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Pima Arizona Form 941 (Schedule B): What You Should Know
Arizona Affidavit — Direct Payment form (Rev. July 2014). You now know everything you need to fill out the form: Step One: Put all your information on this sheet including your: 1. Social security number 2. Home address (for the county-to-county transfers) 3. Social Security Number or SSN (check both boxes): 4. Child's address. Include the address to which the child (now age 16 or 18 on 1st of July) had to move to receive his/her Arizona resident SSB benefits. In the Pima County records I listed my current location as the Lima/Maricopa County Sheriff's Office. (I don't usually use that address in my records.) 5. Date you received your SSB benefits 6. If you use Lima Superior Court records (see below), write the judge's name with your SSB address. (The judge's address can sometimes be on the same line as your SSB address for some reason; or it might be on a first line for some reason.) 7. This is where you list payments you made (from the very beginning to today), and for how long. Write down each check you made as it comes in, starting with the earliest date you got it; and writing down when you paid it, if it was more than 30 days old. Fill it out by hand and then type it in on the page or using the computer keyboard. (Use the arrow keys on your keyboard to type, or just highlight lines that you want to enter.) NOTE: For all of these forms, print what you want, then cut as many sheets as you need or can fit on a piece of paper. Print the required page or sheets (not the first page or line) before you begin: Arizona Superior Court Affidavit of Direct Payments — Arizona SC Lima Note: The court clerk has already entered all the information on the form for you, and doesn't need you to fill them in yourself. She just asks you to print out and sign (or print out and sign on the court's computer keyboard) the form for her when she is done, if you want the form to be considered. STEP TWO. Fill in: 1. Social Security Number. (You must have a SSN. Checking the box is good.) 2. Parent's Address and Parent's Telephone Number. 3.
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