We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Ssa-754-f4 2016

Get Ssa-754-f4 2016-2025

WAS THIS UNDERSTANDING LATER CHANGED If yes what were the changes and when and why were they made If yes what did you say to each other about how long you would live together Form SSA-754-F4 06-2012 EF 06-2012 Destroy Prior Editions Page 1 OVER 8. SOCIAL SECURITY ADMINISTRATION Form Approved OMB No. 0960-0038 Do not write in this space TOE 420 STATEMENT OF MARITAL RELATIONSHIP By one of the parties All items on this form requiring an answer must be answered or marked Unknown. I understand that the information given by me will be used in connection with an application filed for insurance benefits payable under Title II of the Social Security Act as amended based on the earnings of the wage earner or self-employed person named below. These notices additional information regarding this form and information regarding our programs and systems are available on-line at www. socialsecurity. gov or at your local Social Security office. 1. PRINT NAME OF WAGE EARNER OR SELF EMPLOYED PERSON 2. PRI....

This website is not affiliated with any governmental entity

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the SSA-754-F4 online

The SSA-754-F4 form is essential for individuals seeking to provide a statement of marital relationship in connection with an application for Social Security benefits. This guide will help you navigate through the process of filling out this form online, ensuring you complete each section accurately.

Follow the steps to complete the SSA-754-F4 form online.

  1. To start filling out the SSA-754-F4 form online, click the ‘Get Form’ button to obtain the form and open it.
  2. In the first field, print the name of the wage earner or the self-employed person. Ensure that the full name is accurately entered.
  3. Next, fill in your full name, including your first name, middle initial, and last name.
  4. Enter the name of the person with whom you were living. This step is crucial for establishing the relationship in question.
  5. Indicate when you began living together in a husband and wife relationship by entering the month and year. Specify the city or town and the state where you lived together.
  6. Answer whether you lived together continuously since that time. If 'No,' provide the periods of separation and reasons for not living together.
  7. You will also need to describe where you lived together as husband and wife, including city or town, state, and the dates of residence.
  8. Continue by answering whether you had an understanding of your relationship when you began living together. If it was in writing, indicate that and furnish a copy if required.
  9. Indicate if this understanding changed over time and explain the changes if applicable.
  10. Provide information on whether you had an understanding regarding how long you would live together and what was communicated about this.
  11. Respond to whether you believed that living together made you legally married, and if so, explain why.
  12. Indicate if there was a promise for a ceremonial marriage in the future, and if so, explain why it did not occur.
  13. Answer if any children were born from this relationship, and list their full names, birth dates, and places of birth.
  14. List the names known before you lived together and the names used after. Also, explain reasons for any name discrepancies.
  15. Detail any joint business dealings or accounts, and provide the types of documents involved along with their dates.
  16. Provide information about how you introduced your partner to relatives and how they introduced you.
  17. Enter the names of employers and neighbors who were aware of your relationship.
  18. List the names of your closest relatives who knew of the relationship.
  19. Similar to the previous step, list the closest relatives of the person with whom you lived who also knew of the relationship.
  20. Mention any objections you may have about contacting people listed in the previous sections and explain your reasons.
  21. If applicable, provide information about whether you or the other party have lived with anyone else as husband and wife and detail those relationships.
  22. Answer questions regarding any previous marriages that may have been in effect during your current relationship.
  23. Finally, review the form for accuracy, sign, and date your application. Include your telephone number and mailing address.
  24. After completing the form, you can save changes, download, print, or share the form as needed.

Complete the SSA-754-F4 form online to ensure your application for Social Security benefits is processed efficiently.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Form SSA-754 - Social Security
Form SSA-754-F4 (02-2016) UF (02-2016). Destroy Prior Editions. SOCIAL SECURITY...
Learn more

Related links form

Boy Scout Registration Form Mandated Reporter FORM SS 8572.pdf - The Child Abuse ... Eemd Feo Cell Inspector

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Where should the Form SSA-1724-F4 be sent? The completed form should be sent to the local Social Security Office. If any questions arise, the applicant should call 1-800-772-1213.

A Social Security 1099 or 1042S Benefit Statement, also called an SSA-1099 or SSA-1042S, is a tax form that shows the total amount of benefits you received from Social Security in the previous year.

The Social Security Statement, Form SSA-7005-SM Section 1143 of the Social Security Act specifies the personal information that SSA must include on the form. NOTE: The Social Security Statement has no approved acronym.

Individuals use Form SSA-795 to make signed statements relating to claims for Social Security benefits or Supplemental Security Income (SSI) payments under 20 CFR 404.702 and 416.570 of the Code of Federal Regulations.

Name of deceased. Social security number of deceased. Name of worker. Death date and state of residence of deceased. Name of applicant. Relationship to deceased. Next of kin or legal representative of deceased. ... Signature of applicant.

Calling 1-800-772-1213 (TTY 1-800-325-0778), Monday through Friday from 7 a.m. to 7 p.m.; or. Contacting your local Social Security office.

Name of deceased. Social security number of deceased. Name of worker. Death date and state of residence of deceased. Name of applicant. Relationship to deceased. Next of kin or legal representative of deceased. ... Signature of applicant.

Name. Social security number. Name of person making statement. Relationship to wage earner, self-employed person, or SSI claimant. Certified statement that is for the Social Security Administration. Signature of person making statement. Date.

collects the information when a surviving widow(er) is not already entitled to a monthly benefit on the same earnings records, or is not filing for a lump-sum death payment as a former spouse. SSA uses the information Form SSA-1724 provides to ensure proper payment of an underpayment due a deceased beneficiary.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Fill SSA-754-F4

Not all forms are listed. Approximately 30,000 individuals will use Form SSA-754-F4 annually. The estimated average response time is 30 minutes, for a total of 15,000 burden hours. SSA-754 Revised Final. ⚠️ Notice: This form may be outdated.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get SSA-754-F4
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232