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SSA-89 2008 free printable template

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Form SSA-89 Form Approved OMB 0960-0760 Social Security Administration Authorization for the Social Security Administration SSA To Release Printed Name Date of BirthSSN I am conducting the following business transaction seeking a mortgage with the following company the Company Company Name Address th ISU Credit Union 707 S. 9 Ave. Pocatello Idaho 83201 I authorize the Social Security Administration to verify my name and SSN to the Company and/or the Company s Agent if applicable for the...
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How to fill out SSA-89

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How to fill out SSA-89

01
Obtain a copy of the SSA-89 form from the Social Security Administration's website or your local SSA office.
02
Fill in your full name as it appears on your Social Security card.
03
Provide your Social Security number (SSN).
04
Enter your date of birth in the specified format.
05
Indicate the purpose for which you are requesting the information in the designated section.
06
If applicable, fill out details about any previous names used.
07
Sign and date the form at the bottom.

Who needs SSA-89?

01
Individuals applying for jobs that require background checks.
02
Financial institutions requesting verification of identity.
03
Agencies needing proof of Social Security number for benefits.
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SSA-89, also known as the Authorization for the Social Security Administration (SSA) to release information, is a form used to authorize the SSA to release an individual's Social Security number (SSN) and other identification information to third parties.
Individuals who need to provide authorization for the SSA to disclose their personal information, such as financial institutions, employers, or other organizations requiring validation of a person's SSN or identity, are typically required to file SSA-89.
To fill out SSA-89, individuals must provide their name, SSN, address, date of birth, and the name of the organization they are authorizing to receive information. They must also sign and date the form to confirm the authorization.
The purpose of SSA-89 is to grant permission for the SSA to disclose an individual's SSN and related information to authorized third parties, helping facilitate the verification of identity and SSN for various purposes.
The information that must be reported on SSA-89 includes the individual's full name, Social Security number, date of birth, address, the name of the organization requesting the information, and when applicable, the signature of the individual authorizing the disclosure.
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