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Click ‘Get Form’ to open it in the editor.
In the 'DESCRIPTION OF BONDS' section, enter the names of the bond owners along with their issue dates and serial numbers. If you need more space, attach a separate sheet.
Proceed to 'REQUEST FOR PAYMENT'. Select whether you want full payment or partial payment. If opting for partial payment, specify the amount and ensure to provide a Taxpayer Identification Number.
In 'DELIVERY INSTRUCTIONS', fill in your bank account details including account type, number, routing number, and financial institution name.
Finally, sign the form in the 'SIGNATURE' section. Ensure that you do this in front of a certifying officer who will also sign and stamp the document.
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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
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