4029-2025

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Form 4029 is an application for exemption from Social Security and Medicare taxes for members of recognized religious groups who oppose public or private insurance. The form requires personal information, a declaration of religious affiliation, and a waiver of benefits under the Social Security Act. It outlines eligibility criteria, filing instructions, and the irrevocable nature of the exemption once granted.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Part I. Enter your name, social security number, and address in the designated fields. Ensure all information is accurate and typed clearly.
Provide your date of birth and contact phone number. If you wish to opt-out of receiving your Social Security Statement, check the appropriate box.
In the certification section, specify your religious group and its district or congregation. Clearly state the date you became a member.
Review the waiver statement carefully. By signing, you confirm that you understand the implications of waiving benefits under Titles II and XVIII of the Social Security Act.
Complete Part II by having an authorized representative from your religious group sign and date the form.

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What time does 4029 News come on?

40/29 News -- Fort Smith & Fayetteville, Arkansas Dr. Anthony Fauci says he expects this fall to be the beginning of annual shots for COVID-19.

What county is Fayetteville Arkansas in?

Fayetteville, city, seat of Washington county, northwestern Arkansas, U.S., in the Ozarks on the White River, adjacent to Springdale (north). No settlement existed there when the site, on the Overland Mail Route, was chosen as the county seat in 1828.

What zip code is Northwest Arkansas?

List of Zipcodes in Fayetteville, ArkansasZIP CodeZIP Code NamePopulation72701Fayetteville3978272703Fayetteville2826172704Fayetteville213364 more rows

What's Fayetteville Arkansas ZIP code?

ZIP Code 72701 Post Office City:Fayetteville, AR (View All Cities)County:Washington CountyTimezone:Central (5:57pm)Area code:479 (Area Code Map)Coordinates:36.0, -94.1 ZIP (~12 mile radius)

What channel is 4029 on?

KHBS (channel 40) is a television station in Fort Smith, Arkansas, United States, affiliated with ABC and The CW Plus. It is simulcast full-time over satellite station KHOG-TV (channel 29) in Fayetteville....KHBS. Fort Smith, Arkansas United StatesBranding40/29 Arkansas CW (on DT2) MeTV Arkansas (on DT3)Programming43 more rows

What is the Fayetteville AR ZIP code?

40/29 News on CW at 9pm Weekday Evening.