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Send your form to collect responsesIf 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. 2023 Form 1040-SR. Department of the Treasury—Internal Revenue Service. U.S. Tax Return for Seniors. 2023. OMB No. 1545-0074. IRS Use Only—Do not write or staple in this space. For the year Jan. 1–Dec. 31, 2023, or other tax year beginning , 2023, ending , 20. See separate instructions. Your first name and middle initial. Sign and fill PDFs with an easy online form filler. Add an electronic signature to a PDF in a few easy steps.Forms, Samples and Fees. Over 140 Business Filings, Name Reservations, and Orders for Certificates of Status and Certified Copies of Corporations, Limited Liability Companies and Limited Partnerships available online. 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