Ssa Claimants Statement About Loan Of Food And Shelter Printable Form Ssa 5062

Ssa Claimants Statement About Loan Of Food And Shelter Printable Form Ssa 5062 The information obtained by forms SSA 5062 and SSA L5063 is used by the Social Security Administration SSA to identify bona fide loans of food and shelter made to applicants for SSI benefits This information permits SSA adjudicators to determine the income value of food and shelter received by SSI applicants

The block Then sign the form and return to Social Security CLAIMANT S BENEFICIARY S NAME SOCIAL SECURITY NUMBER NAME OF SPOUSE OR PARENT S OF INDIVIDUAL NAMED ABOVE NAME OF PERSON MAKING THIS STATEMENT PART I MONTHLY HOUSEHOLD EXPENSES HOUSEHOLD CLAIMANT S STATEMENT ABOUT LOAN OF FOOD OR SHELTER The information below refers to Claimant s Name Claimant s SSN Name of Person Making Statement if other than Claimant Relationship to Claimant 1 Name and address of person who provided you with food and or shelter

Form SSA 5062 Claimant s Statement About Loan of Food or Shelter Preview Fill PDF Online Download PDF Fill out online for free without registration or credit card What Is Form SSA 5062 This is a legal form that was released by the U S Social Security Administration on May 1 2019 and used country wide

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Ssa Claimants Statement About Loan Of Food And Shelter Printable Form Ssa 5062

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STATEMENT ABOUT FOOD OR SHELTER PROVIDED TO

https://secure.ssa.gov/apps10/poms/images/SSAL/G-SSA-L5063-F3-2.pdf
Form Approved Social Security Administration OMB NO 0960 0529 The information below refers to Claimant s Name Claimant s SSN YES NO 2 What period of time did you provide food and or shelter to this individual FROM TO 3 Have you and the above individual agreed that he she will repay you for this food and or shelter YES If yes go

Form SSA 5062 Claimant s Statement About Loan Of Food Or Shelter

https://blanker.org/docs/ssa-5062
Claimant s Statement about Loan of Food or Shelter Download form Form SSA 5062 Claimant s Statement about the Loan of Food or Shelter is used to collect information from Supplemental Security Income SSI applicants or beneficiaries regarding the receipt of food or shelter

Social Security Forms Social Security Administration

https://www.ssa.gov/forms
SSA 5062 Claimant s Statement about Loan of Food or Shelter SSA 5665 BK Teacher Questionnaire SSA 5665 BK SP Cuestionario para Maestros Teacher Questionnaire SSA 5666 Request for Administrative Information SSA 7004 Request for Social Security Statement SSA 7004 SP Solicitud para un Estado de cuenta del Seguro Social SSA

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https://www.ssa.gov/forms/ssa-5062.pdf
Claimant s Statement About Loan of Food or Shelter Author SSA Subject Claimant s Statement About Loan of Food or Shelter Keywords SSA 5062 5062 Claimant s Statement About Loan of Food Or Shelter Food Or Shelter food shelter Statement Created Date 5 29 2019 7 44 43 AM

SI 00835 482 Loans Of In Kind Support And Maintenance SSA

https://secure.ssa.gov/poms.nsf/lnx/0500835482
Use the SSA 5062 to document the claimant s statement about loan of food or shelter or both If you cannot obtain the information in person or by telephone you may send the paper form SSA 5062 to the borrower to

Social Security Administration CLAIMANT S STATEMENT ABOUT LOAN OF FOOD OR SHELTER Form Approved OMB NO 0960 0529 The information below refers to Claimant s Name Name of Person Making Statement if other than Claimant 1 Name and address of person who provided you with food and or shelter 2 SSA uses the information obtained on Forms SSA 5062 and SSA L5063 F3 to identify bona fide loans of food and shelter made to claimants and recipients for SSI This information allows SSA adjudicators to determine the income value of food and shelter an SSI claimant or recipient receives

SSA uses Forms SSA 5062 and SSA L5063 to obtain statements about food or shelter provided to SSI claimants or recipients SSA uses this information to determine whether food or shelters are bona fide loans or income for SSI purposes