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Form Publication 915 Huntington Beach California: What You Should Know

Form 12508 Questionnaire for Non-Requesting Spouse — IRS Do not include any personal information (e.g. Social security number, date of birth, etc). The information provided on this form will be used for the purpose for which it is provided to you. You may change your mind at any time. Have you read the entire questionnaire and can answer any or all of the questions? If this is not the form you are looking for, a quick search will help you. Form 12508 template from IRS Form 12508: Requesting Health Insurance For additional information, call or If you have problems filling out this form, The deadline to complete the 12508 questionnaire is. After you submit your form, you must send a copy to the agency which is collecting the information from you. If you did not respond, We will contact you within 10 business days. For instructions on where to send your completed form, Please send us a completed form. Return to the same envelope or box as your completed Form 2105. A 35.00 fee is imposed for each completed form as described in Internal Revenue Code sections 6103 and 6105. Any additional fee you may have is your responsibility. We will use the information you provide to determine whether you qualify for a credit to reduce (or free) any tax due. Your response to this question is intended for your family members. To avoid incurring tax penalties, you must not provide information for which you are not eligible.  Only answer questions that apply to you. If you want to ask us questions about the forms, please call us at 1- or (toll-free) from Monday to Thursday, 9:00am to 4:00pm EST. We cannot accept email or fax messages or telephone calls. You must allow us 24 hours before providing us any information. We will not receive your contact information or return your calls. If you wish to change your mailing address, you may do so at any time. We do not share contact information with anyone, and will not use your information for any purpose other than to issue you your Form 2105 unless you ask us to do so.

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