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Fillable Form SSA-521, 04-2009 - Request for Withdrawal of Application - Social Security - ssa

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SOCIAL SECURITY ADMINISTRATION TOE 420 Form Approved OMB No. 0960-0015 REQUEST FOR WITHDRAWAL OF APPLICATION IMPORTANT NOTICE. - This is a request to cancel your application. If it is approved, the decision we made on your application will have no legal effect, all rights attached to an application, including the rights of reconsideration, hearing, and appeal will be forfeited, and any payments we made...
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