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H A C K L E Y S C H O O L Tarry town, New York 10591 T. 914.366.2642 F. 914.366.2636 MATH TEACHER RECOMMENDATION N A M E O F G R A D E S 5 1 2 C A N D I DAT E P R E S E N T G R A D E Please return
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HACK stands for Health Coverage Affordability Worksheet.
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The purpose of the Health Coverage Affordability Worksheet is to determine if an individual qualifies for premium tax credits based on their income and household composition.
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