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Get SSA-820-F4 1991

Month Year Gross Net Month Year Gross Net Month Year Gross Net C. List any months in which you earned more than $200.00 or worked more than 40 hours in your business since the date shown in item 1. A. Describe (briefly) what you did in the business in terms of management decisions, responsibilities, hours, production and services before your illness or injury. u 4. B. Was this business your sole livelihood YES NO prior to your illness or injury? Please describe your present work a.

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