Fill Form 8962
Fill out Form 8962, Premium Tax Credit, on screen — every monthly column and line ready to type into.
Current tax year · official IRS form
Form 8962 · Premium Tax Credit (PTC)
The blank form opens in the editor with every line and monthly column ready to type into — then sign and download it to attach to your Form 1040.
Official blank form from IRS.gov — MojoPDF is not affiliated with the IRSAlready started, or need another year? Use your own copy of the form:
Drop your copy of the form
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Fill out Form 8962 online — the Premium Tax Credit form, made easier
If you or your family had health insurance through the Marketplace, you use Form 8962 to figure your Premium Tax Credit and reconcile it with any advance payments made during the year — using the figures on your Form 1095-A. The form is a grid of monthly columns that's tedious to fill by hand; here every cell is ready to type into and Tab moves you along. Start from the official blank 8962 for the current tax year, fill in your family size and household income and the monthly amounts, then download a PDF to attach to your Form 1040.
Official form
The blank Form 8962 for the current tax year, from the IRS.
Monthly grid
Every monthly column ready to type into, Tab to move along.
Goes with your 1040
Download it to attach to your tax return.
Frequently asked questions
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