IRS Form 14199 Cobra Recapture Statement

IRS Form 14199 Cobra Recapture Statement

What Is IRS Form 14199?

This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury on January 1, 2011. As of today, no separate filing guidelines for the form are provided by the IRS.

Form Details:

  • A 1-page form available for download in PDF;
  • Actual and valid for filing 2023 taxes;
  • Editable, printable, and free;
  • Fill out the form in our online filing application.

Download a fillable version of IRS Form 14199 through the link below or browse more documents in our library of IRS Forms.

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Download IRS Form 14199 Cobra Recapture Statement

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  • IRS Form 14199 Cobra Recapture Statement, Page 1
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