LEGACY RECORD SEQUENCE INSPECTION
File/reference: ______  Unchanged copy location: _______________________
Specification/publication: ______  Tax year/revision: __________________
Inspector/date: ______  Logical record count: ______  B-record count: ___

Issuer key/form | A record sequence | B record range | C sequence | Count/amount match? | K records if any
________________|___________________|________________|____________|_____________________|_________________

[ ] Actual specification identified.
[ ] Logical record boundaries checked without altering the original.
[ ] Beginning T and ending F inspected.
[ ] Every B record assigned to the intended A group.
[ ] Group closures and sequence fields reviewed.
[ ] Separate amount controls reconciled.
[ ] Applicable state controls interpreted with the specification.
[ ] Expected source scope compared with file scope.

Anomaly | Record range | Evidence | Source-owner question
________|______________|__________|______________________

Reconstruction created? ______  Separate labeled location: _____________
Historical transmission/status reference: _____________________________
This worksheet does not establish IRS receipt or acceptance.