Loading
Get Ssa-44 2013
This website is not affiliated with any governmental entity
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the SSA-44 online
The SSA-44 form is designed for individuals experiencing a life-changing event that may affect their Medicare Income-Related Monthly Adjustment Amount (IRMAA). This guide will provide step-by-step instructions to help you fill out the form correctly and efficiently online.
Follow the steps to complete your SSA-44 form online
- Click ‘Get Form’ button to obtain the SSA-44 and open it in your online editor.
- Select one life-changing event that accurately describes your situation and enter the date it occurred in the mm/dd/yyyy format.
- Indicate the tax year during which your income was affected by the life-changing event. Provide your adjusted gross income and tax-exempt interest income for that year, along with your tax filing status.
- If applicable, check 'Yes' to indicate whether your modified adjusted gross income will be lower next year. If so, fill in the anticipated income and tax filing status for that year.
- Provide documentation to substantiate your modified adjusted gross income and life-changing event. You can attach original documents or provide certified copies as required.
- Read the information carefully before signing the form. Provide your signature, phone number, and current mailing address to ensure that the Social Security Administration can contact you if necessary.
Start filling out your SSA-44 online today to request a reduction in your income-related monthly adjustment amount.
Get form
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get This Form Now!
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.