© Copyright 2010

YOUR SECOND SOCIAL

SECURITY NUMBER
GUIDE

All rights reserved. No part of this publication may be

reproduced, stored or maintained in a retrieval system
and or transmitted in any form or by any means,
electronic, mechanical, photocopying, recording, or
otherwise whether or not this means presently existing
or shall exist in the future, without the prior written
permission .

This publication is designed to provide accurate and

authoritative information in regard to the subject
matter covered herein. It is sold with the understanding
that the publisher is not engaged in rendering legal,
accounting, or other professional service. If legal advice
or other expert assistance is required, the services of a
competent professional person should be sought.
TABLE OF CONTENTS
INTRODUCTION PAGE 2

PART ONE
SECTION ONE PAGE 3
How To Understand Your Credit
Report And Detect If Your Social
Security Number Is Being Used

SECTION TWO PAGE 13

How To Apply For Your Second
Social Security Number

PART TWO PAGE 21

SECTION ONE
How To Receive And Properly Use PAGE 27
Your Third Number Option

SECTION TWO
Forms Necessary To Apply For An
Employer Identification Number And
Taxpayer Identification Number

PART THREE PAGE 33

Forms Useful In Disputing
Negative Credit

PART FOUR PAGE 47

Complimentary Listing Of Over
100 Bank, Retail, & Gas
Credit Companies
2
When Kevin and Mary were newlyweds, they went through rough times
and had trouble paying their bills. They received many credit card offers and
quickly succumbed to the allure of easy credit. Kevin and Mary wanted to buy
more things than they could afford and charging was an easy way of getting what
they wanted. Years later, Kevin was forced to take a pay cut and the couples
income was severely cut. With too much credit card debt and a lower monthly
income, Kevin and Mary again experienced difficulty paying their bills. Soon their
financial trouble became serious. However, with the help of Consumer Credit
Counseling Service (CCCS) , Kevin and Mary were eventually able to recover
from their money problems and pay off their debts. CCCS is a national nonprofit
organization with local chapters around the country that help consumers in
financial difficulty.

Kevin and Mary's credit histories were seriously damaged but they
wanted to buy a home; in order to do so they needed to rebuild their credit. As
part of their rebuilding process, they requested copies of their credit report from
each of the big three credit bureaus. This was done in order to correct and
identify any problems in their credit files. However, early in the process
they became frustrated because of inaccurate information. Mary and Kevin were
successful in getting the errors deleted from their credit file but often the
misinformation would reappear.

This couple's problems are not unusual. Many consumers ruin their
credit by taking on more debt than they can handle. As a result, they must
face the challenge of correcting any problems in their credit records and
rebuilding their credit in order to borrow money at reasonable terms—a
process that can take years. You are responsible for your credit record
problems, but not responsible for misinformation. Perhaps the misinformation
results from debts which were paid but are listed as unpaid. Many consumers
learn that addressing credit record problems sometimes requires patience and
perseverance. Within this booklet you will learn how to correct credit record
errors and inaccuracies and how to deal with credit record omissions. You will
also find out how to request your 2nd Social Security Number. The story that
you've just read is only one scenario that may result in a request for a 2 nd
Social Security Number, but the reasons for requesting are as many as
their are stars in the sky. Many consumers feel - disadvantaged or subjected
to negative economical or personal hardship- due to their credit file being tied to
their Social Security Number. They are unable to obtain credit and for that
reason we have devised a simple set of guidelines to use in your petition for a
2nd Social Security Number which can accommodate any situation.

No firm number exists to show the percentage of credit files that have
problems. During the early 1990's, estimates ran as high as 50% but given
industry efforts to reduce that rate, the percentage is probably lower today. In
addition, some of the amendments to the FCRA are intended to further reduce
the incidence of credit record problems. Realistically however, given that the
3
industry collects more than 2.5 billion pieces of credit-related information
each month and generates more than 600 million credit reports on
close to 200 million consumers every year, there are bound to be errors
in some credit files. Credit bureaus do make mistakes. Also, sometimes
creditors and other information providers give credit bureaus incorrect
information. Therefore, to protect yourself, read your credit report
carefully! We have supplied you with some tools to assist you with this
sometimes frustrating and confusing task which will make it simpler.
Common Credit Record Errors:
 Information is commingled. Your credit record includes information for
someone with a name similar or identical to yours.

 The name of a former spouse appears on your credit record.

 Your name is misspelled, your address is wrong or your Social Security

Number is incorrect.

 Duplicate accounts show up.

 Account information is inaccurate or incomplete. For example, information for

an account shows that you were delinquent for several months a year ago, but
fails to show that you caught up and have paid on time for the past nine
months. Other problems could include incorrect account balances and
reporting paid-of or closed accounts as open.

 Outdated information is included. In most cases, a credit reporting agency is

legally permitted to maintain and report negative account information about a
consumer for (7) years and bankruptcies for (10) years.

 Account information does not relate to you.

 Unauthorized inquiries are listed.

 There is a failure to show that a tax lien has been released.

\

PART ONE

SECTION ONE
 How To Understand Your Credit Report
And Detect If Your Social Security
Number Is Being Used
4
Dealing with Inaccurate or Outdated Information That
Reappears in Your Credit Record
The FCRA now requires credit reporting agencies to maintain "
reasonable procedures designed to prevent the reappearance of deleted
information." Because the law does not define " reasonable procedures,"
however, the actual impact of this new provision remains to be seen. On the
other hand, the revised law also states that before deleted information can
be reinserted into your credit file, the provider of the information must certify
in writing that the information is indeed complete and accurate. Furthermore,
the credit bureau must notify you in writing, within five business days, that
the information has been reinserted; provide you the name, address, and
phone number, if "reasonably available," of the information provider; and
explain your right to add a statement to your credit file about the disputed
information.

When a Credit Bureau's Investigation Does Not Correct a

Credit Record Problem
It's possible that a credit bureau's investigation will find that the
information your are disputing is actually correct. If this occurs, you have
several options. One option is to locate new or additional documentation
that helps support your case. Make copies of any such documentation, write
the credit reporting agency, and staple everything together. Be sure to make
a copy of the letter for your files and send the materials by certified mail
with a request for a return receipt. Another option is to contact the provider
of the information you are disputing and ask that they correct the problem.
Prepare a letter similar to the one you mailed to the credit bureau and include
with it copies of your backup information. In your letter, ask that the creditor
send a correction to all of the credit bureaus it reports to as well as to you.
Also, ask that the information provider direct those credit bureaus to correct
your credit file. To make certain that the information provider follows your
instructions, ask to be sent a copy of the letter(s) that it sends to each
credit bureau. A third option for resolving a credit record problem is to call
your state attorney general's office of consumer affairs to see if they can
help you. Many states have their own credit reporting laws.

Written Statement
 If a credit bureau notifies you that the information you are disputing
is correct, they must tell you about your fourth option. Prepare a written
statement of no more than 100 words to dispute the information which can
be put into your credit file. Use the statement to explain why you believe the
information in your credit file is in error. By law your statement must
become a permanent part of your credit file and must be provided to anyone
who reviews your credit record. If
5
you need help writing your statement, FCRA requires that credit reporting
agencies make a staff person available to assist you.

The Experian Credit Report

This report's straightforward narrative format makes it extremely easy to
read. The report comes with a reinvestigation request form for consumers who
find problems in their credit reports.

Consumer ID Number
Experian gives each consumer an ID number that's at the top of the first
page of the sample report. Use this number if you have to call or write Experian
about information in your credit report.

Credit History
Like the credit reports of Trans Union and Equifax, Experian's begins with
your credit history. Credit history information is presented under two headings,
Account and Description. The accounts under the first heading are listed in
alphabetical order and includes an address and an account number for each. The
descriptive information is to the right of the account name, address, and
number. It includes the date the account was opened, its terms of payment,
who has contractual responsibility for paying the account, the account's credit
limit, and its high balance.

If the account is a bank loan, the descriptive information includes the

date the loan was taken out, the terms of the loan (number of years to pay it
off), who has responsibility for the loan payments, and the original amount of the
loan.

Other Account-Related Information

Below the account and description information you will find several lines of
information summarizing each account's payment history, including whether
account payments are current, whether all payments have been made on time,
the scheduled monthly payment, the first time the account was reported to
Experian, the balance due on the account as of a certain date, and the number of
months of account information Experian reviewed. Also shown in this section of
the report are notations as to whether an account was closed by the consumer
or by the creditor.
6
Public Record Information

Experian is the only bureau of which the big three presents public record
information in the credit history section of its report. In fact, any public record
items in your credit file will be listed before any of your credit accounts. There
is no public record information in the sample report.

Inquiries The inquiries section of the Experian credit report, "Your Credit
History Was Reviewed By", follows the credit history section. It lists the
names and addresses of companies that asked to review your credit history, the
date of the rrequest, and the reason for the request. Experian, alone of the
big three bureaus, provides detailed information regarding inquires.

Identification Information
The last part of the Experian credit report presents your personal
identification information. This section begins by listing your name, address,
Social Security number, date of birth, and name of your spouse this is information
that you provided Experian when you requested a copy of your credit report.
There is also additional identifying information about you provided by Experian's
subscribers. That information includes your driver's license number, current and
former addresses, and employer information.

The Trans Union Credit Report

Figure 3.2 is a sample Trans Union credit report. Of the big three
agencies, it is the most difficult to understand. The Trans Union report comes
with an investigation request form that serves the same purpose as the Equifax
research request form. Use this form to dispute information in your credit report.

Identifying Information
Your name, Social Security Number, current address and any former
address reported, your birth date, and your phone number will appear close to
the top of your Trans Union Credit report. Information on your current and
former employers may also appear here, although there is no such information
on the sample report.
7
Credit History
Your history with creditors who report to Trans Union follow the
identifying information. Account information is presented under a series of
headings. To the far left under these headings is the name of the creditor
reporting to Trans Union and below that, your account number. The series of
numbers and letters to the immediate right of each creditor's name
represents a creditor's subscriber code; you do not need to be concerned
with these codes.

Below your account number is series of letters or codes indicating

whose responsibility it is to pay the account. Trans Union uses nine
different letters. Reading the sample credit report, you will note that most of
the accounts are designated as "I", or individual accounts. On this same
line there may also be information regarding any collateral that was used
to secure the credit. For example, on the same credit report, you'll note
that the Frost Bank Loan for $14,400.00 was secured with a piece of real
estate, "lot 3A amended plat."

On the same line as the creditor's name but to the right is the date
the account was opened, the most ever owed on the account, and the date
that the credit information on the account was reported to Trans Union.
Following that date is a letter (C, F, P, A, or V), which designates the status
of the account such as closed, written off or paid off. Below that block of
information is the credit limit for the account and the date the account was
closed, if applicable. Looking at the Wells Fargo account on the sample
credit report, you will see that the account credit limit was $3,000.00 and
that the account was closed in 7/93.

If you continue reading to the right, the block of information

labeled, present status shows the account balance as of the date the
account information was verified by Trans Union or the account was closed,
and any past due amount as of the same date. Below that information is
delinquency, the dollar amount of that delinquency, and how the account
was being paid at the time of the delinquency.

Finally, below the delinquency information may be information

describing the kind of credit the account represents, for example: credit card,
real estate, or automobile, boat, or personal loan.

The next large block of information to the right, "Payment Pattern"

provides detailed payment history information for each account in your
report. Up to 24 months' worth of information is provided. Read the symbols
in this section from left to right. The most current information is to the far
left of the top line. You will see either a number or Xs as you read. A 1
means that your account payment that month was on time; 2 through 8
indicate different degrees of lateness; X means that no information was
provided by the creditor for that particular month. An explanation appears
on the reverse side of the very last page of your Trans
8
Union credit report explaining what each number means. The explanations
will be under the heading: MOP Current Manner of Payment.

The final block of information to the far right of the Trans Union
report indicates the account type and current method of payment (MOP).
Types of accounts include revolving, open, installment, mortgage, and so
on. Current method of payment reflects the timeliness of the payments
you make on an account. Most of the accounts on the sample credit report
are revolving (R) and are paid within 30 days (01).

The very bottom line of information for each account

presents miscellaneous additional remarks about the account, for
example: that account information is being disputed. There are no
miscellaneous additional remarks in the sample credit report.

Inquiries
This information follows the credit history section of the Trans
Union report. Like the reports of the other credit reporting agencies, the
inquiries section shows who has made an inquiry regarding your credit report
and the date of each inquiry. The designation "Consum Disci" in the sample
report indicates that the consumer requested a copy of his or her own report.

Following the inquiries is a list of the companies to whom Trans

Union provided the consumer's name and address, so the companies could
offer the consumer credit insurance, and the dates the information was
provided. The sample report shows that Trans Union provided such
information six times from 9/96 to 1/97.

Public Record
The public record section of the Trans Union report presents the
usual information on any applicable liens, bankruptcies, or judgments.

The words End of Credit Report designate the final page of the
Trans Union report. Immediately following these words are the addresses
and phone numbers of the credit bureaus affiliated with Trans Union that
generated the report. On this report it is Sarma Central Texas in San
Antonio. Contact the office listed here if you have any questions about the
information in your Trans Union Credit report.
 FIGURE 3.2 Sample Trans Union Credit Report

Note: This is a copy of an actual credit file. Identifying information (i.e., name,
address, Social Security number, date of birth, account numbers, etc.) has been
removed to protect consumer's identity

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COPYRIGHT 1992. TRANS UNION CORPORATION

PAGE 1 CUNT
FORM2:003 ft 93 CREDIT REPORTING ON-LINE NETWORK UTIUTY SYSTEM

FIGURE 3.2 Sample Trans Union Credit Report (Continued)

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 2K OF AMER B163P016 (500) 423-2211
101 S MARENGO PASADENA CA. 91101

CITIBAW MC 864E1B062 (SOO) 843-0777

POb 6241 SIOUX FALLS SD. 57117

SEARS D6256416
4E41 WOODCOCK DR SAN ANTONIO T X . 75ee8

COOLIDGE E0- 85827043 (617) 736-9125

200 PROSPECT ST WALTHAM MA. 02254
COOLIDGE ELK B583T036 (617) 926—/09S
75 ARLINGTON ST BOSTON MA. 02116

FROST BROS 0931P001

FOB 691045 SAN ANTONIO TX. 7S269

FST OMNI BK B3568012 - (S00) 3S8-1141

499 MITCHELL ST MILLSBORO DE. 19966

FIB BKCRD 89227001 (800) 955-5050

FOB 9700 SIMI VALLEY CA. 92097

COPYRIGHT 1993. TRANS UNION CORPORATION

PAGE 8 CONY
FORM200011/95 CREDIT REPORTING ON-LINE NETWORK UTILITY SYSTEM

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POb 6E41 SIOUX FALLS SO. 57117

SEARS 06256416
4241 WOODCOCK DR SAN ANTONIO TX. 78'd28

COOLIDGE BF: B5837048 (617) 736-9125

200 PROSPECT ST WALTHAM MA. 02254

COOLIDGE BK 8583T036 (617) 926-70%.(8

75 ARLINGTON ST BOSTON MA. 02116

FROST BROS D931P001

POE' 691045 SAN ANTONIO TX. 78269

FST OMNI BK 8E568012 - (800) 338-1141

499 MITCHELL ST MILLSBORO DE. 19966

FIB BKCRD 89287001 (800) 955-t.050

FOB 9700 SIMI VALLEY CA. 93097

COPYRIGHT 1993. TRANS UNION CORPURATION

PAGE 8 LOW

FOAM1000 II/95 CREDIT REPORTING ON-UNE NETWORK UTILITY SYSTEM

FIGURE 3.2 Sample Trans Union Credit Report (Continued)

FIGURE 3.2 Sample Trans Union Credit Report (Continued)

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COMMERICAL F7212624 (512) 467-6878

5775 AIRPORT AUSTIN TX. 78752

FROST BK-CON BSNO006122 (210) 220-4205

P.O. BOX 1600 SAN ANTONIO TX. 78296

CONFID CREDT SD8256090 (800) 443-9J42

9444 BALBOA AVE SAN DIEGO CA. 92123

CONSUM DISCL ZPA5251

1211 CHESTNUT ST. PHILA PA. 19107

NATIONS BK 8369E021 (800) 462-6257

FOB 331400-7 NAK DALLAS TX. 75283

PROVIDIAN 8701N012
FOB 9007 PLEASANTON CA. 94566

WACH BKCRD 83763001 (800) 241-7990

PO BOX 4635 ATLANTA GA. 30302

ft.. END OF LOOK al'

COPYRIGHT 1993. TRANS UNION CORPORATION

PAGE 9 LAST
FOAM2000II/93 CREDIT REPORTING ON-UNE NETVORK UTILITY SYSTEM

Source: Reprinted by permission of Trans Union.

FIGURE 3.2 Sample Trans Union Credit Report (Continued)

MA
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MEMBER

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**END OF CREDIT REPORT**

REPORT SERVICED BY:

BARNA CENTRAL TEXAS
1301 BROADWAY
SAN ANTONIO. TX. 76215
512-459-7376

all LOOK sall

SUBNAME SUBCODE TELEPHONE
WELL FARG VS 3908N663 C800) 642-4720 •
FOB 4051 CONCORD CA. 94524
WACH BKCRD 83763001 MOO/ 241-7990
PO BOX 4635 ATLANTA GA. 30302
FROST NTL BK 3582M001 (210) 220-4471
POB 1600 SAN ANTONIO TX. 78296

AE OPTIMA 14656N003 C9t..4> UO3-,9737

FOB 7271 FT LAUDERDALE FL. 33329

COPiRIGHT 1993. TRANS UNION CORPOHATION

PAGE 6 COW

PORI( 200311/95 CREDIT REPORTING ON-UNE NETWORK UTILITY SYSTEM

FIGURE 3.2 Sample Trans Union Credit Report (Continued)

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AMERICAN EXP N656N001 . (94) 7;03-3787

P 0 BOX 727I FT LAUDERDALE FL. 33329

FRANKLIN SAV 9414M001 (512) 477-5000

111 CONGRESS AUSTIN TX. 78701

CHEVRON 01031001 (510) 602-7020

FOB 5010 CONCORD CA. 94524

CHASE NA 8402D017 (SO)) 3,:j6-5555

100 DUFF AVE HICKSVILLE NY. 11301
ANBCC 8282E001 (800) 533-5600
P 0 BOX 15687 WILMINeTON DE. 19850

PHILLIPS 66 0858V001
PD? 30 BARTLESVILLE OK. 74004
NEIMAN MARCU D2816001 ceoo> 753-0407
1201 ELM ST DALLAS TX. 75270

BLOMINGDALES 09890002 (800) 950-0339

9111 DUKE BLVD MASON OH. 45040

COPYRIGHT 1993. TRANS UNION COKPORATION

Paoa 7 coNr
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COPYRIGHT 1993. TRANS UNION CORPORATION

PAGE 4 CUNT
'On'2000 mys CREDIT REPORTING ON-UNE NETWORK UTILITY SYSTEM

FIGURE 3.2 Sample Trans Union Credit Report (Continued)

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PAGE 5 LONT
FORM 2000 11/95 CREDIT REPORTING ON-UNE NETWORK UTILITY SYSTEM

FIGURE 3.2 Sample Trans Union Credit Report (Continued)

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COPYRIGHT 1993. TRANS UNION CORPORATION

PAGE
FOAM 20002
11,9S CREDIT REPORTING ON-UNE NETWORK UTIUTY SYSTEM coNr

FIGURE 3.2 Sample Trans Union Credit Report (Continued)

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COPYRIGHT 1993. TRANS UNION CORPORATION

PAGE 3 CUNT
PORM200011,93 CREDIT REPORTING ON-UNE NETWORK UTILITY SYSTEM

PART ONE

SECTION TWO
 How to Apply for Your
Second Social Security Number
12
PREFACE
PART ONE, SECTION TWO

According to the Social Security Administration any individual who feels that
their current social security number is causing them to be "disadvantaged and/or
subjected to negative personal or economic problems or hardships" is entitled to
request a new social security number. These are very broad guidelines and below we
have listed some additional reasons for which you may be approved for a new social
security number. The information contained herein has been created and copyrighted
by Primary Source. We guarantee that the information contained in this manual is
100% factual and that it's produced but not fully disseminated by the Social
Security Administration. Your local social security administration branch manager
views each case individually and judges each case on its own merit and how it fits
within the parameters of the guidelines for approving requests for 2nd social security
numbers.

Please note that the reasons for which you may be approved are in no way limited to
the following:

NOTE: PLEASE USE THE "REQUEST FOR SOCIAL

SECURITY STATEMENT" FOUND ON THE FOLLOWING PAGE TO
CHECK IF THE SOCIAL SECURITY ADMINISTRATION HAS MIXED
TOGETHER YOUR EARNING RECORDS WITH SOMEONE ELSE.

 Credit record problems/abuse

 Credit card theft

 3rd party use to obtain economic gain.

 Identity theft, as well as personal information theft.

 The SSA & IRS have mixed together your earnings records with someone else.

 Unauthorized merging of credit records with someone else.

 Identical name cases

 Victims of harassment or abuse, example (but in no way limited to) battered spouses or lovers.
 Domestic violence victims.

 Stalkings
 Rape

 Threats of bodily harm and/or death.

 Harassment by another party who is

tracing you through your number.

 Religious objections or concerns.

 Criminal record problems as a result of someone using your number.

 Bankruptcy resulting from fraud and/or unauthorized use of your number.

 Financial distress that resulted from the misuse of your number and/or was the result
of unpaid financial obligations preceding a divorce.

 Following a divorce, financial obligations not met through no fault of your own and
impacted you economically.
SP
Form Approved
OMB No. 0960-0466

Request for Social Security Statement

Pleas e check th is box if you wan t t o get y ou r st a t emen t in S pa n ish instead of

English.

P l e a s e p r i n t o r t y p e y o u r a n s w e r s . W h e n y o u have completed the form, fold it and mail it to us.

( I f y o u p r e f e r t o s en d y o u r r e q u e s t u s in g t h e Internet, contact us at www.ssa.goy)
For items 6 and 8 show only earnings covered by Social Security. Do NOT include wages from
S t at e , l oc a l o r F e de r a l G ov er n m en t e mp lo y m en t t h at a r e NO T c ov er ed for S oc ia l Sec u r ity or th a t
ar e c ov er ed O NL Y by Medic a r e.

6. Show your actual earnings (wages and/or net s e l f - e m p l o y m e n t i n c o m e ) f o r l a s t y e a r a n d your

estimated earnings for this year.

A. Last year's actual earnings: (Dollars Only)

9 . Do y o u wa n t u s t o s en d t h e s t a t e me n t :

 To you? Enter your name and mailing address.

 T o s o m e o n e e l s e ( y o u r a c c o u n t a n t , pension plan, etc.)? Enter your name with "c/ o" and the
na me and a ddress of that person or organization.

or Street Address (Include Apt. No., P.O. Box, Rural Route)

1. Name sh own on you r Social Secu rity ca rd:

Stre
0 0
 F B. This year's estimated earnings: (Dollars Only)
Str
First Name Middle Initial

 0 0
U .S
Last Name Only

2.
2) Your Social Security number as shown on your card:

2. Your date of birth (Mo -Day-Yr.)

3 . O th er S oc ia l Sec u r ity n u mber s y ou h a v e us ed:

4 . You r S ex : Male Female

5. Show the age at which you plan to stop wor k in g
(Show only one age)

6. Below, show the average yearly amount (not your total future lifetime earnings) that you t h in k
y ou w il l ea r n be t w ee n n ow a n d w h en y ou pla n t o s t op wor k in g. I n c lu de
performance or scheduled pay increases or bon uses, but not cost-of-liv in g incr ea ses .

I f y ou ex pect t o ea rn sign ific an tly more or less in th e futu re due t o pr omot ions , job ch anges ,
par t -t ime wor k , or a n a bs en c e fr om th e wor k f o r c e , e n t e r t h e a m o u n t t h a t m o s t c l o s e l y reflects
your future average yearly earnings.

I f y ou don' t ex pect any s ignifica nt ch an ges, sh ow the sa me amoun t you are earn in g n ow (the
amount in 6B).

Future average yearly earnings: (Dollars Only)

0
SOCIAL
SIVVRI

ADN1INIS
IRM ION
About The Privacy Act
Social Security is allowed to collect the facts on this
Requ
form under section 205 of the Social Security Act. We State
need them to quickly identify your record and prepare
the statement you asked us for. Giving us these facts is Thank y
voluntary. However, without them we may not be able
to give you a statement. Neither the Social Security After you
within 4
Administration nor its contractor will use the
information for any other purpose.  a rec
estim
Socia
 estim
fami

We're pleased to furnish you with this information and we hope you'll find it useful in planning your financial
future.
Mail completed form to:
Social Security Administration Wilkes Barre Data Operations Center P.O. Box 7004
Wilkes Barre, PA 18767-7004
Paperwork Reduction Act Notice and Time It Takes Statement
The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in
accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may
not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a
valid OMB control number. We estimate that it will take about 5 minutes to complete this form. This
includes the time it will take to read the instructions, gather the necessary facts and fill out the form.
Social Security is more than just a program for retired people. It helps people of all ages in many ways.
Whether you're young or old, male or female, single or married -- Social Security can help you when you need it
most. It can help support your family in the event of your death and pay you benefits if you become severely
disabled.
If you have questions about Social Security or this form, please call our toll-free number, 1-800-772-1213.

0\1„.1, SEct,,t,

s>'14 N 1

'6,01 111111
13
INTRODUCTION
Part One, Section Two of this booklet is designed to provide you with simple step
by step instructions for preparing a successful request for a second Social
Security Number. The following guidelines have been produced by Primary
Source to assist individuals who feel they are deemed eligible to receive a new
Social Security Number. If your Social Security Number is causing you to be
financially disadvantaged, you may submit a request for a new Social Security
Number by following the guidelines provided.

THE MOST SIMPLE JUSTIFICATION FOR REQUESTING A SECOND SOCIAL

SECURITY NUMBER
The following reasons for requesting a second Social Security Number appear as
outlined by the Social Security Administration:
 The most common justification is that the Social Security Administration or
the Internal Revenue Service has mixed together earnings records from
more than one person, if this has happened to you and the other party
cannot be located, it will be necessary for you to be issued a new
number.
 One of the easiest situations that the Social Security Administration accepts
justifying a new number is if your Social Security Number contains the
sequence 666 or 13. The digits need to be consecutive according to the
Social Security Administration policy manual, but may be separated by
hyphens.
Example:
735-13-9786-This is acceptable means for requesting a new number because the
numerical order of the one and three are consecutive.

735-01-3978-This is also acceptable means for requesting a new number even if

the one and three are separated by hyphens.
619-05-6668-This is acceptable means for requesting a new number because the
numerical order of the sixes are consecutive.

619-06-6688-This is also acceptable means for requesting a new number even if

the sixes are separated by hyphens.
The Social Security Administration states that you don't have to prove that your
religious objection is sincere. Other commonly accepted complaints include that
someone is harassing you and is tracing you through your Social Security
Number, sequential numbers assigned to family members, or serious impact on
your credit history that you've tried to clear up without success. You will find
helpful forms contained in the back of this booklet for disputing negative credit
information.
14
HOW TO APPLY FOR A SECOND SOCIAL SECURITY NUMBER DUE TO
ECONOMIC OR PERSONAL HARDSHIP

The following steps are simple, but effective. These guidelines have successfully
assisted many clients in their petition for a new Social Security Number.

STEP 1-Writing your request for a Second Social Security Number

 Begin by writing down the reasons you believe you are deserving of a 2nd
Social Security Number.

 Explain how your current situation came about, causing you to resort to
believing that receiving a 2nd Social Security Number will alleviate your
unfavorable situation.

 Include why this current situation is disadvantageous to you, or subjecting you

to negative economic or personal hardships.

 If you feel that this situation is affecting your emotion well-being, causing a
loss of personal freedom or a threat to your personal safety, be sure to include
this in your petition.

 Be sure to include at what point in time this situation arose. The situation that
you based your request for a new Social Security Number should have
occurred within the last year, or it still must be affecting you today.

 When possible, document your claims. For example, include references to

denied requests for credit, denied requests for a home mortgage, credit report
disputes, court records, police reports, etc. Include copies of these documents
with your request for a new Social Security Number.

 Conclude your petition by emphasizing how a new Social Security Number will
alleviate the problems caused by your old Social Security Number.
DEVELOP YOUR CASE
WHAT?
WHAT HAPPENED? WHAT WAS DONE TO YOU AND BY WHOM?
DEVELOP YOUR CASE
WHY?
WHY ARE YOU REQUESTING A NEW SOCIAL SECURITY NUMBER?

DEVELOP YOUR CASE

HOW?
HOW HAS THIS CAUSED YOU TO BE DISADVANTAGED OR SUBJECTED TO ECONOMICAL
HARDSHIP? HOW HAS THIS CAUSED YOU TO LOSE YOUR PERSONAL FREEDOM OR FEAR
FOR YOU SAFETY? HOW HAS THIS AFFECTED YOUR EMOTIONAL WELL BEING?
 DEVELOP YOUR CASE
WHEN?
WHEN DID THIS OCCUR? IT MUST HAVE HAPPENED WITHIN THE LAST YEAR OR IT COULD
HAVE HAPPENED FURTHER IN THE PAST BUT THE PROBLEM ITSELF CONTINUES NOW AND
IT'S STILL AFFECTING YOU TODAY.

DEVELOP YOUR CASE

WHO?
WHO CAN ATTEST TO THESE FACTS AND WHAT IS THE BASIS OF THEIR KNOWLEDGE. IS
THIS PERSON AN UNBIASED THIRD PARTY SUCH AS AN ATTORNEY, ACCOUNTANT,
POLICE OFFICER, EYEWITNESS, OR IS THE INFORMATION YOU SUBMIT IN SUPPORT OF
YOUR CASE FROM AN UNBIASED THIRD PARTY SUCH AS COURT RECORDS, STATEMENTS
FROM A CREDIT BUREAU, POLICE REPORTS, A DENIED APPLICATION FOR CREDIT OR A
HOME MORTGAGE, A DIVORCE DECREE, A LAWSUIT, BANKRUPCY DOCUMENTATION AND
SOON.
15
STEP 2 - Properly Formatting Your Request
Your petition for a second Social Security Number should be typed in a uletter
format". At the top left corner of the petition, list your full name and your Social
Security Number as it appears on your present Social Security Card, along
with your current mailing address and telephone number. At the top right
corner, be sure to include the date your petition was submitted. Be sure to
refer to the sample petition below.

Full Name Date

Social Security Number
Current Address
Telephone Number

To whom it concerns:

Sincerely,
Your Signature

STEP 3 - Contacting your local Social Security Administration office

You need to contact your local Social Security Administration branch to
obtain their address and telephone number. You may do this by contacting
the main office in Baltimore, Maryland at: (410) 361-4600. Or you can contact
your local directory assistance service.

STEP 4- Complete your SS-5 form

Enclosed within this booklet is a SS-5 form. Although you may already have a
Social Security number at the present time, it is necessary for you to
complete this form to receive a new Social Security Number.

STEP 5 - Simply mail your request!

Mail your request to your local Social Security Administration office.
Congratulations! You have now successfully submitted an absolutely perfect
request for your new Social Security Number!
SOCIAL SECURITY ADMINISTRATION
Application for a Social Security Card
Form SS-5 Internet (2-98) Destroy Prior Editions Page 1

Applying for a Social Security Card is easy AND it is

FREE!
If you DO NOT follow these instructions, we CANNOT process your
application!

STEP 1 Complete and sign the application with BLUE or BLACK ink.
Do NOT use pencil! Follow instructions below.
STEP 2 See Page 2 to determine what evidence we need.

STEP 3 Submit the application and evidence to any Social Security office. Follow
instructions
below.

HOW TO COMPLETE THE APPLICATION

Most items on the form are self-explanatory. Those that need explanation are
discussed below. The numbers match the numbered items on the form. If you are
completing this form for someone else, please complete the items as they apply to
that person.

2. Show an address where you can receive the card 10 to 14 days from
now.

3. If you check "other" for CITIZENSHIP, provide a document from the

Federal/State or local agency explaining why you need a Social Security
number and that you meet all the requirements for the benefit or
service except for a number.
 4. You do not have to complete this item about race/ethnic background.
We use this information for statistical reports on how Social Security
programs affect people. We do not reveal the identities of individuals.

5. Show the month, day, and full (4-digit) year of birth, for example, "1998"
for year of birth.

6. You must enter the mother's Social Security number in item 8B. if you
are applying for a number for a child under age 18.

7. You must enter the father's Social Security number in item 9B. if you
are applying for a number for a child under age 18.

13. If the date of birth you show in item 6 is different from the date of birth you
used on a prior application for a Social Security number card, show the
date of birth you used on the prior application and submit evidence of age
to support the date of birth in item 6.
16. You must sign the application if you are age 18 or older and are
physically and mentally capable. If you are under age 18, you may also
sign the application if you are physically and mentally capable. If you
cannot sign your name, you should sign with an "X" mark and have two
people sign as witnesses in the space beside the mark. If you are
physically or mentally incapable, generally a parent, close relative, or
legal guardian may sign the application. Call us if you need clarification
about who can sign.
HOW TO SUBMIT THE APPLICATION
Mail the form and your evidence documents to the nearest Social Security office. We
will return your documents to you. If you do not want to mail your original documents,
take them to the nearest Social Security office with this application.
If you are age 18 or older and have never been assigned a number before, you
must apply in person.
Form SS-5 Internet (2-98) Page 2

EVIDENCE WE NEED
CAUTION: We cannot accept photocopies of documents. You must submit
original documents or copies certified by the custodian of the record. Notarized
copies are not acceptable. If your documents do not meet this requirement, we
cannot process your application. We will return your documents. IF YOU DO NOT
WANT TO MAIL YOUR ORIGINAL DOCUMENTS, TAKE THEM TO ANY SOCIAL
SECURITY OFFICE.

If you need an ORIGINAL CARD (you have NEVER been assigned a Social
Security number before), you must show us proof of :

AGE,
IDENTITY, and
 U.S. CITIZENSHIP or LAWFUL ALIEN STATUS

If you need a DUPLICATE CARD (no name change), you must show us proof of
IDENTITY.

IMPORTANT: If you were born outside the U.S., you must also show us proof of
U.S. CITIZENSHIP or LAWFUL ALIEN STATUS.

If you need a CORRECTED CARD because of a name change, you must show us
proof of IDENTITY.

To CHANGE YOUR NAME on our records, we need one or more documents

identifying you by your OLD NAME on our records and your NEW NAME.

IMPORTANT: If you were born outside the U.S., you must also show us proof of
U.S. CITIZENSHIP or LAWFUL ALIEN STATUS.

AGE: We prefer to see your birth certificate. However, we can accept other
documents such as a hospital record of your birth made before you were age 5 or a
religious record made before you were three months old. If you were born outside
the U.S., we can accept your passport. Call us for advice if you cannot obtain any of
these documents.

IDENTITY: We must see a document in the name you want shown on the card.
We can generally accept a current document that has enough information to
identify you (e.g., signature, name, age, date of birth, parents' names). We
CANNOT ACCEPT a BIRTH CERTIFICATE, HOSPITAL BIRTH RECORD, SSN
CARD, SSN CARD STUB, OR SSA RECORD. Some documents that we can accept
are:

 Driver's license • Marriage or divorce record • Military records

 Employer ID card • Adoption record • Insurance policy
 Passport • Health Insurance card (not • School
ID card
a Medicare card)

IMPORTANT: If you are applying for a card on behalf of someone else, we

must see proof of identity for both you and the person to whom the card
will be issued.
Form SS-5 Internet (2-98) Page 3

NAME CHANGE: If your name is now different from the name shown on your
card, we need an identity document that identifies you by BOTH your old name
AND your new name. Examples include a marriage certificate, divorce decree, or
a court order that changes your name. Or we can accept two identity documents
—one in your old name and one in your new name. (See IDENTITY for
examples of identity documents.)
U.S. CITIZENSHIP: We can accept most documents that show you were born in
the U.S. If you are a U.S. citizen born outside the U.S., show us a U.S. consular
report of birth, a U.S. passport, a Certificate of Citizenship, or a Certificate of
Naturalization.

ALIEN STATUS: We need to see a current document issued to you by the U.S.
Immigration and Naturalization Service (INS), such as Form 1-551, 1-94, I-
688B, or 1-766. We CANNOT accept a receipt showing you applied for the
document. If you are not authorized to work in the U.S., we can issue you a
Social Security card if you are lawfully here and need the number for a valid
nonwork reason. Your card will be marked to show you cannot work, and, if you
do, we will notify INS.
IF YOU HAVE ANY QUESTIONS: If you have any questions about this form, or
about the documents you need to show us, please contact any Social Security
office. A telephone call will help you make sure you have everything you need to
apply for a card.

THE PAPERWORK/PRIVACY ACT AND YOUR

APPLICATION
The Privacy Act of 1974 requires us to give each person the following notice
when applying for a Social Security number.

Sections 205(c) and 702 of the Social Security Act allow us to collect the facts
we ask for on this form.

We use the facts you provide on this form to assign you a Social Security number
and to issue you a Social Security card. You do not have to give us these facts,
however, without them we cannot issue you a Social Security number or a card.
Without a number, you may not be able to get a job and could lose Social
Security benefits in the future.

The Social Security number is also used by the Internal Revenue Service for tax
administration purposes as an identifier in processing tax returns of persons who
have income which is reported to the Internal Revenue Service and by persons
who are claimed as dependents on someone's Federal income tax return.

We may disclose information as necessary to administer Social Security

programs, including to appropriate law enforcement agencies to investigate
alleged violations of Social Security law; to other government agencies for
administering entitlement, health, and welfare programs such as Medicaid,
Medicare, veterans benefits, military pension, and civil service annuities,
black lung,
housing, student loans, railroad retirement benefits, and food stamps; to the
Internal Revenue Service for Federal tax administration; and to employers and
 former employers to properly prepare wage reports. We may also disclose
information as required by Federal law, for example, to the Department of
Justice, Immigration and Naturalization Service, to identify and locate aliens in
the U.S.; to the Selective Service System for draft registration; and to the
Department of Health and
Form SS-5 Internet (2-98) Page 4

Human Services for child support enforcement purposes. We may verify Social
Security numbers for State motor vehicle agencies that use the number in issuing
drivers licenses, as authorized by the Social Security Act. Finally, we may disclose
information to your Congressional representative if they request information to
answer questions you ask him or her.

We may use the information you give us when we match records by computer.
Matching programs compare our records with those of other Federal, State, or local
government agencies to determine whether a person qualifies for benefits paid by
the Federal government. The law allows us to do this even if you do not agree to it.

Explanations about these and other reasons why information you provide us
may be used or given out are available in Social Security offices. If you want to
learn more about this, contact any Social Security office.

The Paperwork Reduction Act of 1995 requires us to notify you that this information
collection is in accordance with the clearance requirements of section 3507 of the
Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are
not required to respond to, a collection of information unless it displays a valid
OMB control number.

TIME IT TAKES TO COMPLETE THIS FORM

We estimate that it will take you about 8.5 to 9 minutes to provide the information.
This includes the time it will take to read the instructions, gather the necessary
facts and provide the information. All requests for Social Security cards and other
claims-related information should be sent to your local Social Security
office, whose address is listed under Social Security Administration in the U.S.
Government section of your telephone directory. Comments or suggestions on
our "Time it Takes" estimate are welcome and should be addressed to: Social
Security Administration, ATTN: Reports Clearance Officer, 1-A-21 Operations
Building, Baltimore, MD 21235-0001. SEND ONLY COMMENTS ON OUR "TIME
IT TAKES" ESTIMATE TO THIS ADDRESS.
SOCIAL SECURITY ADMINISTRATION Application for a Social Security Card
Form Approved OMB No. 0960-0066
NAME
TO BE SHOWN ON CARD
First Full Middle Name Last
FULL NAME AT BIRTH IF OTHER THAN ABOVE

First Full Middle Name Last

 OTHER NAMES USED
Street Address, Apt. No., PO Box, Rural Route No.

2
City State Zip Code
MAILING ADDRESS
Do Not Abbreviate

3
0 U.S. Citizen

CITIZENSHIP
(Check One)
Legal Alien Legal Alien Other
p Allowed To
Work
ElToNotWork
Allowed U (See Instructions
On Page 1)
4
SEX
U Male
Female

5
Hispanic
RACE/ETHNIC
DESCRIPTION
(Check One Only—Voluntary)
Asian Asian-American
Or
Pacific Islander
Black
JJ (Not
Hispanic)
North
White
(Not Hispanic)
,--, American LJ Indian or
Alaskan
Native

6
DATE OF
BIRTH
7

Month, Day, Year

PLACE OF BIRTH
(Do Not Abbreviate)
Office Use Only
City State or Foreign Country FCI

A. 8
First
Full Middle Name Last Name At Her Birth
 A) MOTHER'S MAIDEN NAME
A. MOTHER'S SOCIAL SECURITY NUMBER
(Complete only if applying for a number for a child under age 18.)
First Full Middle Name Last

A. 9
A) FATHER'S NAME
A._______FATHER'S
SOCIAL
SECURITY
NUMBER _______
(Complete only if applying for a number for a child under age 18.)
Has the applicant or anyone acting on his/her behalf ever filed for or received
a Social Security number card before?
0 Yes (If "yes", answer questions 11-13.) El No (If "no", go on to question 14.)
r-1 Don't Know (If "don't know",
I-1 go on to question 14 )
10

11
12
13
14
Enter the Social Security number previously assigned to the person listed in item 1.
First Middle Last

Enter the name shown on the most recent Social Security card issued for the person
liste d in item 1. -÷
Enter any different date of birth if used on an
earlier application for a card. ___________

Month, Day, Year

TODAY'S
DATE Month, Day, Year

DAYTIME
PHONE NUMBER Area Code Number

15
DELIBERATELY FURNISHING (OR CAUSING TO BE FURNISHED) FALSE INFORMATION ON THIS APPLICATION IS A CRIME PUNISHABLE BY FINE OR
IMPRISONMENT, OR BOTH.

17
YOUR RELATIONSHIP TO THE PERSON IN ITEM 1 IS:
Self El Natural or
Adoptive Parent
ri Legal El Other (Specify)
Guardian '—'

16 YOUR SIGNATURE
 DO NOT WRITE BELOW THIS LINE (FOR SSA USE ONLY)
NPN DOC NTI CAN ITV

PBC EVI EVA EVC PRA NWR DNR UNIT

EVIDENCE SUBMITTED SIGNATURE AND TITLE OF EMPLOYEE(S) REVIEW-

ING EVIDENCE AND/OR CONDUCTING INTERVIEW

DATE

DCL DATE

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