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Form 4972 ND: What You Should Know

Is unmarried filing separately from spouse or partner. (Note: Enter 1 if married and no children) Does not meet the requirements for a retirement plan or trust. (Note: Enter 1 if you are a  Trust or annuity; 1 if self‐employed) Do not meet the following test for determining tax withholding. Was receiving an annuity payment (not the regular annuity payment) Must be married (not living with spouse). (Note: Enter 1 if married and no  children; 1 if with no children) Was in the military or navy, Coast Guard, Marines,  Reservists, or National Guard service, and not a member of the Reserve,  National Guard, or regular duty Military. (Note: Enter 1 if  sustained a service-connected disability with a service-in‐residence period  that lasted for at least 12 months) A disability was deemed to be service-disabled because of the individual's Disability Rating (DS), the number used by a military services health care  plan to determine eligibility for coverage,  or Service-Connected Disability (SCD) number at the  Time of Departure from the Armed Service, or the day after  death, as the case may be. Did not meet all the qualifications for the plan, plan sponsor, or  Plan Participant, if applicable.

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