Before doing the letter below please check healthcare.gov to ensure you did not have a tax form 1095-A issued to you or your spouse and / or dependents.
Attached affidavit - signed letter below to your e-filed tax return preparation or print sign and mail with your paper filed tax return.
Date
This is an affidavit that I, Thomas St. Onge with social security number ######## do not have health insurance through the online marketplace nor does anyone in my family, spouse/dependents. This letter is to confirm that I do not currently or previously have health insurance and have not received a tax form 1095-A for tax year 2024.
Sincerely,
______________________
name
