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If you do need assistance we can give you an additional 30 days to return the form to us. Enclosures Form SSA-1026B-OCR-SM-INST 08-2012 Recycle prior editions Resources and Income Summary Name Spouse Name Refer to these figures when completing the enclosed form SSA-1026 Resources see question 5 Value Bank accounts. Social Security Administration Review Of Your Eligibility For Extra Help THIS COVER LETTER IS FOR INFORMATION ONLY..
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