Maximiano Guzman

Social Security Administration

Northeastern Program Service Center
1 Jamaica Center Plz
Jamaica NY 11432

Dear Representative:

I kindly request to mail me a copy of the form SSA-1099 for the 2017 year, for both, Maximo
& Maria CHONG.

We filed the Income Tax for this year but still need to file 2017. You can do at the same
address shown above. Thank you.

Maximiano Guzman