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f8965--2016.pdf
Complete this form if you have a Marketplace-granted coverage exemption or you are claiming a coverage exemption on your return. Part I. Marketplace-Granted
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2017 Publication 505
Mar 1, 2017 See Form 8965 and its instructions for more information on your 2016 Form 1040, lines 59, 60 (boxes a or b), and any write-in
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