LEGACY UB-92 (772) 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	14
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	.9
SHORT DESCRIPTION	RESP PARTY ADDRESS EXTRACT
CALCULATE ONLY OR OUTPUT	CALCULATE ONLY