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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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  5. Include the date to the template with the Date function.
  6. Select the Sign tool and make an e-signature. There are 3 available alternatives; typing, drawing, or uploading one.
  7. Re-check each field has been filled in properly.
  8. Click Done in the top right corne to save or send the file. There are various alternatives for getting the doc. An attachment in an email or through the mail as a hard copy, as an instant download.

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