LEGACY UB-92 (709) 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
43
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
57
LENGTH
10
SHORT DESCRIPTION
EST AMOUNT DUE (FL-55A:C)
