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Form Approved OMB No. 0960-0760 Social Security Administration Authorization for the Social Security Administration (SSA) To Release Social Security Number (SSN) Verification Printed Name: Date of
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Form name and address is a document used to provide information about the name of an individual or organization and their physical address.
Individuals or organizations who need to update their name or address information are required to file form name and address.
Form name and address can be filled out by providing the current name and address information and any updates that need to be made.
The purpose of form name and address is to ensure that accurate name and address information is on file for individuals or organizations.
On form name and address, individuals or organizations must report their current name and physical address.
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