In this video I want to work through an example of filling out form 89-62 for the premium tax credit this is going to be a relatively simple example I'm going to be filling it out for a single person who had uniform coverage throughout the entire course of the tax year so if you have a more complicated scenario or if you're married if you have dependents if you changed coverage throughout the year you change jobs all these different variations that you can have that can affect this form I will link some helpful information down in the video description from the IRS that goes through examples of all these different types of scenarios, so again it can be helpful information, and I'll link it down in the video description, but I just want to run through this example here of a single person so starting off here at the top line the name that's shown on your tax return we're going to write John Doe with our social security number and then moving on since this is a single person we don't need to check this box that says you cannot take the premium tax credit if your filing status is married to filing separately unless you qualify for an exception so see the instructions for that one now moving down to part one, and before I get into part one the fact that I'm doing an example for a single person not married or some of these other variations this example I'm not going to have to fill out part 4 or part 5, but you'll find helpful information on that over in the instructions I'll just quickly pull up the instruction page here that you can also get online, and I'll link this instruction page...
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How to prepare Form 9209
About Form 9209
Form 9209 is a document used to authorize electronic funds withdrawal for tax payments. It is required by the Internal Revenue Service (IRS) and must be signed and submitted by taxpayers who want to pay their taxes using an electronic transfer from their bank account. In summary, anyone who wishes to make electronic tax payments must complete and sign Form 9209 to authorize the IRS to withdraw funds electronically from their bank account.
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