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SOCIAL SECURITY ADMINISTRATIONForm Approved OMB No. 09600015TOE 420REQUEST FOR WITHDRAWAL OF Application not write in this spaceIMPORTANT NOTICE This is a request to cancel your application. If it
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Individuals or entities seeking a specific approval for various purposes may need to fill out the form if it is approved. This could include individuals applying for permits, licenses, certifications, registrations, or any other form of official approval required for legal, financial, or administrative purposes.
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If it is approved refers to the status of a particular application or request being granted permission.
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