Effective Dates: 10/14/2026 - Present Previous | Next

TN 56 (10-26)

NL 00730.124 “L” Paragraphs and Captions

List of “L” Paragraphs and Captions

A. “LIS” – Lead-In Statements

LIS003 – NUMBER HOLDER DIES OR LAST CHILD IN CARE DIES

We are sorry to learn of your recent loss. Please accept our sincere sympathy.

LIS009 – Generic Introductory Paragraph

We are writing to you about (1) Social Security benefits.

Fill-in values:

Fill-in (1)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

B. "LSP" - Lump Sump Death Payment

LSP022 - ORDER OF PRIORITY FOR LSDP

The Lump-Sum Death Payment is paid in the following order of priority to:

  1. 1. 

    The surviving spouse who was living in the same household with the worker at the time of death.

  2. 2. 

    A surviving spouse who is entitled to or eligible for monthly benefits in the month the worker died.

  3. 3. 

    A child who is entitled to or eligible for benefits for the month the worker died. If more than one child qualifies, the children share equally in the lump-sum.

LSP101 - SURVIVOR MAY BE ENTITLED TO LSDP

Our records show that you may be entitled to a Lump-Sump Death Payment (LSDP) of $255.00 on (1) record.

Fill in values:

 ​

Fill-in (1)

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

LSP102 - HOW TO APPLY FOR LSDP

What to Do Next

You should get in touch with us right away because an application for the LSDP must be filed within two years of the insured person's death. This time can be extended if "good cause" is established for failure to file within the initial two-year period.

C. “LVY” – Tax Levy

LVY030 – LEVY AMOUNT DEDUCTED FROM PMA OR CMA

We withheld (1) from this payment to pay your debt to the IRS.

Fill-in values:

Fill-in (1)

 

Choice 1

Deductions Additions History Amount (DAH-AMOUNT) for the Deductions Additions History Type of Payment (DAH-TOP) = P (PMA) with DAH-ITEM = 470

Choice 2

Show the DAH-AMOUNT for the DAH-TOP = R (RCMA) or C (PCMA) with DAH-ITEM = 470

LVY031 – LEVY AMOUNT DEDUCTED FROM MONTHLY BENEFIT PAYABLE (MBP)

We will withhold (1) from your payment each month to pay your debt to the IRS.

Fill-in values:

Fill-in (1)

Deductions Additions History Amount (DAH-AMOUNT) for the Deductions Additions History Type of Payment (DAH-TOP) = M (MBP) with Deductions Additions History Item Code (DAH-ITEM) = 470

LVY032 – LEVY DEDUCTION STARTS AND LEDGER ACCOUNT FILE (LAF) = C AND CURRENT MONTHLY ACCRUAL (CMA) = $0.00

We withheld (1) from your monthly payment to pay your debt to the IRS.

Fill-in values:

Fill-in (1)

Show the Deductions Additions History Amount (DAH-AMOUNT) for the Deductions Additions History Type of Payment (DAH-TOP) = R (RCMA) or C (PCMA) with Deductions Additions History Item Code (DAH-ITEM) = 470

LVY033 – LEVY DEDUCTION AMOUNT CHANGES

We changed the amount we withhold from your monthly payment to pay your debt to the IRS.

LVY034 – LEVY AMOUNT NO LONGER DEDUCTED FROM SOCIAL SECURITY ADMINISTRATION BENEFITS

We are no longer withholding money from your payments to pay your debt to the IRS.

LVY036 – LEVY REFUND AND ANOTHER TITLE II REDESIGN INTRODUCTORY PARAGRAPH IS GENERATED

This payment includes a refund of money we withheld to pay your debt to the IRS.

LVY037 – LEVY REFUND AND THERE IS NO OTHER TITLE II REDESIGN INTRODUCTORY PARAGRAPH GENERATED

You due a refund of money that we withheld to pay your debt to the IRS.

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900730124
NL 00730.124 - “L” Paragraphs and Captions - 10/14/2026
Batch run: 10/14/2026
Rev:10/14/2026