FORMS & DOCUMENTS / Government forms

SSA-89

Authorize a specific Social Security number verification using the official SSA form.

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This viewer-compatible copy preserves the official SSA-89 page and existing fields. Complete your legal name, date of birth, Social Security number, permitted reason and specifically authorized recipient. The unchanged official download is also available separately.
Your loan team supplies the name and address of the authorized recipient. Review this authorization before signing and dating it; a signature is required.
Unless you enter another time period on the official form, consent is valid for 90 days from the date signed. The release only authorizes SSN verification described on the form.
Complete the viewer-compatible copy on screen, or use the unchanged original in a compatible PDF reader. Return sensitive information through your loan team's secure channel.

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SSA-89

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