Form RS4139 Affidavit for Benefit Payment (1310.4) - New York

What Is Form RS4139?

This is a legal form that was released by the Office of the New York State Comptroller - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on May 1, 2022;
• The latest edition provided by the Office of the New York State Comptroller;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of Form RS4139 by clicking the link below or browse more documents and templates provided by the Office of the New York State Comptroller.