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ssa 2490

Fillable ssa 2490 form

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If additional space is required enter the information in Remarks -- item 19. 1 Dates Worked From - To 2 Name and Address of employer or 3 Type of Industry self-employment activity or business 4 Social Insurance 5 Name of Agency to which Number used contributions paid while working insurance system which are not based on employment or self-employment e.g. coverage for voluntary Covered 2 Type of coverage for this ...
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