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Form Approved OMB No. 09600045Social Security AdministrationSTATEMENT OF CLAIMANT OR OTHER PERSON Name of Wage Earner, Self employed Person, or SSI ClaimantSocial Security Cumbersome of Person Making
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Gather all the necessary information and documents required to fill out the form.
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Clearly state your reasons for being subject to the mentioned subject.
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I am subject to certain tax regulations.
Any individual or entity that meets the criteria set by the tax authority.
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