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After you file
@KlisterKid wrote:
So, if the IRS allegedly does NOT read explanations, how do I tell it that I've had just a "few" health issues that delayed me?
You don't. If you owe tax and did not pay but the due date if the return then the IRS is required by tax law to bill you for interest until they receive your payment. There can also be a late filing penalty if you did not file for an extension. The tax law does not care about the reason. The IRS can waive the late filing penalty with a reasonable explanation, but the time to give that explanation is when yiu get the bill for the penalty and it will include instructions how to dispute it with a special address to send it.
If you are getting a refund then there is no penalty for filing late and no explanation is necessary.