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In the 'DESCRIPTION OF BONDS' section, provide the names of the individuals listed on the securities. Include the issue dates and serial numbers for each bond.
For 'INSTRUCTIONS FOR DIRECT DEPOSIT PAYMENT', enter either your Social Security Number or Employer Identification Number. Fill in the name(s) on the account, bank routing number, account number, and type of account (checking or savings).
In the 'SIGNATURE' section, sign your name and print it clearly. Provide your home address, daytime telephone number, and email address if applicable. Ensure that you follow certification requirements based on the value of your bonds.
If required, have a certifying officer witness your signature and complete their section. Make sure they affix their official seal or stamp.
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Form 1522 pdfForm 1522 downloadForm 1522 instructionsFS Form 1522 printableFS Form 1522 onlineFS Form 1522 exampleFs form 1522 request for paymentFS Form 3500
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Special Form of Request for Payment of United States
USE OF FORM Use this form to request payment of United States Savings Bonds, Savings Notes, Retirement Plan Bonds, and Individual Retirement Bonds. WHO MAYRead more
31 CFR 360.24 - Payment pursuant to judicial or - LII
Fiscal Service Form 1522 must specify: the contact point; the issue date of each bond; the serial number for each bond; the date of forfeiture; the forfeitureRead more
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