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OMB Control No. 2900-0101 Respondent Burden 30 minutes FIRST NAME - MIDDLE NAME - LAST NAME OF VETERAN IMPROVED PENSION ELIGIBILITY VERIFICATION REPORT VETERAN WITH NO CHILDREN YOUR COMPLETE MAILING ADDRESS VA FILE NUMBER VA REGIONAL OFFICE RETURN ADDRESS IMPORTANT - Please read the enclosed EVR Instructions VA Form 21-0510 prior to completing this form. 1A. DO NOT REPORT DEPENDENTS EXPENSES. 10A. SIGNATURE OF VETERAN Read paragraph 9 of the EVR .

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