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TN Form 8965: What You Should Know
You must also complete Form 8965. When you file IRS Form 8965, be sure you include your TIN on the line for “Itemized Deductions” You will get Form 1095-A, 1040A, 1040EZ, or 1040NR if you were eligible for a Marketplace exemption, and you reported your total household income from all sources on your tax return for the calendar year. You will also get Form 1095-A, 1040A, 1040EZ, or 1040NR if you were not eligible for a Marketplace exemption, and you reported your estimated income for 2023 for the entire year. Forms 1095-A and 1040EZ or Form 1040NR may also be needed if you received a Form 1095-A or 1095-AQ. Your federal tax return will not be sent if you do not complete any required information on these forms. Form 8965, Health Coverage Exemptions, Reporting on Your Tax Return Complete and sign line A of Form 8965. On Line 2, complete column 2. Line 2a: In column 3b, enter the applicable code. For each Code listed below, fill in the corresponding amount. All Code numbers may be filled in as 1, 2, 3, 4, or 5. For example, enter Code 4 in column 3b, the total amount for Code 4 in column 1, and the estimated income amount for the 2023 calendar year in column 2a. For example, enter Code 1.02 in column 3b and the amount for Code 1.02 in column 2a. Enter the same amounts in column 2b and 2c. Columns 2a and 2c can be completed in either row. Column 3b: In column 3c, complete the first two rows of the Form 8965. Column 3c does not need to be completed if you report your income on Form 1040, Schedule A. Column 3c is only required if you report your total household income on Form 1040 by including it on line A. When you file Form 8965 by email or by fax, you should send us a copy of your completed form for our records. If you do not send us your completed form by mail, you cannot be sure you understand any instructions or the return information. Form 8965 is not available electronically. Do not email Form 8965 to us.
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