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Exchange Subsidy

Exchange Subsidy Form

Information provided is used to determine whether there could be a government subsidy available through a government health insurance exchange.

This information is protected and will be held confidential. We will not disclose or sell the information provided here and will not use this information for any other purpose.

This is the number of individuals in your household that you will be claiming as an exemption in box 6d of Form 1040 for the 2013 tax year.
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