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Get PA PA-1000 2018

If incorrect, do not use the label. Complete Part A. Your Social Security Number B If Spouse is Deceased, fill in the oval. Spouse s Social Security Number PLEASE WRITE IN YOUR SOCIAL SECURITY NUMBER(S) ABOVE Last Name First Name MI 2. I Certify that as of Dec. 31, 2018, I am (a): A. Claimant age 65 or older B. Claimant under age 65, with a spouse age 65 or older who resided in the same household C. Widow or widower, age 50 to 64 D. Permanently disabled and age 18 to 64 First L.

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