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Get and Sign Form 8962 2014
1040NR, line 7d .
2a
Modified AGI: Enter your modified
2a
AGI (see instructions) . . . . .
Household Income: Add the amounts on lines 2a and 2b
3
.
.
.
b Enter total of your dependents' modified
AGI (see instructions) . . . . . .
. . . . . . . . . . . . . .
4
Federal Poverty Line: Enter the federal poverty amount as determined by the family size on line 1 and the federal
poverty table for your state of residence during the tax year (see instructions). Check the appropriate box for...
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