This form has got to be a hoax. Read it, at the bottom it says:
“If Mitt Romney defeats President Obama on Election Day, November 6, 2012, and Republicans take control of the Senate and maintain their majority in the US House, you
may disregard this form as Romney has promised to repeal Obamacare.”
Just why in 2014 would they even be discussing the election of Nov 6, 2012? Look at the wording of the statement.
I think it’s the group’s estimate of what the form would be if a second term Obama’s IRS got around to it. Watermark says it’s not an IRS form.