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Your Information

Enter some basic demographic data

    Use this form to enter personal data and social security information.

    • Sex: Male, Female, or Unspecified. Birth Date, Sex, and Lifespan Percentile are used to calculate your lifespan and consequent Social Security payments.
    • Birth Date: Your date of birth.
    • Lifespan Percentile: A number between 1% and 99%. If you think you will outlive 75% of your High School class, enter 75.