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Get and Sign Irs Form 8965 2016

Get and Sign Irs Form 8965 2016

Use a Irs Form 8965 2016 template to make your document workflow more streamlined.

Coverage Exemptions for Individuals. If you and/or a member of your tax household have an exemption granted by the Marketplace, complete Part I. (a) Name of Individual (b) SSN (c) Exemption Certificate Number 1 2 3 4 5 6 Part II 7 Coverage Exemptions Claimed on Your Return for Your Household If you are claiming a coverage exemption because your household income or gross income is below the filing threshold, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
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