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TN Form 4180: What You Should Know
TPDP — VA Form 21-4180 SCC: TCA: 01702.611-TPDP — TN 31 SCC: TCA: 01702.614-TPDP — VA Form 21-4180 — TN 8 (17-91) The form is used by the VA to request the name and Social Security Number of the individual responsible for the account. This form, used in conjunction with the VA “Statement of Beneficiary”, is sent to the Social Security Administration (SSA). The VA has also published a Notice to Beneficiaries that is available at . The VA Statement to Beneficiaries can be located at . The form is sent to the Social Security Administration (SSA) to receive the information required by the PDP. After receiving the correct name and birthdate, the Social Security Administration (SSA) sends the original, signed PDP Form 21-4180. The form is submitted by a beneficiary to the responsible party/s. Example 1 — VOLS: The taxpayer has contributed 2,000 to a trust fund for a deceased veteran. An amended Form 4180 is sent to the account. This Form 4180 is used when the beneficiary wishes to know of the contributions of the taxpayer. The amended Form 4180 is not used when the original Form 4180 is to be used. Example 2 — PDP: Under the amended form, the account holder may report the contributions made by the taxpayer. However, the original Form 4180 must be used. The taxpayer may continue to claim that the trust funds were established for his and only his benefit. However, the original Form 4180 is required to be filed.
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