Filer / year / form inventory:
Draft version / reviewer:
Field or assumption with error:
Official instruction supporting the change:
Underlying source record:
Correction made / revised version:
Line 3 method checked:
Line 4 payer count and attachment checked:
Line 5 prior extension checked:
Line 6 exact return selection checked:
Line 7 and signature checked if required:
Deadline / route / release decision: