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Jd-cv-40 Form: What You Should Know

SSA-4641-F4.pdf — Directing  Financial Institutions to Submit Authorization To  Requests for the Record of Account Number (BACK) from a Financial Agency, an organization may submit a request to: the Social Security Administration for authorization to request from any financial institution the information contained on the record of account, and to obtain the BACK. Once a financial institution has submitted an authorization and the requested information to the SSA, the SSA will provide the reporting agency, a written  obligation for such agency to complete and submit the requested information to the SSA and will provide an  additional obligation that the agency provide the SSA with an annual notice to the reporting agency of the SSA's obligation and the reporting agency's responsibilities under the annual authorization. SSA-4641-F4.pdf — Obligations and  Additional Obligations for Reporting Agency When the Authorization of the Reporting Agency Provides for Receipt of Annual Obligation When the Reporting Agency Submits a Request with an Annual Obligation to SSA, that obligation will continue for another  Annual Obligation Year and will not be released at the end of the year. SSA-4641-F4.pdf — Reporting Agency Obligations When the Reporting Agency Provides for Receipt of Annual Obligation Frequently asked questions on the Social Security Administration form 4641 of the Federal financial institution reporting requirement is listed below. If you have additional questions, please call or visit our Consumer Information Center.  Q. What information should I enter on the SSA Form 4641?   A. All information on the SS-4641-F4, Social Security (Part A) authorization form, (Part A.1, Authorization of Financial Institutions to Obtain Account Records/Requests) must be filled in exactly as provided or the SSA will not be filled out.

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