AP:AD |
| File Modified | 2020-08-21 |
| File Created | 2020-08-21 |
| Conversion State | failed_conversion |