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Form I-9 is a fillable form, which means you can type your answers directly into the form, except for the signature blocks. Employers and employees using this fillable form must print and manually sign it rather than typing or electronically affixing a signature because this fillable form does not meet DHS …

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If the “CORRECTED” box is checked at the top of the form, use the information on this Form 1095-A to figure the premium tax credit and reconcile any advance credit payments on Form 8962. Don’t use the information on the original Form 1095-A you received for this policy. Part I. Recipient Information, lines 1–15.

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(Follow form Instructions) County:2. Federal Grant or Other Identifying Number Assigned by FederalProvince: Agency (To report multiple grants, use FFR Attachment) 3. Recipient Organization (Name and complete address including Zip code)4b. EIN5. Recipient Account Number or Identifying Number (To report …

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