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Get SSA-711 2005

_________ Add the amounts from Lines A through E and enter TOTAL on Line F.................................. 3. C. $ ___________ F. $ ___________ Paying with a CREDIT CARD, complete and return Form SSA-714 attached, or Enclose your CHECK or MONEY ORDER for the amount on line F payable to “Social Security Administration.” 4. DO NOT SEND CASH. DO NOT SEND SELF-ADDRESSED STAMPED ENVELOPE. DECEASED INDIVIDUAL’S INFORMATION (COMPLETE AS MUCH INFORMATON AS POSSIBLE) Name of Individual at.

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