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ES SOCIAL SECURITY MONTHLY BENEFITS BY DIRECT DEPOSIT Complete Section 1 and "SIGN YOUR NAME" Ask your bank to complete Section 3 Mail completed form back using address in Section 2 SECTION 1 (TO BE COMPLETED BY PAYEE) Name and Complete Mailing Address: (No P.O. Box Address SOCIAL SECURITY CLAIM NUMBER Allowed) B.I.C. (OPTIONAL) Name of Person Entitled to the Benefits Telephone Number: THIS BOX IS FOR ALLOTMENT OF PAYMENT ONLY (if applicable) Type PAYEE CERTIFICATION I (beneficia.

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  1. Open the document in the feature-rich online editing tool by clicking on Get form.
  2. Fill in the necessary boxes that are colored in yellow.
  3. Click the arrow with the inscription Next to move on from box to box.
  4. Go to the e-autograph tool to add an electronic signature to the template.
  5. Insert the date.
  6. Double-check the whole template to ensure that you haven?t skipped anything.
  7. Hit Done and download the new document.

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