This document is a declaration for Social Security Number application regarding applicants holding restrictive certificates. Applicants must prove they do not have a Social Security Number, or if they do, they cannot confirm their legal residence in the United States, or they do not meet the eligibility requirements. False statements or false declarations on this application are considered violations of Columbia Area law, punishable by fines up to 1,000 USD and/or 180 days imprisonment, or both. Applicants affirm the information provided is true and correct.
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