Transcription of Publication 5223 (Rev. November 2021) - IRS tax forms
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Publication 5223 (Rev. November 2021) - IRS tax forms
Page 1 of 18 Fileid: .. ns/P5223/201811/A/XML/Cycle02/source7:26 - 7-Nov-2018 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before 5223 General Rules and Specifications for affordable Care Act Substitute forms 1095-A, 1094-B, 1095-B, 1094-C, and 1095-CIRSD epartment of the TreasuryInternal Revenue ServicePublication 5223 (Rev. 11-2018)Catalog Number 2 of 18 Fileid: .. ns/P5223/201811/A/XML/Cycle02/source7:26 - 7-Nov-2018 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before OF CONTENTSPart 1 SUBSTITUTE STATEMENT TO form RECIPIENTSS ection Electronic Delivery of Recipient 2 GENERAL INFORMATIONS ection Which forms Are Covered?..3 Section General Requirements for Acceptable Substitute forms 1094-B, 1095-B, 1094-C, and 3 SPECIFICATIONS FOR SUBSTITUTE forms 1094-B, 1095-B, 1094-C, AND 1095-C (ALL FILED WITH THE IRS)Section Specifications for forms Filed With the Instructions for Preparing Paper forms That Will Be Filed With the 4 EXHIBITSS ection Exhibits of forms in the 3 of 18 Fileid.
Specifications for Affordable Care Act Substitute Forms 1095-A, 1094-B, 1095-B, 1094-C, and 1095-C IRS Department of the Treasury Internal Revenue Service Publication 5223 (Rev. 11-2021) Catalog Number 67909Y www.irs.gov
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