Form 4029 - Application for Exemption from Social Security and Medicare Taxes
Form 4029 is used by members of recognized religious groups to apply for exemption from Social Security and Medicare taxes. The form requires applicants to certify their membership in a qualifying religious group and waive all rights to Social Security and Medicare benefits. This form is essential for those who conscientiously oppose public and private insurance benefits.
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How do I fill this out?
First, ensure you meet the eligibility requirements for the exemption. Then, carefully fill out each section of the form, including the certification by your religious group. Finally, submit the completed form to the Social Security Administration.

How to fill out the Form 4029 - Application for Exemption from Social Security and Medicare Taxes?
1
Verify your eligibility for exemption.
2
Fill out Part I of the form with your personal details and certification.
3
Have an authorized representative of your religious group complete Part II.
4
Mail three copies of the form to the Social Security Administration.
5
Keep a copy of the approved form for your records.
Who needs the Form 4029 - Application for Exemption from Social Security and Medicare Taxes?
1
Members of recognized religious groups who oppose accepting Social Security and Medicare benefits.
2
Individuals seeking exemption from paying Social Security and Medicare taxes on their earnings from self-employment.
3
Employees who wish to be exempt from Social Security and Medicare taxes when employed by an employer with an identical exemption.
4
Religious group members who have never received Social Security or Medicare benefits.
5
Employers who have employees that qualify for exemption from Social Security and Medicare taxes.
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What are the instructions for submitting this form?
To submit Form 4029, mail three copies to the Social Security Administration, Division of Earnings Adjustments, ATTENTION: Form 4029 Process, Metro West, North Building, Baltimore, Maryland 21201. Include your social security number in the space provided. If you do not have a social security number, file Form SS-5 along with Form 4029. Keep a copy of the approved form for your permanent records.
What are the important dates for this form in 2024 and 2025?
File Form 4029 at any time when you want to apply for exemption from social security and Medicare taxes. Keep track of your Form 4029 filing and approval dates for future reference.

What is the purpose of this form?
Form 4029 serves the purpose of allowing members of recognized religious groups to apply for exemption from Social Security and Medicare taxes. By filing this form, individuals who conscientiously oppose public or private insurance benefits due to their religious beliefs can request an exemption from these taxes. The form requires certification of membership in a qualifying religious group and a waiver of all rights to Social Security and Medicare benefits, ensuring that the applicant is not eligible for these benefits based on their earnings. The exemption is intended to respect the religious beliefs of individuals and groups that have historically been opposed to participating in public insurance programs. This process also ensures that qualifying individuals and employers are in compliance with the Internal Revenue Code requirements for tax exemptions. It is important to note that this exemption is irrevocable for the period it covers, and the applicant must continuously meet the requirements to maintain their exempt status.

Tell me about this form and its components and fields line-by-line.

- 1. Name of taxpayer: Enter your full name.
- 2. Address: Provide your complete address including number, street, and P.O. box.
- 3. Social security number: Enter your social security number.
- 4. City or town, state, and ZIP code: Provide your city, state, and ZIP code.
- 5. Name of religious group: Specify the name of your religious group.
- 6. Religious district and location: Provide the religious district and location.
- 7. Day, Month, Year: Indicate the day, month, and year since you have been opposed to insurance benefits.
- 8. Signature of Applicant: Sign and date the form to certify your application.
- 9. Part II: To be completed by the authorized representative of your religious group.
- 10. Name of Authorized Representative: Enter the name of the authorized representative.
- 11. Address: Provide the address of the religious group.
- 12. Title: Specify the title of the authorized representative.
- 13. Signature of Authorized Representative: The representative must sign and date the form.
What happens if I fail to submit this form?
If you fail to submit Form 4029, you will be required to pay Social Security and Medicare taxes and will not be exempt from these taxes based on your earnings.
- Loss of exemption: You will lose the exemption from Social Security and Medicare taxes.
- Requirement to pay taxes: You will be required to pay the full amount of Social Security and Medicare taxes.
- Ineligibility for benefits waiver: You will not be able to waive your rights to Social Security and Medicare benefits.
How do I know when to use this form?

- 1. Exemption application: Use this form to apply for exemption from Social Security and Medicare taxes.
- 2. Eligibility certification: Certify your membership in a recognized religious group that opposes insurance benefits.
- 3. Waiver of benefits: Waive all rights to Social Security and Medicare benefits.
- 4. Employer exemption: Employers must use this form to exempt qualifying employees.
- 5. Record keeping: Keep a copy of the approved form for your permanent records.
Frequently Asked Questions
What is Form 4029?
Form 4029 is used by members of recognized religious groups to apply for exemption from Social Security and Medicare taxes.
Who needs to fill out Form 4029?
Members of recognized religious groups who oppose accepting Social Security and Medicare benefits.
How do I fill out Form 4029?
Fill out Part I with your details, have Part II completed by your religious group, and mail three copies to the Social Security Administration.
Can I edit Form 4029 on PrintFriendly?
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How do I show exemption from self-employment taxes?
If your Form 4029 is approved, write 'Form 4029' on the 'Self-employment tax' line in the Other Taxes section of Form 1040.
What should employers know about Form 4029?
Employers must withhold Social Security and Medicare taxes if employees do not have an approved Form 4029.
Where do I file Form 4029?
Mail three copies of Form 4029 to the Social Security Administration, Division of Earnings Adjustments, Baltimore, Maryland 21201.
Is the exemption from Social Security and Medicare taxes permanent?
The exemption lasts as long as both the employer and employee continue to meet the requirements.
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