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Form 8965 for Burbank California: What You Should Know

Form 8965-Health Coverage Exemptions—Individual.pdf — IRS You have a qualifying exemption if you: • Have less than 3 coverage-qualifying people covered on your tax return. • Were enrolled in an eligible health plan (as defined in section 5000A(g)) for the entire tax year for 2023 or a prior year. You can use this form to figure the amount of the exemption and the amount of any penalties or other tax due. You must also include a copy of the Statement of Reasons (Form 8965) for failing to obtain and maintain health coverage on the first page and make the payment for health insurance. Filing and Paying the Tax For information about how to file and pay your tax, go to IRS.gov. If you need to file by phone, ask the IRS Taxpayer Advocate for help. Do not file in person at the IRS address shown after you call. Instead, call the IRS Taxpayer Advocate at.

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