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Get SSA-8010-BK 1989-2021

Spouse (f) Give the following information: RATE OF PAY You $ HOW OFTEN PAID per Your Spouse You (g) Do you expect any change in wage information provided in YES 3(f)? 4 Go to (h) (h) Explain change: You FORM DATE LAST PAID (Month, day, year) PAY DAY OR DATE PAID per Your Spouse $ AMOUNT WORKED PER PAY PERIOD SSA-8010-BK (9-89) Your Spouse Page 2 NO YES NO Go to #4 Go to (h) Go to #4 You 4. (a) Have you been self-employed at any time since the beginning of the taxable yea.

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