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2017 Department of the Treasury Internal Revenue Service Instructions for Form 8962. Premium Tax Credit (PTC). Purpose of Form Reminders Use Form 8962 to figure the amount of your premium tax credit Report changes in circumstances when you re-enroll in (PTC) and reconcile it with advance payment of the premium tax coverage and during the year. If APTC is being paid in 2018. credit (APTC). for an individual in your tax family (described later) and you have had certain changes in circumstances (see the examples You may take PTC (and APTC may be paid) only for health below), it is important that you report them to the Marketplace insurance coverage in a qualified health plan (defined later) where you enrolled in coverage.

Page 2 of 20 Fileid: … ions/I8962/2017/A/XML/Cycle07/source 15:23 - 27-Nov-2017 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before print

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