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  • Fbn Application.qxd. Use This Form To Complete A Statement Of Marital Relationship.

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REGISTRAR - RECORDER / COUNTY CLERK s FILING STAMP A Your Return Mailing Address Name: Address: City: State: First Filing 1 Zip Code: Renewal Filing Check one only FICTITIOUS BUSINESS NAME STATEMENT.

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The simple answer to your question is that unless you live in a state that recognizes common-law marriage, neither you nor your partner are eligible for Social Security spousal or survivor benefits.

VA Form 21-4170 is used to gather information that is necessary to determine whether a valid common law marriage was established. The form is used by persons claiming to be common law surviving spouses of deceased veterans and by veterans and their claimed common law spouses.

If you get Social Security benefits (retirement, survivors, or disability) or are enrolled in Medicare, you can change your address or direct deposit information online using the My Profile tab in your personal my Social Security account. You can also decide when the change will take effect.

Both common-law spouses must complete a “Statement of Marital Relationship” (form SSA-754) and provide an additional statement from a blood relative affirming the marriage (form SSA-753).

The United States Social Security Administration | SSA.

Form SSA 753 Statement Regarding Marriage.

Call us at 1-800-772-1213 (TTY 1-800-325-0778) Monday through Friday between 8:00 a.m. – 7:00 p.m. or contact your local Social Security office to report your marriage and get additional information.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232