Get SSA-44 2017
Roperty Death of Your Spouse Loss of Pension Income Work Stoppage Employer Settlement Payment Date of life-changing event: mm/dd/yyyy STEP 2: Reduction in Income Fill in the tax year in which your income was reduced by the life-changing event (see instructions on page 6), the amount of your adjusted gross income (AGI, as used on line 37 of IRS form 1040) and tax-exempt interest income (as used on line 8b of IRS form 1040), and your tax filing status. Tax Year Adjusted Gross Income Tax-Exem.
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