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Archiver > GEN-UNSOLVED-MYSTERIES > 2000-11 > 0973704012


From: "Faith Poplin" <>
Subject: Re: social security card application
Date: Wed, 8 Nov 2000 12:20:12 -0500


Mary,

Hope this is what you meant. I copied the info from a copy of an SS5 i got
for my husbands grandpa.
Faith



1. Workers First, Middle, Last Name
2. Full name under which you work (if diffrent than item 1)
3. Workers present home address
4. Have you ever before had a social security account
number card?
5. Age at last birthday
6. Date of birth
7. Place of birth
8. Sex
10. Color or race
11. Married
12. Buisness name of present employer
13. Father's full name (regarless or wheter living or dead)
14. Mother's full name before marrige (regarless or wheter living or
dead)
15. Date last fulltime job ended, lastoccupation, last industry (see
instructions)
16. How were you paid (Examples, "daily wage" Salary"
"commision" "piecework")
17. Date signed
18.) Applicant's written signature (first,middle,last)
----- Original Message -----
From: "mary stickney" <>
To: <>
Sent: Wednesday, November 08, 2000 11:47 AM
Subject: social security card application


>
>
> Does anybody have a clear copy of the SS5 , I can't read what the boxes
> are titled.
>
>
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