Are you aware of the Irs Form 8965? If not, you should be. This form is important for taxpayers who are claiming an exemption from the individual shared responsibility payment. Use this form to report coverage exemptions and reconcile any advance payments of the shared responsibility payment made on your behalf. In this blog post, we will go over what you need to know about Irs Form 8965 and how to fill it out.
Here is the information regarding the form you were seeking to fill out. It can tell you how much time it will take to finish irs form 8965, exactly what fields you need to fill in and a few further specific details.
| Question | Answer |
|---|---|
| Form Name | Irs Form 8965 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 8965 form 2019 pdf, 8695 form, federal w 4, 8965 form 2020 pdf |
Form 8965 |
Health Coverage Exemptions |
OMB No. |
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2018 |
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▶ Attach to Form 1040. |
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Department of the Treasury |
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▶ Go to WWW.IRS.GOV/FORM8965 for instructions and the latest information. |
Attachment |
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Internal Revenue Service |
Sequence No. 75 |
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Name as shown on return |
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Your social security number |
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Complete this form if you have a
Part I
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have an exemption granted by the Marketplace, complete Part I.
(a) |
(b) |
(c) |
Name of Individual |
SSN |
Exemption Certificate Number |
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Part II Coverage Exemptions Claimed on Your Return for Your Household
7If you are claiming a coverage exemption because your household income or gross income is below the filing threshold,
check here |
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Part III
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Coverage Exemptions Claimed on Your Return for Individuals. If you and/or a member of your tax
household are claiming an exemption on your return, complete Part III.
(a) |
(b) |
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(l) |
(m) |
(n) |
(o) |
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Exemption |
Full |
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Name of Individual |
SSN |
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Mar |
Apr |
May |
June |
July |
Aug |
Sept |
Oct |
Nov |
Dec |
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Year |
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For Privacy Act and Paperwork Reduction Act Notice, see your tax return instructions. |
Cat. No. 37787G |
Form 8965 (2018) |