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Premium Tax & Financials, LLC Form 1040 Client Information Sheet Tax Year 2022 *This form is REQUIRED to be filled out by ALL ClientsPersonal Information: Taxpayer Name: ___ Occupation: ___ MM/DD/YYY XXXXXXXXX Social

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How to fill out premium tax credit

01

Gather income and household information

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Receive notification of eligibility for the premium tax credit

06

Use the credit to help pay for health insurance premiums

Who needs premium tax credit?

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Individuals and families with low to moderate incomes who purchase health insurance through the Healthcare Marketplace

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What is premium tax credit?

Premium tax credit is a tax credit that helps eligible individuals and families with low or moderate income afford health insurance coverage through the Health Insurance Marketplace.

Who is required to file premium tax credit?

Individuals and families who have enrolled in health insurance through the Health Insurance Marketplace and qualify for the premium tax credit.

How to fill out premium tax credit?

To fill out the premium tax credit, individuals need to complete Form 8962 and include it with their federal tax return.

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Individuals must report their household income, family size, and the cost of health insurance premiums paid through the Health Insurance Marketplace.

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