Instructions For Form 8962 - Premium Tax Credit (Ptc)

Instructions For Form 8962 - Premium Tax Credit (Ptc) - 2017 Page 7

Table 1-2. Federal Poverty Line for Alaska

Table 1-3. Federal Poverty Line for Hawaii

IF your Family Size* from

THEN enter the amount below on

IF your Family Size* from

THEN enter the amount below on

Form 8962, line 1, was . . .

Form 8962, line 4 . . .

Form 8962, line 1, was . . .

Form 8962, line 4 . . .

$14,840

$13,670

$20,020

$18,430

$25,200

$23,190

$30,380

$27,950

$35,560

$32,710

$40,740

$37,470

$45,920

$42,230

$51,120

$47,010

*If your family size was more than 8 people, add $5,200 for each additional person. For

*If your family size was more than 8, add $4,780 for each additional person. For

example, if your family size is 11, you have 3 additional people. Multiply $5,200 by 3

example, if your family size is 11, you have 3 additional people. Multiply $4,780 by 3

and add the result of $15,600 to $51,120. Enter the result of $66,720 on Form 8962,

and add the result of $14,340 to $47,010. Enter the result of $61,350 on Form 8962,

line 4.

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Instructions for Form 8962 (2017)

Instructions For Form 8962 - Premium Tax Credit (Ptc) - 2017 Page 7