Free Statement of Social Security Number - Idaho


File Size: 138.7 kB
Pages: 1
Date: February 28, 2007
File Format: PDF
State: Idaho
Category: Court Forms - Federal
Author: U.S. Courts
Word Count: 84 Words, 513 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.id.uscourts.gov/forms-dc/SSNumberDistrict.pdf

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UNITED STATES DISTRICT COURT DISTRICT OF IDAHO

Case Number:

STATEMENT OF SOCIAL SECURITY NUMBER(S)

Petitioner's Name (enter fu ll nam e) Social Security Number _ _ _ - _ _- _ _ _ _ or; (check if applicable)

Petitioner does not have Social Security Number

I declare under penalty of perjury that the foregoing is true and correct

Signature of Petitioner

Date

Filed under Seal

Penalty for making a false statement: Fine up to $250,000 or imprisonment for up to 5 year, or both. 18 U.S.C.§152 and §3571