Sample Form SSA 1099 - Social Security Benefit …
FORM SSA-1099 - SOCIAL SECURITY BENEFIT STATEMENT 2020 • PART OF YOUR SOCIAL SECURITY BENEFITS SHOWN IN BOX 5 MAY BE TAXABLE INCOME. • SEE THE REVERSE FOR MORE INFORMATION. Box 2. Beneficiary's Scial Security Number Box 5. Net Benefits for 2020 Box I . Name Box 3. Benefits Paid in 2020 4. Benefits Repaid to SSA in 2020 DESCRIPTION OF … ................
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