Transcription of Form SSA-7163 (01-2021) UF Discontinue Prior Editions Page ...
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Form SSA-7163 (01-2021) UF Discontinue Prior Editions Page ...
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3. (a) Was the employment covered under the United States Social Security program; i.e., were the wages subject to United States FICA taxes? Yes. No (If "No," go on to item 4.) (If "Yes," enter the total amount of wages earned during each year of the work period.) Year Total wages (as shown on U.S. Form W-2 before payroll deductions) $ $ $
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