Real Property Current Market Value Estimate

SSA will insert the following revised Privacy Act Statement into the form as soon
as possible:
Privacy Act Statement
Collection and Use of Personal Information
Section 1631 of the Social Security Act, as amended, allows us to collect this information.
Furnishing us this information is voluntary. However, failing to provide all or part of the
information may prevent us from making an accurate and timely decision on the named
claimant’s eligibility for benefits.
We will use the information to determine if the claimant meets requirements for Supplemental
Security Income payments. We may also share your information for the following purposes,
called routine uses:


To third party contacts in situations where the party to be contacted has, or is expected
to have, information relating to the individual’s capability to manage his/her affairs or
his/her eligibility for or entitlement to benefits under the Social Security program; and



To Federal, State, and local level agencies (or agents on their behalf) for administering
cash or non-cash income or health maintenance programs.

In addition, we may share this information in accordance with the Privacy Act and other Federal
laws. For example, where authorized, we may use and disclose this information in computer
matching programs, in which our records are compared with other records to establish or verify
a person’s eligibility for Federal benefit programs and for repayment of incorrect or delinquent
debts under these programs.
A list of additional routine uses is available in our Privacy Act System of Records Notices (SORN)
60-0089, entitled Claims Folder System, as published in the Federal Register (FR) on April 1,
2003, at 68 FR 15784 and 60-0103, entitled Supplemental Security Income Record and Special
Veterans Benefits, as published in the FR on January 11, 2006, at 71 FR 1830. Additional
information, and a full listing of all of our SORNs, is available on our website at
www.ssa.gov/privacy/.