Get SSA-16-BK 2006
A pension or annuity based on your work after 1956 not covered by Social Security? (b) I became entitled, or expect to become entitled, beginning (c) I became eligible, or expect to become eligible, beginning Yes (If "Yes," answer (b) and (c).) No (If "No," go on to item 16.) MONTH YEAR MONTH YEAR I AGREE TO PROMPTLY NOTIFY the Social Security Administration if I become entitled to a pension or annuity based on my employment after 1956 not covered by Social Security, or if such pension.
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