Effective Dates: 10/21/2020 - Present Previous | Next

TN 83 (10-20)

NL 00703.717 Notice to the Court – Amended Garnishment Order

Document Identifier: E4037

A. Exhibit Letter

GAR018

 

 We are writing to you about court order (1).

GAR048

 

As amended court order number (1) requested, we have changed the

amount that we take out of (2) Social Security payments

beginning (3). We will withhold $(4) a month.

 
LVYC02 What We Plan To Do

GAR071

 

You asked us to take (1)(2) from each monthly payment (3) is

due to pay (4) obligation for child support, alimony or court

ordered victim restitution. We withheld $(5) from the payment

(6) will receive around (7). (8) will receive this amount

shortly after that date.

 
CTDO

Suspect Social Security Fraud?

Please visit http://oig.ssa.gov/r or call the Inspector General's Fraud Hotline at 1-800-269-0271 (TTY 1-866-501-2101).

If You Have Questions

We invite you to visit our website at www.socialsecurity.gov on the Internet to find general information about Social Security. If you have any specific questions, you may call us toll-free at 1-800-772-1213, or call your local Social Security office at 1-(3)-(4)-(5). We can answer most questions over the phone. If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778. You can also write or visit any Social Security office. The office that serves your area is located at:

(6)

(7)

(8)

(9)(10)-(11)

If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly when you arrive at the office.

 

B. Fill-ins:

GAR018
  • •

    Case Number

GAR048
  1. 1. 

    Amended court order

  2. 2. 

    Beneficiary's full Name (possessive)

  3. 3. 

    Month YYYY

  4. 4. 

    Amount

GAR071
  1. 1. 

    Percentage amount/amount of withholding

  2. 2. 

    percent/Null

  3. 3. 

    Beneficiary's full name

  4. 4. 

    his/her

  5. 5. 

    Amount

  6. 6. 

    Beneficiary's full name

  7. 7. 

    Month DD, YYYY

  8. 8. 

    Name of person/agency

CTDO
  1. 1. 

    Zip code

  2. 2. 

    Zip+4 or DO Code

  3. 3. 

    Telephone Area Code

  4. 4. 

    Phone Exchange

  5. 5. 

    Phone Number

  6. 6. 

    Local Office Address Line #1

  7. 7. 

    Local Office Address Line #2

  8. 8. 

    Local Office Address Line #3

  9. 9. 

    City & State of Local Office

  10. 10. 

    Local Office Zip code

  11. 11. 

    Zip+4 of Local Office
To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703717
NL 00703.717 - Notice to the Court – Amended Garnishment Order - 10/21/2020
Batch run: 10/21/2020
Rev:10/21/2020