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Form Approved OMB No. 09600045SOCIAL SECURITY ADMINISTRATIONSTATEMENT OF CLAIMANT OR OTHER PERSON NAME OF WAGE EARNER, REEMPLOYED PERSON, OR SSI CLAIMANTSOCIAL SECURITY CUMBERSOME OF PERSON MAKING
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Certify that statement of is a document that confirms the accuracy and truthfulness of a statement.
Any individual or entity who needs to verify the authenticity of a particular statement is required to file certify that statement of.
To fill out certify that statement of, one must provide the requested information accurately and sign the document to confirm its validity.
The purpose of certify that statement of is to ensure that the information provided is accurate and truthful, and to hold the filer accountable for any false statements.
The information required to be reported on certify that statement of will vary depending on the specific statement being certified.
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