Transcription of SSA-6233 BK - Social Security Administration
1 Exhibit 2 Sample SSA-6233 -BK Representative Payee Report of Benefits and Dedicated account
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SSA-6233 BK - Social Security Administration
Exhibit 2 Sample SSA-6233 -BK Representative Payee Report of Benefits and Dedicated account
Representative Payee Report of Benefits and Dedicated Account PAYEE'S NAME AND ADDRESS Please review the above mailing address and correct if necessary.
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