RB-5 (proposed) RB-5 Booklet: Your Duties as Representative Payee-Repres

Application to Act as Representative Payee

Form RB-5 (Proposed)

Application for Substitution of Payee and Duties As Representative Payee (Individuals)

OMB: 3220-0052

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XXXX 1275

XXXXXX

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, Tuesday, Thursday, and Friday and from
9:00 a.m. to 12:00 p.m. on Wednesday.

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

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, Tuesday, Thursday, and Friday and from
9:00 a.m. to 12:00 p.m. on Wednesday.

12

13

1275
XXX


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