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ATION SYMBOL AND TITLE 4. PAID BY 5. NAME AND ADDRESS OF PAYEE (Number and Street, City, State and ZIP Code) 6. SERVICE MEMBER (Last name - First name - Middle initial) 7. SOCIAL SECURITY NO. 9. PLACE OF DEATH 10. DATE OF DEATH 8. GRADE 11. DUE PAYEE 12. CERTIFICATE OF PAYEE (Place an "X" in one of the following boxes, according to your relationship to the decedent) I certify that I have not received gratuity pay; that I am: a. HIS WIDOW HER WIDOWER. (Complete only Block 14a and have Bl.

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Keywords relevant to Dd Form 397

  • 552a
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  • EFT
  • affixed
  • disclosures
  • disbursement
  • xx
  • certifying
  • appropriation
  • Directorate
  • Compilation
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