Transcription of INCOME AND ASSET STATEMENT IN SUPPORT OF CLAIM …
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INCOME AND ASSET STATEMENT IN SUPPORT OF CLAIM …
NOTICEVETERAN/CLAIMANT PERSONAL INFORMATIONIMPORTANT INFORMATION FOR CLAIMANTS VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38, code of Federal Regulations for routine uses ( , civil or criminal law enforcement, congressional communications, epidemiological or research studies, the collection of money owed to the United States, litigation in which the United States is a party or has an interest, the administration of VA programs and delivery of VA benefits, verification of identity and status, and personnel administration) as identified in the VA system of records, 58VA21/22/28, compensation , Pension, Education, Vocational Rehabilitation and Employment Records - VA, published in the Federal Register. Your obligation to respond is required to obtain or retain benefits.
PARENTS' DEPENDENCY AND INDEMNITY COMPENSATION (DIC) (Attachment to VA Forms 21P- 527, 21P-527EZ, 21P-534, and 21P-534EZ) YES. NO (If "No," skip to Section II) $ A. INCOME RECIPIENT (Veteran, Spouse, Child, Parent, Custodian, etc.) CURRENT MONTHLY GROSS INCOME $ DO YOU EXPECT THIS INCOME TO CHANGE IN THE NEXT 12 …
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