65 2018 Go to www irs gov/Form8965 for instructions and the latest information OMB No
f accessible
65 OMB No 1545-0074 Health Coverage Exemptions Form 2018 Attach to Form 1040
f sample
Form 8965 to your tax return (Form 1040, Form 1040A, or Form 1040EZ) If you are unable to check
i
ormation about Form 8965 and its separate instructions is at www irs gov/ form8965 OMB No 1545-
f dft
on, select the exemption that applies to you, enter the corresponding code on Form 8965
ACA Exemptions One Pager Unaffordable Coverage
8965_i PDF
irs form code e
at is to be used on Form 8965 when you claim the exemption If your coverage exemption was
f exemp code tips
ential health coverage, see IRS Form 8965 Exemptions If at any time during the year
srp
Form 8965. 2018. Health Coverage Exemptions. Department of the Treasury. Internal Revenue Service. ? Attach to Form 1040. ? Go to www.irs.gov/Form8965 for
18 déc. 2018 For purposes of Form 8965 your household income is your modified adjusted gross income (MAGI) plus the MAGI of each individual in your tax ...
21 janv. 2015 Instructions for Form 8965. Health Coverage Exemptions. (and instructions for figuring your shared responsibility payment).
15 déc. 2015 Attach Form 8965 to your tax return (Form 1040 Form 1040A
20 déc. 2017 on Form 8965. OR. For each month you must either: See the instructions for your tax return for information on reporting full-year coverage.
15 nov. 2016 on Form 8965. OR. For each month you must either: See the instructions for your tax return for information on reporting full-year coverage.
Form 8965. 2015. Health Coverage Exemptions. Department of the Treasury. Internal Revenue Service. ? Attach to Form 1040 Form 1040A
? Information about Form 8965 and its separate instructions is at www.irs.gov/form8965. OMB No. 1545-0074. Attachment. Sequence No. 75. Name as shown on return.
Form 8965. 2017. Health Coverage Exemptions. Department of the Treasury. Internal Revenue Service. ? Attach to Form 1040 Form 1040A
Form 8965. 2016. Health Coverage Exemptions. Department of the Treasury. Internal Revenue Service. ? Attach to Form 1040 Form 1040A
Form 8965