IRS 1095-B form

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2025-2026 IRS 1095-B
2025-2026 IRS 1095-B
560118Form1095BDepartment of the Treasury Internal Revenue ServicePart IVOIDHealth Coverage Do not attach to your tax return. Keep for your records. Go to www.irs.gov/Form1095B for instructions and the latest information.OMB No....
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2024 IRS 1095-B
2024 IRS 1095-B
560118Form1095BDepartment of the Treasury Internal Revenue ServicePart I 1Do not attach to your tax return. Keep for your records. Go to www.irs.gov/Form1095B for instructions and the latest information.5City or town8 Enter letter identifying...
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2023 IRS 1095-B
2023 IRS 1095-B
560118Form1095BDepartment of the Treasury Internal Revenue ServicePart I 1Do not attach to your tax return. Keep for your records. Go to www.irs.gov/Form1095B for instructions and the latest information.5City or town8 Enter letter identifying...
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2022 IRS 1095-B
2022 IRS 1095-B
560118Form1095BDepartment of the Treasury Internal Revenue Serviceman I 1Do not attach to your tax return. Keep for your records. Go to www.irs.gov/Form1095B for instructions and the latest information.5City or town8 Enter letter identifying...
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2021 IRS 1095-B
2021 IRS 1095-B
560118Form1095BDepartment of the Treasury Internal Revenue Serviceman I 1Do not attach to your tax return. Keep for your records. Go to www.irs.gov/Form1095B for instructions and the latest information. Part II5City or town...2 Social security...
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2020 IRS 1095-B
2020 IRS 1095-B
560118Form1095BDepartment of the Treasury Internal Revenue Serviceman I 1Do not attach to your tax return. Keep for your records. Go to www.irs.gov/Form1095B for instructions and the latest information. Part II5City or town...2 Social security...
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2019 IRS 1095-B
2019 IRS 1095-B
560118Form1095BDepartment of the Treasury Internal Revenue Serviceman I 1Do not attach to your tax return. Keep for your records. Go to www.irs.gov/Form1095B for instructions and the latest information. Part II5City or town...2 Social security...
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2018 IRS 1095-B
2018 IRS 1095-B
560118Form1095BDepartment of the Treasury Internal Revenue Serviceman I 1Do not attach to your tax return. Keep for your records. Go to www.irs.gov/Form1095B for instructions and the latest information. Part II5City or town...2 Social security...
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2017 IRS 1095-B
2017 IRS 1095-B
560116Form1095BDepartment of the Treasury Internal Revenue Serviceman I 1Do not attach to your tax return. Keep for your records. Go to www.irs.gov/Form1095B for instructions and the latest information.5City or town8 Enter letter identifying...
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2016 IRS 1095-B
2016 IRS 1095-B
560116Form1095BDepartment of the Treasury Internal Revenue Serviceman I 1Do not attach to your tax return. Keep for your records. Information about Form 1095B and its separate instructions is at www.irs.gov/form1095b.5City or town8 Enter letter...
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2015 IRS 1095-B
2015 IRS 1095-B
Form1095BDepartment of the Treasury Internal Revenue ServicePart I 156011558 Enter letter identifying Origin of the Policy (see instructions for codes):......3 Date of birth (If SSN is not available)6State or province79Small Business Health...
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2014 IRS 1095-B
2014 IRS 1095-B
Form 1095-B Department of the Treasury Internal Revenue Service Part I 1 560115 ? 5 8 Enter letter identifying Origin of the Policy (see instructions for codes):. . . . . . 3 Date of birth (If SSN is not available) 6 State or province 7 9 Small...
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