Fillable ssa 4641 form

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SOCIAL SECURITY ADMINISTRATION Form Approved OMB No. 0960-0293 AUTHORIZATION FOR THE SOCIAL SECURITY ADMINISTRATION TO OBTAIN ACCOUNT RECORDS FROM A FINANCIAL INSTITUTION AND REQUEST FOR RECORDS CUSTOMER'S NAME SOCIAL SECURITY NUMBER NAME AND ADDRESS OF FINANCIAL INSTITUTION APPLICANT/RECIPIENT IF OTHER THAN CUSTOMER SOCIAL SECURITY NUMBER ACCOUNT NUMBER(S) (INDIVIDUAL OR JOINT) , , A request for records...
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ssa 4641 form