LEGACY UB-92 (624) IB FORM SKELETON DEFINITION (364.6)

Name	Value
BILL FORM	LEGACY UB-92
SECURITY LEVEL	NATIONAL,NO EDIT
PAGE OR SEQUENCE	1
FIRST LINE NUMBER	5
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	45
LENGTH	6
SHORT DESCRIPTION	STATEMENT THRU DATE (FL-6B)