We sent you $ (1) more in Social Security benefits for (2) than we should have.
(3) .
As representative payee, you are personally liable for repayment unless you used the
overpaid funds for the benefit of (4) and the overpayment was made through no fault of your own.
How To Pay Us Back
3107B
3106A (Optional)
If You Think You Should Not Have To Pay Us Back
3106B
If You Disagree With the Decision
3112B
Enclosures (2):
Form SSA-3105
Refund envelope