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)