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OMB Control No. 29000114 Respondent Burden: 25 Minutes Expiration Date: 11/30/2020 VA DATE STAMP (DO NOT WRITE IN THIS SPACE)STATEMENT OF MARITAL RELATIONSHIP INSTRUCTIONS: This form is to be completed
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To fill out form 21-4170 statement of marital, follow these steps:
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Download or obtain a copy of form 21-4170 statement of marital.
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Read the instructions carefully to understand the purpose and requirements of the form.
04
Start by entering your personal information, such as your full name, date of birth, and social security number.
05
Provide information about your current marital status, indicating whether you are married, divorced, widowed, or separated.
06
If you are married, provide details about your spouse, including their full name, date of birth, and social security number.
07
Enter information about any previous marriages, including the dates of marriage and divorce, if applicable.
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If you have any children, provide their names, dates of birth, and social security numbers.
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Answer all the additional questions and provide any necessary supporting documentation.
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Submit the filled-out form 21-4170 statement of marital to the appropriate authority or organization as instructed.

Who needs 21-4170 statement of marital?

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The 21-4170 statement of marital form is typically needed by individuals who are applying for various benefits or services that require information about their marital status. This may include veterans or their dependents who are applying for VA benefits, such as pension or healthcare. It may also be required by other government agencies or organizations that provide financial assistance, insurance, or legal services.
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The 21-4170 statement of marital is a form used to report information about marital status for military personnel.
All military personnel are required to file the 21-4170 statement of marital.
To fill out the 21-4170 statement of marital, military personnel must provide information about their marital status, including the name of their spouse and any dependents.
The purpose of the 21-4170 statement of marital is to ensure that accurate information about marital status is on file for military personnel, which can impact benefits and allowances.
Military personnel must report information such as the name of their spouse, marriage date, and any dependents on the 21-4170 statement of marital.
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