Form Ssa 714 PDF Details

Each year, the Social Security Administration (SSA) releases an Annual Report to Congress on the status of the Social Security Trust Funds. The report includes an actuarial balance sheet that projects the future financial condition of the trust funds. Recently, we've been getting a lot of questions about Form Ssa 714, so we wanted to take this opportunity to provide some additional information about it. In this blog post, we'll explain what Form Ssa 714 is and how it's used to project the future of the trust funds. We'll also discuss some of the criticisms that have been leveled against it and explain why we believe those criticisms are unfounded. Stay tuned for our next post, in which we'll dive deeper into the actuarial balance sheet and explain how it's used to project future revenue and benefits payments.

QuestionAnswer
Form NameForm Ssa 714
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names714 form, ssa form 714, form 714 social security, pay social security overpayment online

Form Preview Example

YOU CAN MAKE YOUR PAYMENT BY CREDIT CARD

As a convenience, we offer you the option to make your payment by credit card. However, regular credit card rules will apply.

You may also pay by check or money order.

 

 

 

We Honor Most Major Credit Cards

 

 

 

 

 

 

 

 

 

 

Please fill in all the information below and return it with your request.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: Please read Privacy Act Notice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK ONE ----------------------------------------------

> MasterCard

 

 

 

 

Visa

 

 

 

 

 

Discover

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

American Express

 

 

 

 

Diners Card

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Credit Card Holder’s Name ----------------------------

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Print First, Middle Initial, Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Credit Card Holder’s Address -------------------------

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Number & Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Daytime Telephone Number ---------------------------

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Area Code

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount Charged $

 

 

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Credit Card Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Credit Card Expiration Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month

 

 

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Credit Card Holder’s Signature -----------------------

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Authorization

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DO NOT WRITE IN THIS SPACE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICE USE ONLY ---------------------------------------

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Name

 

 

 

 

 

 

 

 

 

Date

PRIVACY ACT STATEMENT

The Social Security Administration (SSA) has authority to collect the information requested on this form under § 205 of the Social Security Act. Giving us this information is voluntary. You do not have to do it. We will need this information only if you choose to make payment by credit card. You do not need to fill out this form if you choose another means of payment (for example, by check or money order).

If you choose the credit card payment option, we will provide the information you give us to the banks handling your credit card account and SSA’s account. We may also provide this information to another person or government agency to comply with federal laws requiring the release of information from our records. You can find these and other routine uses of information provided to SSA listed in the Federal Register. If you want more information about this, you may call or write any Social Security Office.

FORM SSA-714 (07-2005)

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