Social Security Benefits - California State University ...
FORM SSA-1099 - SOCIAL SECURITY BENEFIT STATEMENT 2015 PART OF YOUR SOCIAL SECURITY BENEFITS SHOWN IN BOX S MAY BE TAXABLE INCOME. SEE THE REVERSE FOR MORE INFORMATION. Bc« 2. Beneficiary's Social Security Number Box 5. Net Benefits 2015 3 Bc« 1. Name B. 3. Benefits Paid in 2015 Box 4. Repaid to SSA in 2015 DESCRIPTION OF AMOUNT … ................
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