Example: bankruptcy

Box - Social Security Administration

FORM SSA-1099 – SOCIAL SECURITY BENEFIT STATEMENT F • PART OF YOUR SOCIAL SECURITY BENEFITS SHOWN IN BOX 5 MAY BE TAXABLE INCOME. • SEE THE REVERSE FOR MORE INFORMATION. Box 1. Name Box 2. Beneficiary’s Social Security Number Box 6.Voluntary F ederal Income Tax Withheld Box 8. Claim Number (Use this number if you need …

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  Administration, Social, Information, Security, Testament, 0199, Social security administration

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