Get SSA-4-BK 2014
," enter the following information): Name of Child Date of Adoption Are all the children in item 3 now living in the same household with you? (If "No," enter the following information about each child not living with you. If uncertain as to the whereabouts of any of these children, explain in "Remarks".) Name of Child Not Living With You 9. Yes No Yes No Name of Person Adopting Yes No Person With Whom Child Now Lives Name and Address Relationship to Child Has any child in item 3 ever .
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