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SSN Verification Form SSA 89  Citizens Bank

SSN Verification Form SSA 89 Citizens Bank

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Name Address I authorize the Social Security Administration to verify my name and SSN to the Company and/or the Company s Agent if applicable for the purpose I identified. The name and address of the Company s Agent is Veri-tax LLC 30 Executive Park Suite 200 Irvine California 92614. I am the individual to whom the Social Security number was issued or that person s legal guardian. I declare and affirm under the penalty of perjury that the information contained herein is true and correct. Form...
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