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8965 Health Coverage Exemptions
U.S. Individual Income Tax Return
8965
OMB: 1545-0074
OMB.report
TREAS/IRS
OMB 1545-0074
ICR 202111-1545-013
IC 16870
8965 Health Coverage Exemptions
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1545-0074 can be found here:
2023-12-18 - Revision of a currently approved collection
2022-12-19 - Revision of a currently approved collection
Document [pdf]
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pdf
File Type
application/pdf
File Title
2018 Form 8965
Author
22znb
File Modified
2021-02-11
File Created
2021-02-11
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