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THIS BOOKLET DOES NOT CONTAIN INSTRUCTIONS FOR …

IRS.gov/Form8965. Make a Shared Responsibility Payment Make a shared responsibility payment if, for any month in 2017, you, your spouse (if filing jointly), or anyone you can or do claim as a dependent didn t have coverage and doesn t qualify for a coverage exemption. For more information, go to IRS.gov/SRP. Health Coverage Reporting

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