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Form SSA89 (022018)
Discontinue Previous Editions
Social Security Administration Page 1 of 2
OMB No.09600760Authorization for the Social Security Administration (SSA)
To Release Social Security Number
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This form is used to report information on cities and states across locations.
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Individuals or organizations who have operations in multiple cities and states.
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The purpose of this form is to provide a comprehensive overview of operations in different cities and states for reporting and compliance purposes.
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Information such as business locations, activities conducted in each location, and revenue generated from each location.
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