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Get Exemption Application At The Health Insurance Marketplace

Medicare Taxes and Waiver of Benefits and attach a copy to your application. You don t need to have an approved IRS Form 4029 to get this exemption. Give us the full name of your religious sect or division the district or congregation name and its address. Give the date you became a member of this religious sect or division. If your religious sect or division doesn t allow children to be members until a certain date list their birthdate. Items 12.

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