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Text of IRS Form 14764: ESRP Response (PDF)
Internal Revenue Service [IRS] 
[Official Guidance] Nov. 20, 2017
April 2017; pub. Nov. 17, 2017. Form to be used for employer response to IRS Letter 226J, Preliminary Calculation of the Employer Shared Responsibility Payment. [Benefitslink note: This is a fillable PDF form, which may not display properly in your web browser. If your browser displays a page so stating, right-click on the link and select "save"; you should then be able to open it with the latest version of the free Adobe Reader application.]
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