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Get SSA-1199-CN 2010

N the other side of this form, complete Sections 1 and 3. Remember to sign your name. 2: If you want your benefits sent to your U.S. dollar account, ask your bank to complete Section 3.A or 3.B. 3: If you want your benefits sent to your Canadian dollar account, ask your bank to complete Section 3.C 4: Mail the completed form in the envelope provided. Include a voided check, if possible. INFORMATION ABOUT CURRENCY CONVERSION: With Direct Deposit, your U.S. Social Security payment is automaticall.

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