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2017 Instructions for Form 8965

Userid: CPMS chema: i1040xLeadpct: 98%Pt. size: 9 Draft Ok to PrintAH XSL/XMLF ileid: .. ions/I8965/2017/A/XML/Cycle12/source(Ini t. & Date) _____Page 1 of 20 11:39 - 20-Dec-2017 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before of the TreasuryInternal Revenue Service2017 Instructions for Form 8965 Health Coverage Exemptions(and Instructions for Figuring Your Shared Responsibility Payment)ORHave Health CoverageMake a Shared Responsibility Payment Claim a Coverage Exemption on Form 8965 ORFor each month you must either:See the Instructions for your tax return for information on reporting full-year Shared Responsibility Payment for information on how to figure your shared responsibility payment.

Page 3 of 20 Fileid: … ions/I8965/2017/A/XML/Cycle12/source 11:39 - 20-Dec-2017 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before print

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