19 States Offsetting Social Security - Chicago Tribune
List names, dates of birth, and social security numbers of all persons over the age of 16 living in the petitioners household: NAME (first, middle, last) D.O.B. S. S. No. I DECLARE UNDER PENALTY OF PERJURY OF THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. Dated this _____ day of _____, 20_____. ................
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