LEGACY UB-92 (759) 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	64
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	1
LENGTH	48
SHORT DESCRIPTION	REMARKS LINE 4 (FL-84d)