TN 1 (07-11)
   
   
   
   
      ERN022 ENFORCEMENT-FRA CASES (W18)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      In the year  (1)  age  (2)  , we only count  (3)  earnings for months before  (4)  age  (5)  . If  (6)  less than  (7)  in the months before  (8)  age  (9)  ,  (10)  can get all of  (11)  benefits. Our records show  (12)  became age  (13)  on  (14)  . We figured  (15)  earned about  (16)  in the months before full retirement age.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you become
            Choice 2: beneficiary's full name becomes
         Fill-in (2) - Systems Generated
            
            
Choice 1: 65
            Choice 2: 65 and 2 months
            Choice 3: 65 and 4 months
            Choice 4: 65 and 6 months
            Choice 5: 65 and 8 months
            Choice 6: 65 and 10 months
            Choice 7: 66
            Choice 8: 66 and 2 months
            Choice 9: 66 and 4 months
            Choice 10: 66 and 6 months
            Choice 11: 66 and 8 months
            Choice 12: 66 and 10 months
            Choice 13: 67
            Choice 14: 70
         Fill-in (3) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
            Choice 4: (beneficiary‘s first name)‘s
            Choice 5: (beneficiary’s first name)‘s
         Fill-in (4) - Systems Generated
            
            
Choice 1: you turn
            Choice 2: he turns
            Choice 3: she turns
            Choice 4: null
         Fill-in (5) - Systems Generated
            
            
Choice 1: 65
            Choice 2: 65 and 2 months
            Choice 3: 65 and 4 months
            Choice 4: 65 and 6 months
            Choice 5: 65 and 8 months
            Choice 6: 65 and 10 months
            Choice 7: 66
            Choice 8: 66 and 2 months
            Choice 9: 66 and 4 months
            Choice 10: 66 and 6 months
            Choice 11: 66 and 8 months
            Choice 12: 66 and 10 months
            Choice 13: 67
            Choice 14: 70
         Fill-in (6) - Systems Generated
            
            
Choice 1: you earn
            Choice 2: he earns
            Choice 3: she earns
            Choice 4: null
         Fill-in (7) - Systems Generated
            
            
Choice 1: annual exempt amount
         Fill-in (8) - Systems Generated
            
            
Choice 1: you turn
            Choice 2: he turns
            Choice 3: she turns
            Choice 4: null
         Fill-in (9) - Systems Generated
            
            
Choice 1: same as Fill-in 5
         Fill-in (10) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (11) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
            Choice 4: (beneficiary's first name)'s
            Choice 5: (beneficiary's first name)'s
         Fill-in (12) - Systems Generated
            
            
Choice 1: you
            Choice 2: beneficiary's full name
         Fill-in (13) - Systems Generated
            
            
Choice 1: same as Fill-in 5
         Fill-in (14) - Systems Generated
            
            
Choice 1: enter DOB (format: MONTH DD, CCYY)
         Fill-in (15) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
            Choice 4: (beneficiary's first name) format John
         Fill-in (16) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: DOLLAR AMOUNT
          
    
   
      ERN025 ENFORCEMENT-FRA CASES (W18)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Here is how we figured  (1)  earnings for the months before  (2)  became age  (3)  . First, we had to find  (4)  average earnings for each month. Our records show  (5)  earned  (6)  in  (7)  . So we divided these earnings by 12 (the number of months in a year). Then, we multiplied
         this number times  (8)  , which is the number of months before  (9)  turned age  (10)  . Based on this, we figure  (11)  earned about  (12)  in the months before  (13)  turned age  (14)  .
      
      
      Please let us know right away if:
      
      
         - 
            
               • 
                   (15)  did not work all months in the year; or
                   
 
 
- 
            
               • 
                   (16)  earnings were not evenly spaced throughout the year.
                   
 
 
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: beneficiary's full name
         Fill-in (2) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
            Choice 4: beneficiary's first name
         Fill-in (3) - Systems Generated
            
            
Choice 1: 65
            Choice 2: 65 and 2 months
            Choice 3: 65 and 4 months
            Choice 4: 65 and 6 months
            Choice 5: 65 and 8 months
            Choice 6: 65 and 10 months
            Choice 7: 66
            Choice 8: 66 and 2 months
            Choice 9: 66 and 4 months
            Choice 10: 66 and 6 months
            Choice 11: 66 and 8 months
            Choice 12: 66 and 10 months
            Choice 13: 67
            Choice 14: 70
         Fill-in (4) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
            Choice 4: (beneficiary's first name)'s
            Choice 5: (beneficiary's first name)'s
         Fill-in (5) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
            Choice 4: beneficiary's first name
         Fill-in (6) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: reported earnings
         Fill-in (7) - Systems Generated
            
            
Choice 1: age 70 or FRA year (same as enforcement year)
         Fill-in (8) - Requested As A Number
            
            
Choice 1: number of calendar months before the person turned age 70 or FRA:
         Fill-in (9) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
            Choice 4: beneficiary's first name
         Fill-in (10) - Systems Generated
            
            
Choice 1: 65
            Choice 2: 65 and 2 months
            Choice 3: 65 and 4 months
            Choice 4: 65 and 6 months
            Choice 5: 65 and 8 months
            Choice 6: 65 and 10 months
            Choice 7: 66
            Choice 8: 66 and 2 months
            Choice 9: 66 and 4 months
            Choice 10: 66 and 6 months
            Choice 11: 66 and 8 months
            Choice 12: 66 and 10 months
            Choice 13: 67
            Choice 14: 70
         Fill-in (11) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
            Choice 4: beneficiary's first name
         Fill-in (12) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: wages on TID=EAR finder
         Fill-in (13) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
            Choice 4: beneficiary name
         Fill-in (14) - Systems Generated
            
            
Choice 1: 65
            Choice 2: 65 and 2 months
            Choice 3: 65 and 4 months
            Choice 4: 65 and 6 months
            Choice 5: 65 and 8 months
            Choice 6: 65 and 10 months
            Choice 7: 66
            Choice 8: 66 and 2 months
            Choice 9: 66 and 4 months
            Choice 10: 66 and 6 months
            Choice 11: 66 and 8 months
            Choice 12: 66 and 10 months
            Choice 13: 67
            Choice 14: 70
         Fill-in (15) - Systems Generated
            
            
Choice 1: you
            Choice 2: beneficiary's full name
         Fill-in (16) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
            Choice 4: beneficiary's name possessive
          
    
   
      ERN038 SELF-EMPLOYMENT EARNINGS ADJUSTED (E05)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Self-employment earnings for  (1)  have been adjusted to  (2)  because  (3)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Requested As A Year In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount
         Fill-in (3) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) income from renting rooms and apartments cannot be included unless special
               personal services are furnished to the tenants
            
            Choice 2: (B) a farm owner's share of income cannot be included when a tenant works
               the farm unless the farm landlord materially participates in the production activities
               on his farm
            
            Choice 3: (C) income from renting real estate cannot be included unless it is received
               in the ordinary course of business by a real estate dealer
            
            Choice 4: (D) capital gains or losses not derived from the disposition of inventoriable
               property, stock in trade, or property held primarily for sale cannot be included
            
            Choice 5: (E) income received from the sale of livestock held for dairy, work or breeding
               purposes cannot be included
            
            Choice 6: (F) you have elected to use the option method of computing your self-employment
               income
            
            Choice 7: (G) some business deductions were not taken. All expenses paid or incurred
               in carrying on a trade or business and a reasonable allowance for depreciation of
               property must be deducted in computing net earnings from self-employment
            
          
    
   
      ERN039 PAYMENTS RECEIVED FROM EMPLOYER NOT COUNTED (E52)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Payments received from  (1)  from  (2)  through  (3)  were not counted because the evidence presented to us does not show the amounts are
         wages.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Requested As A Language
            
            
Choice 1: Name of employer
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
          
    
   
      ERN040 PERMANENT DEDUCTIONS/ANNUAL REPORT PROCESSED/ADJUSTMENT LETTER TO WORKER (W01)
      
      
      (Requested)
      
      Caption: Your Benefits
      
       (1)  reported earnings of  (2)  for  (3)  . Based on these earnings,  (4)  of  (5)  benefits for that year should have been withheld. Since  (6)  of the benefits were withheld,  (7)   (8)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Worker's name
         Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of earnings reported.
         Fill-in (3) - Requested As A Year In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (4) - Requested As A One Position Alpha Character Or As A Money Amount In
            Format $$$$$$.¢¢
            
            
Choice 1: (A) all
            Choice 2: (B) none
            Choice 3: amount that should have been withheld
         Fill-in (5) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (6) - Requested As A One Position Alpha Character Or As A Money Amount In
            Format $$$$$.¢¢
            
            
Choice 1: (A) all
            Choice 2: (B) none
            Choice 3: actual amount withheld
         Fill-in (7) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) you were paid correctly
            Choice 2: (B) you were overpaid
            Choice 3: (C) you are due
            Choice 4: (D) he was paid correctly
            Choice 5: (E) he was overpaid
            Choice 6: (F) he is due
            Choice 7: (G) she was paid correctly
            Choice 8: (H) she was overpaid
            Choice 9: (I) she is due
         Fill-in (8) Requested As A One Position Alpha Character Or As A Money Amount In Format
            $$$$$.¢¢
            
            
Choice 1: (A) null
            Choice 2: amount due in $$$$$.¢¢ format
          
    
   
      ERN041 PERMANENT DEDUCTIONS/AWARD LETTER TO WORKER (W02)
      
      
      (Requested)
      
      Caption: Your Benefits
      
       (1)  reported earnings of  (2)  for  (3)  . Based on these earnings,  (4)  of  (5)  benefits for that year have been withheld.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: You
            Choice 2: Worker's name
         Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (4) - Requested As A One Position Alpha Character Or As A Money Amount In
            Format $$$$$.¢¢
            
            
Choice 1: (A) all
            Choice 2: (B) none
            Choice 3: amount (show in $$$$$.¢¢)
         Fill-in (5) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
          
    
   
      ERN042 PERMANENT DEDUCTIONS/PRIMARY WORKING/AWARD LETTER TO AUXILIARY (W04)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Based on  (1)  earnings for  (2)  ,  (3)  of  (4)  benefits for that year have been withheld.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) NH's name (possessive)
            Choice 2: (B) your
            Choice 3: (C) your husband's
            Choice 4: (D) your wife's
            Choice 5: (E) your father's
            Choice 6: (F) your mother's
            Choice 7: (G) bene's name possessive + husband's
            Choice 8: (H) bene's name possessive + wife's
            Choice 9: (I) bene's name possessive + father's
            Choice 10: (J) bene's name possessive + mother's
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (3) - Requested As A One Position Alpha Character Or As A Money Amount In
            Format $$$$$$.¢¢
            
            
Choice 1: (A) all
            Choice 2: (B) none
            Choice 3: amount (show in $$$$$.¢¢)
         Fill-in (4) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) your
            Choice 2: (B) his
            Choice 3: (C) her
            Choice 4: (D) your husband's
            Choice 5: (E) her husband's
            Choice 6: (F) your wife's
            Choice 7: (G) his wife's
            Choice 8: (H) the children's
          
    
   
      ERN043 TEMPORARY DEDUCTIONS/LETTER TO WORKER (AWARD OR ADJ) (W05)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Based on  (1)  estimated earnings of  (2)  for  (3)  ,  (4)  of  (5)  benefits for this year should be withheld.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: Beneficiary's name possessive
         Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (4) - Requested As A One Position Alpha Character Or As A Money Amount In
            Format $$$$$$.¢¢
            
            
Choice 1: (A) all
            Choice 2: (B) none
            Choice 3: amount (show in $$$$$.¢¢)
         Fill-in (5) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
            Choice 4: Beneficiary's name (possessive)
          
    
   
      ERN044 TEMPORARY DEDUCTIONS/PRIMARY WORKING/LETTER TO AUXILIARY (AWARD OR ADJ) (W06)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Based on  (1)  estimated earnings for  (2)  ,  (3)  of  (4)  benefits for this year should be withheld.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) your
            Choice 2: (B) Beneficiary's name possessive
            Choice 3: (C) your husband's
            Choice 4: (D) your wife's
            Choice 5: (E) the children's
            Choice 6: (F) bene's name possessive + husband's
            Choice 7: (G) bene's name possessive + wife's
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (3) - Requested As A One Position Alpha Character Or As A Money Amount In
            Format $$$$$.¢¢
            
            
Choice 1: (A) all
            Choice 2: (B) none
            Choice 3: amount (show in $$$$$.¢¢)
         Fill-in (4) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) your
            Choice 2: (B) his
            Choice 3: (C) her
            Choice 4: (D) your husband's
            Choice 5: (E) her husband's
            Choice 6: (F) your wife's
            Choice 7: (G) his wife's
            Choice 8: (H) the children's
          
    
   
      ERN045 SPOUSE REINSTATED BASED ON N/H'S WORK/EARNINGS (W08)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Based on  (1)  spouse's work, we can pay benefits beginning  (2)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: Beneficiary's name possessive
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
          
    
   
      ERN046 NOTIFICATION TO BENEFICIARY THAT WE WILL WRITE AGAIN WHEN EARNINGS REPORT IS RECEIVED
         (W11)
      
      
      (System Generated)
      
      Caption:
      
      We will write to you again after we know how much  (1)  actually earned. At that time, we will tell you whether  (2)  due additional benefits or  (3)  overpaid.
      
      
      
      Fill-in values:
         
         Fill-in (1)
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (2)
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (3)
            
            
Choice 1: are
            Choice 2: is
          
    
   
      ERN047 REGO II ENFORCEMENT – MONTHLY TEST MAY APPLY (W12)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Our records show earnings of  (1)  were reported for  (2)  for  (3)  . We assume that  (4)  earned all of this money in  (5)  and that  (6)  worked all months of  (7)  after  (8)  became entitled to benefits.
      
      
       (9)  earnings affect the amount of Social Security benefits  (10)  due for  (11)  . However, we may not have to count all of the earnings reported for  (12)  . If any of the following apply to  (13)  , get in touch with any Social Security office and have a record of  (14)  earnings with you. Let us know if:
      
      
      
         - 
            
               • 
                   (15)  earned some of the money before  (16)  , or
                   
 
 
- 
            
               • 
                   (17)  earned a different amount in  (18)  , or
                   
 
 
- 
            
               • 
                   (19)  did little or no work in at least one month of  (20)  after  (21)  became entitled to benefits, or
                   
 
 
- 
            
               • 
                   (22)  had a loss from  (23)  self employment in  (24)  .
                   
 
 
      Fill-in values:
         
         Fill-in (1) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of earnings
         Fill-in (2) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY year of earnings
         Fill-in (4) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (5) - Systems Generated
            
            
Choice 1: CCYY (same as #3)
         Fill-in (6) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (7) - Systems Generated
            
            
Choice 1: CCYY (same as #3)
         Fill-in (8) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (9) - Systems Generated
            
            
Choice 1: Your
            Choice 2: His
            Choice 3: Her
         Fill-in (10) - Systems Generated
            
            
Choice 1: you were
            Choice 2: he was
            Choice 3: she was
         Fill-in (11) - Systems Generated
            
            
Choice 1: CCYY (same as #3)
         Fill-in (12) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (13) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (14) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (15) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (16) - Systems Generated
            
            
Choice 1: CCYY (same as #3)
         Fill-in (17) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (18) - Systems Generated
            
            
CCYY (same as #3)
         Fill-in (19) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (20) - Systems Generated
            
            
CCYY (same as #3)
         Fill-in (21) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (22) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (23) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (24) - Systems Generated
            
            
CCYY (same as #3)
          
    
   
      ERN048 REGO II ENFORCEMENT – MONTHLY TEST DOES NOT APPLY (W13)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Our records show earnings of  (1)  were reported for  (2)  for  (3)  . We assume that  (4)  earned all of this money in  (5)  .
      
      
       (6)  earnings affect the amount of Social Security benefits  (7)  due for  (8)  . However, we may not have to count all of the earnings reported for  (9)  . If any of the following apply to  (10)  , get in touch with any Social Security office and have a record of  (11)  earnings with you. Let us know if:
      
      
      
         - 
            
               • 
                   (12)  earned some of the money before  (13)  , or
                   
 
 
- 
            
               • 
                   (14)  earned a different amount in  (15)  , or
                   
 
 
- 
            
               • 
                   (16)  had a loss from  (17)  self employment in  (18)  .
                   
 
 
      Fill-in values:
         
         Fill-in (1) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of earnings
         Fill-in (2) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY year of earnings
         Fill-in (4) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (5) - Systems Generated
            
            
Choice 1: CCYY (same as #3)
         Fill-in (6) - Systems Generated
            
            
Choice 1: Your
            Choice 2: His
            Choice 3: Her
         Fill-in (7) - Systems Generated
            
            
Choice 1: you were
            Choice 2: he was
            Choice 3: she was
         Fill-in (8) - Systems Generated
            
            
Choice 1: CCYY (same as #3)
         Fill-in (9) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (10) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (11) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (12) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (13) - Systems Generated
            
            
Choice 1: CCYY (same as #3)
         Fill-in (14) - Systems Generated
            
            
Choice 1: You
            Choice 2: He
            Choice 3: She
         Fill-in (15) - Systems Generated
            
            
Choice 1: CCYY (same as #3)
         Fill-in (16) - Systems Generated
            
            
Choice 1: You
            Choice 2: He
            Choice 3: She
         Fill-in (17) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (18) - Systems Generated
            
            
CCYY (same as #3)
          
    
   
      ERN049 NO ESTIMATE/BENEFITS NOT PAID FOR CURRENT YEAR (W14)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We do not have an estimate of how much  (1)  will earn in  (2)  . For this reason, we will assume that  (3)  will earn too much money to receive benefits this year.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
          
    
   
      ERN050 FACILITY OF PAYMENT CURRENT YEAR (W15)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      For this reason, the other members of the household together are due  (1)  more each month. We will pay  (2)  this amount instead of increasing the other benefits. However, since this money is
         really due the other family members, it should be used only for their needs.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of increase
         Fill-in (2) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
          
    
   
      ERN051 FACILITY OF PAYMENT CLOSED YEAR (W16)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Because of  (1)  work and earnings in  (2)  ,  (3)  of  (4)  benefits for the year should have been withheld. For this reason, the other members
         of the household together were due  (5)  more. However, we continued to pay  (6)  instead of increasing the other benefits.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: NH's name (possessive)
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (3) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) all
            Choice 2: (B) amount
         Fill-in (4) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (5) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Amount (total increase)
         Fill-in (6) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
          
    
   
      ERN052 MONTHLY EARNINGS TEST MONTHS PAYABLE (W17)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We can pay  (1)  benefits for months during  (2)  when  (3)   (4)  or less and  (5)  not active in self-employment. Therefore, we will pay  (6)   (7)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: beneficiary name
         Fill-in (2) - Requested As A One Position Alpha Character or a date in format shown
            below
            
            
Choice 1: (A) this year
            Choice 2: (B) last year
            Choice 3: CCYY
         Fill-in (3) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) you earn
            Choice 2: (B) you earned
            Choice 3: (C) (name) earns
            Choice 4: (D) (name) earned
         Fill-in (4) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount
         Fill-in (5) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) are
            Choice 2: (B) is
            Choice 3: (C) were
            Choice 4: (D) was
         Fill-in (6) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (7) - Requested As A Date In Format Shown Below 
(Must Code the word ‘for’ or ‘beginning’ before the date)
            
            Choice 1: for MM/CCYY
            Choice 2: for MM/CCYY and MM/ CCYY
            Choice 3: for MM/ CCYY through MM/ CCYY
            Choice 4: beginning MM/ CCYY
          
    
   
      ERN053 TO WORKING BENEFICIARY PAYMENT BASED ON ATTAINMENT OF FULL RETIREMENT AGE IN FUTURE
         MONTH (W21)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We are withholding  (1)  benefits for  (2)  because of  (3)  earnings. We will begin paying  (4)  when  (5)  full retirement age. In  (6)  case that is  (7)  . We will pay  (8)  for all future months after  (9)  full retirement age.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: Your
            Choice 2: Beneficiary name
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (4) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (5) - Systems Generated
            
            
Choice 1: you reach
            Choice 2: he reaches
            Choice 3: she reaches
         Fill-in (6) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (7) - Systems Generated
            
            
Choice 1: 65 and 2 months (Full Retirement Age as determined from FRA utility, displayed
               in format shown)
            
         Fill-in (8) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (9) - Systems Generated
            
            
Choice 1: you reach
            Choice 2: he reaches
            Choice 3: she reaches
          
    
   
      ERN054 TEMPORARY DEDUCTIONS EQUAL PERMANENT DEDUCTIONS (MAY BE USED IN PLACE OF W01) (W29)
      
      
      Caption: Your Benefits
      
      (Requested)
      
       (1)  reported earnings of  (2)  for  (3)  . We withheld the right amount of benefits for the year based on  (4)  work and earnings.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: You
            Choice 2: Beneficiary name
         Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of earnings
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (4) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
          
    
   
      ERN055 REQUEST FOR ESTIMATE/REMINDER TO REPORT EARNINGS (W32)
      
      
      Caption: Your Responsibilities
      
      (Requested)
      
      If  (1)  more than  (2)  in  (3)  , please let us know right away, because it can affect the amount of benefits  (4)  due.  (5)  will also have to report how much  (6)  earned at the end of the year.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: You earn
            Choice 2: Beneficiary name earns
         Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of yearly earnings limit
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY of earnings
         Fill-in (4) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (5) - Systems Generated
            
            
Choice 1: You
            Choice 2: He
            Choice 3: She
         Fill-in (6) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
          
    
   
      ERN056 ESTIMATE EQUAL TO OR LESS THAN EXEMPT AMOUNT (W36)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Since  (1)  estimated  (2)  would earn  (3)  or less for  (4)  , we do not have to withhold any of  (5)  benefits for the year. If  (6)  work plans change and  (7)  that  (8)  will earn over  (9)  , please let us know right away.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (2) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (3) - Systems Generated
            
            
Choice 1: Current year earnings limitation
         Fill-in (4) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (5) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (6) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (7) - Systems Generated
            
            
Choice 1: you find
            Choice 2: he finds
            Choice 3: she finds
         Fill-in (8) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (9) - Systems Generated
            
            
Choice 1: Current year earnings limitation (same as Fill-in 3)
          
    
   
      ERN057 BENEFITS PAYABLE IN CURRENT OR PRIOR YEAR BECAUSE OF NON-SERVICE MONTHS (W37)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We can pay  (1)  benefits  (2)   (3)  because  (4)   (5)   (6)   (7)  .
      
      
      Please be sure to let us know right away if  (8)  work or earnings change, because changes would affect the amount of  (9)  benefits.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (2) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) for
            Choice 2: (B) beginning
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
         Fill-in (4) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) you did not
            Choice 2: (B) you will not
            Choice 3: (C) you are not
            Choice 4: (D) he did not
            Choice 5: (E) he will not
            Choice 6: (F) he is not
            Choice 7: (G) she did not
            Choice 8: (H) she will not
            Choice 9: (I) she is not
         Fill-in (5) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) earn more than
            Choice 2: (B) earning more than
            Choice 3: (C) perform substantial services in self-employment
            Choice 4: (D) performing substantial services in self-employment
         Fill-in (6) - Systems Generated
            
            
Choice 1: Show appropriate monthly earnings limit in format $$$$$¢¢
         Fill-in (7) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) during that month
            Choice 2: (B) during each of those months
            Choice 3: (C) Null
         Fill-in (8) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (9) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
          
    
   
      ERN058 PARTIAL BENEFIT FOLLOWED BY FULL BENEFITS PAID IN CURRENT YEAR BECAUSE OF NON-SERVICE
         MONTHS (W39)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We can pay  (1)  benefits  (2)  because  (3)   (4)   (5)  during  (6)  . Because of  (7)  estimated earnings of  (8)  for  (9)  , we can pay  (10)  only part of  (11)  benefits for  (12)  , and  (13)  full benefit for all months after that.
      
      
      Please be sure to let us know right away if  (14)  work or earnings change, because changes would affect the amount of  (15)  benefits.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
            Choice 2: MM/CCYY and MM/CCYY
            Choice 3: MM/CCYY through MM/CCYY
         Fill-in (3) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) you are not
            Choice 2: (B) you will not
            Choice 3: (C) he is not
            Choice 4: (D) he will not
            Choice 5: (E) she is not
            Choice 6: (F) she will not
         Fill-in (4) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) earn more than
            Choice 2: (B) earning more than
            Choice 3: (C) perform substantial services in self-employment
            Choice 4: (D) performing substantial services in self-employment
         Fill-in (5) - Systems Generated
            
            
Choice 1: Monthly earnings limit
            Choice 2: null
         Fill-in (6) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) that month
            Choice 2: (B) each of those months
         Fill-in (7) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (8) - Requested As A Money Amount In Format $$$$$$.¢¢
            
            
Choice 1: Estimated earnings amount
         Fill-in (9) - Systems Generated
            
            
Choice 1: CCYY (current year)
         Fill-in (10) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (11) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (12) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY partial benefit is paid
         Fill-in (13) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (14) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (15) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
          
    
   
      ERN059 FULL BENEFITS PAYABLE TO AUXILIARY BECAUSE OF NUMBER HOLDER'S WORK AND EARNINGS (W41)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Because of  (1)  work and earnings, only a partial benefit is payable for  (2)   (3)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) your husband's
            Choice 2: (B) your wife's
            Choice 3: (C) your former husband's
            Choice 4: (D) your father's
            Choice 5: (E) your mother's
            Choice 6: (F) bene's name possessive + husband's
            Choice 7: (G) bene's name possessive + wife's
            Choice 8: (H) bene's name possessive + former husband's
            Choice 9: (I) bene's name possessive + father's
            Choice 10: (J) bene's name possessive + mother's
         Fill-in (2) – Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
            Choice 2: MM/CCYY and MM/CCYY
            Choice 3: MM/CCYY through MM/CCYY
         Fill-in (3) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) null
            Choice 2: (B) and each month thereafter
          
    
   
      ERN060 PAYMENT IN CURRENT YEAR BASED ON NON-SERVICE MONTHS – THE FULL RETIREMENT AGE (W43)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We can pay  (1)  benefits for   (2)   because  (3)  will not   (4)   (5)   during   (6)   . Because of  (7)  work, we cannot pay  (8)  any other benefits until  (9)  full retirement age. In  (10)  case that is  (11)  .
      
      
      Please be sure to let us know right away if  (12)  work or earnings change, because changes could affect the amount of  (13)  benefits.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary’s name
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
            Choice 2: MM/CCYY and MM/CCYY
            Choice 3: MM/CCYY through MM/CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (4) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) earn more than
            Choice 2: (B) perform substantial services in self-employment
         Fill-in (5) - Requested As A Money Amount In Format $$$$$.¢¢ or Alpha Character
            
            
Choice 1: Monthly earnings limit 
            Choice 2: (B) null
         Fill-in (6) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) that month
            Choice 2: (B) each of those months
         Fill-in (7) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (8) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (9) - Systems Generated
            
            
Choice 1: you reach
            Choice 2: he reaches
            Choice 3: she reaches
         Fill-in (10) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (11) - Systems Generated
            
            
Choice 1: full retirement age
         Fill-in (12) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (13) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
          
    
   
      ERN061 PAYMENT BASED ON ATTAINMENT OF FULL RETIREMENT AGE - NO PAYMENT PRIOR TO ATTAINMENT
         OF FULL RETIREMENT AGE (W44)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Because of  (1)  work in  (2)  , we cannot pay  (3)  any other benefits until  (4)  full retirement age. In  (5)  case that is  (6)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: Beneficiary's Name, possessive
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (4) - Systems Generated
            
            
Choice 1: you reach
            Choice 2: he reaches
            Choice 3: she reaches
            Choice 4: performing substantial services in self-employment
         Fill-in (5) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (6) - Systems Generated
            
            
Choice 1: 66 and 2 months (full retirement age from FRA utility in format )
          
    
   
      ERN062 PARTIAL AND FULL PAYMENT IN CURRENT YEAR BASED ON ESTIMATE (W45)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Because of  (1)  estimated earnings of  (2)  for  (3)  , we can only pay  (4)  part of  (5)  benefit for  (6)  , and  (7)  full benefit for all months after that.
      
      
      Please be sure to let us know right away if  (8)  work or earnings change, because changes could affect the amount of  (9)  benefits.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: Beneficiary's Name, possessive
         Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Estimated earnings amount
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (4) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (5) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (6) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY of partial payment
         Fill-in (7) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (8) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (9) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
          
    
   
      ERN063 FULL AND INTERMITTENT PAYMENTS IN CURRENT YEAR BASED ON ESTIMATE (W46)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Based on  (1)  estimated earnings of  (2)  for  (3)  , benefits are payable for  (4)  . If  (5)  estimate of earnings for the rest of the year changes or  (6)  neither earn over  (7)  as an employee nor perform  (8)  substantial services in self-employment in any months before  (9)  , please notify any Social Security office promptly.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: Beneficiary's Name, possessive
         Fill-in (2) - Requested As A Money Amount In Format Shown Below
            
            
Choice 1: Amount (in format $$$$$.¢¢)
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (4) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
            Choice 2: MM/CCYY and MM/CCYY
            Choice 3: MM/CCYY through MM/CCYY
         Fill-in (5) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (6) - Systems Generated
            
            
Choice 1: you neither earn
            Choice 2: he neither earns
            Choice 3: she neither earns
         Fill-in (7) - Systems Generated
            
            
Choice 1: Monthly earnings limit (in format $$$$$.¢¢)
         Fill-in (8) - Systems Generated
            
            
Choice 1: perform
            Choice 2: performs
         Fill-in (9) - Systems Generated
            
            
Choice 1: age 65” or full retirement age (i.e., 66 and 2 months)
            Note: This is the FRA from the FRA utility.
          
    
   
      ERN064 RESPONSIBILITIES OF PEOPLE ENTITLED TO A PERIOD OF DISABILITY FOR MEDICARE COVERAGE
         (W50)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      If  (1)  to work while  (2)  still disabled,  (3)  may be entitled to a trial work period to test  (4)  ability to resume work. During this period  (5)  may work in as many as 9 months (which need not be consecutive) and still be considered
         disabled for entitlement to Medicare coverage no matter how high  (6)  earnings. After the trial period has ended, we will consider the work  (7)  did in determining whether  (8)  shown by  (9)  work activity that  (10)  disability has ended. However,  (11)  not entitled to a trial work period if  (12)  entitled to a second period of disability for which  (13)  did not have to complete a waiting period.
      
      
      To prevent any incorrect entitlement, please notify us promptly if:
      
       (14)  already returned to work when  (15)  received this notice; or
      
      
       (16)  to work in the future, regardless of how much  (17)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you return
            Choice 2: Beneficiary's Name returns
         Fill-in (2) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (4) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (5) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (6) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (7) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (8) - Systems Generated
            
            
Choice 1: you have
            Choice 2: he has
            Choice 3: she has
         Fill-in (9) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (10) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (11) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (12) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (13) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (14) - Systems Generated
            
            
Choice 1: you have
            Choice 2: he has
            Choice 3: she has
         Fill-in (15) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (16) - Systems Generated
            
            
Choice 1: you return
            Choice 2: he returns
            Choice 3: she returns
         Fill-in (17) - Systems Generated
            
            
Choice 1: you earn
            Choice 2: he earns
            Choice 3: she earns
          
    
   
      ERN065 ENFORCEMENT/NO DEDUCTIONS HAD BEEN MADE/OPTIONAL STATEMENT REGARDING MONTHLY EARNINGS
         TEST (W53)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Our records show that  (1)  earned  (2)  in  (3)   (4)  Because of this, we should have withheld  (5)  from  (6)  benefits for  (7)  . Therefore, we paid  (8)   (9)  too much in benefits.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of posted earnings
         Fill-in (3) - Requested As A Year In Format CCYY
            
            
Choice 1: CCYY
         Fill-in (4) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) “.”
            Choice 2: (B) and we assume that you worked in all months of that year after you became
               entitled to Social Security benefits.
            
         Fill-in (5) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Full amount that should have been withheld
         Fill-in (6) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (7) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (8) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (9) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of overpayment
          
    
   
      ERN066 ENFORCEMENT/SOME DEDUCTIONS MADE BASED ON ANNUAL REPORT/OPTIONAL STATEMENT REGARDING
         MONTHLY EARNINGS TEST (W54)
      
      
      (Requested)
      
      Caption: Your Benefits
      
       (1)  told us that  (2)  earned  (3)  in  (4)  . However, our records show that  (5)  earned  (6)  that year  (7)  . Because of this, we should have withheld  (8)  from  (9)  benefits for  (10)  . Since we only withheld  (11)  , we paid  (12)   (13)  too much in benefits.
      
      
      If  (14)  we are wrong, please get in touch with us.  (15)  should also give us any facts  (16)  to show that our records are wrong.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary Name
         Fill-in (2) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (3) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of earnings shown on annual report
         Fill-in (4) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
            Choice 2: CCYY and CCYY
            Choice 3: CCYY through CCYY
         Fill-in (5) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (6) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of posted earnings
         Fill-in (7) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) “.”
            Choice 2: (B) and we assume that you worked in all months of that year after you became
               entitled to Social Security benefits.
            
            Choice 3: (C) and we assume that he worked in all months of that year after he became
               entitled to Social Security benefits.
            
            Choice 3: (C) and we assume that he worked in all months of that year after he became
               entitled to Social Security benefits.
            
            Choice 4: (D) and we assume that she worked in all months of that year after she became
               entitled to Social Security benefits.
            
         Fill-in (8) - Requested As A Money Amount In Format $$$$$$.¢¢
            
            
Choice 1: Amount that should have been withheld
         Fill-in (9) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (10) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (11) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount actually withheld
         Fill-in (12) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (13) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of overpayment
         Fill-in (14) - Systems Generated
            
            
Choice 1: you think
            Choice 2: he thinks
            Choice 3: she thinks
         Fill-in (15) - Systems Generated
            
            
Choice 1: You
            Choice 2: He
            Choice 3: She
         Fill-in (16) - Systems Generated
            
            
Choice 1: you have
            Choice 2: he has
            Choice 3: she has
          
    
   
      ERN067 FACILITY OF PAYMENT BENEFIT REDUCED/ANOTHER BENEFICIARY WORKING (W58)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We are reducing  (1)  benefits to  (2)  beginning  (3)  because of a change in the earnings of  (4)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: Name (possessive)
         Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Reduced benefit amount
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
         Fill-in (4) - Requested As A Language
            
            
Choice 1: Name of other beneficiary
          
    
   
      ERN068 REASON FOR NOT REPORTING EARNINGS NOT ACCEPTED - DOMESTIC CASES (W61)
      
      
      (Requested)
      
      Caption: A Penalty Will Be Deducted From Payments
      
      We have decided that  (1)  did not have a good reason for not giving us  (2)   (3)  report of earnings on time.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Name
         Fill-in (2) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (3) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
          
    
   
      ERN069 PAYMENTS BASED ON ATTAINMENT OF FULL RETIREMENT AGE IN CURRENT OR PRIOR MONTH (W62)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Because of  (1)  work in  (2)  , we cannot pay  (3)   (4)  . We will pay  (5)  for the month  (6)  full retirement age. In  (7)  case that is  (8)  . We will pay  (9)  for the month  (10)  full retirement age and the months after that.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: Name possessive
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (4) - Requested As A Date In Format Shown Below
            
            
Choice 1: for MM/CCYY
            Choice 2: for MM/CCYY and MM/CCYY
            Choice 3: from MM/CCYY through MM/CCYY
         Fill-in (5) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (6) - Systems Generated
            
            
Choice 1: you reach
            Choice 2: he reaches
            Choice 3: she reaches
         Fill-in (7) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (8) - Systems Generated
            
            
Choice 1: age 65 or full retirement age
            Note: this Fill-in is the FRA from FRA utility passed in skelcomp record as follow:
               FRA years + FRA months
            
         Fill-in (9) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (10) - Systems Generated
            
            
Choice 1: you reach
            Choice 2: he reaches
            Choice 3: she reaches
          
    
   
      ERN070 MONTHLY EARNINGS TEST APPLIES/BENEFICIARY EARNING EXEMPT AMOUNT OR LESS (W72)
      
      
      (Requested)
      
      Caption: Your Responsibilities
      
      Please let us know right away if  (1)  more than  (2)  per month or if  (3)  will be active in self-employment.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you earn
            Choice 2: Beneficiary's full name earns
         Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Monthly earnings limit
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
          
    
   
      ERN071 DUAL ENTITLEMENT/SPOUSE BENEFIT WITHHELD BUT OWN “A” BENEFIT PAID (MAY BE USED ON
         AN AWARD OR ADJ. LETTER, CLOSED YEAR OR CURRENT YEAR) (W75)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Because of  (1)  spouse's work and earnings, we cannot pay  (2)  a  (3)  benefit  (4)  . However, we will still pay  (5)  own retirement benefit.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: beneficiary's name possessive
         Fill-in (2) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (3) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) wife's
            Choice 2: (B) husband's
         Fill-in (4) - Requested As A Date In Format Shown Below
            
            
Choice 1: for MM/CCYY
            Choice 2: for MM/CCYY and MM/CCYY
            Choice 3: from MM/CCYY through MM/CCYY
         Fill-in (5) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
          
    
   
      ERN072 BENEFITS RESUMED NO LONGER WORKING (W76)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We are starting to pay  (1)  because  (2)  no longer working.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's Name
         Fill-in (2) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
          
    
   
      ERN073 BENEFIT INCREASE TO NON-WORKING AUXILIARIES (W80)
      
      
      (Requested)
      
      Caption: Your Benefits
      
       (1)  is not due benefits because of  (2)  work and earnings. Therefore, we will pay  (3)  an increased benefit beginning  (4)  . This is the payment due  (5)  . The new benefit amount is  (6)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Requested As A Language
            
            
Choice 1: Working Beneficiary's full name
         Fill-in (2) - Systems Generated
            
            
Choice 1: his
            Choice 2: her
            Choice 3: your
         Fill-in (3) - Requested As A One Position Alpha Character or Language
            
            
Choice 1: (A) you
            Choice 2: (B) the children
            Choice 3: the non-working beneficiary's first name
         Fill-in (4) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY date of increase
         Fill-in (5) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY payment was due
         Fill-in (6) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: new monthly benefit amount
          
    
   
      ERN074 BENEFITS WITHHELD PENDING RECEIPT OF ANNUAL REPORT (W83)
      
      
      (Requested)
      
      Caption: Things To Remember
      
      We will decide whether (1)  due any benefits for months before  (2)  , the month  (3)   (4)   (5)  after  (6)  let us know how much money  (7)  actually earned in  (8)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (4) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) applied for benefits
            Choice 2: (B) reached age 65
            Choice 3: (C) reached full retirement age
         Fill-in (5) - Systems Generated
            
            
Choice 1: Full Retirement Age as determined from FRA utility
            Choice 2: Null
         Fill-in (6) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (7) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (8) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
          
    
   
      ERN075 ANNUAL EARNINGS TEST APPLIES (W85)
      
      
      (Requested)
      
      Caption: Information About Work and Earnings
      
      We will pay  (1)  benefits for the year after  (2)  based on the total amount  (3)  each year.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's full name
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: you earn
            Choice 2: he earns
            Choice 3: she earns
          
    
   
      ERN076 BENEFITS TO WORKING AUXILIARY STOPPED (W86)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We told  (1)  earlier that  (2)  not due benefits because of  (3)  work and earnings, but that we would pay  (4)  instead of increasing the benefits to other family members.
      
      
      For benefits payable beginning January 1996, we can no longer pay  (5)  the increase due other family members. We must pay them directly because of a change
         in the law.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary name
         Fill-in (2) - Systems Generated
            
            
Choice 1: you are
            Choice 2: Name is
         Fill-in (3) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (4) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (5) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
          
    
   
      ERN077 BENEFITS STOPPED DUE TO WORK OUTSIDE THE U.S. (W92)
      
      
      (Requested)
      
      Caption:
      
      We cannot pay  (1)  benefits beginning  (2)  because  (3)  working outside the United States for more than 45 hours each month.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's full name
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
          
    
   
      ERN078 FACILITY OF PAYMENT FOREIGN CASES (W94)
      
      
      (Requested)
      
      Caption: Your Benefits
      
       Because  (1)  working outside the United States for more than 45 hours each month,  (2)  not due benefits now. For this reason, the other members of the household are due
          (3)  more money. We will pay  (4)  this amount instead of increasing the other benefits. However, since this money is
         really due the other family members, it should be used only for their needs.
      
      
       If  (5)  working or if  (6)  45 hours or less in any month, please let us know right away, because  (7)  may be eligible for benefits.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you are
            Choice 2: Beneficiary name is
         Fill-in (2) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (3 - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount payable
         Fill-in (4) - Systems Generated
            
            
Choice 1: you
            Choice 2: her
            Choice 3: him
         Fill-in (5) - Systems Generated
            
            
Choice 1: you stop
            Choice 2: she stops
            Choice 3: he stops
         Fill-in (6) - Systems Generated
            
            
Choice 1: you work
            Choice 2: she works
            Choice 3: he works
         Fill-in (7) - Systems Generated
            
            
Choice 1: you
            Choice 2: she
            Choice 3: he
          
    
   
      ERN079 ADDITIONAL PAYMENT DUE MEMBER OF OTHER HOUSEHOLD (W95)
      
      
      (Requested)
      
      Caption: Your Benefits
      
       (1)  due more money for  (2)  because of the work and earnings of another person who is getting benefits on this
         Social Security record.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: You are
            Choice 2: Beneficiary name is
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
          
    
   
      ERN080 BENEFITS WITHHELD DUE TO WORK OUTSIDE THE U.S (W99)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We cannot pay  (1)  benefits  (2)  because  (3)  worked outside the United States for more than 45 hours each month.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary Name
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: for MM/CCYY
            Choice 2: for MM/CCYY and MM/CCYY
            Choice 3: from MM/CCYY through MM/CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
          
    
   
      ERN081 POSSIBLE MOE CHANGE AFTER ANNUAL REPORT IS PROCESSED (W47)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      As  (1)  requested, the month of entitlement shown above may be changed after we receive and
         process  (2)  annual report of earnings. If  (3)  estimate of earnings for the year changes or there are one or more months in which
          (4)  not work in self employment or for wages, please notify any Social Security office
         promptly.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name non possessive
         Fill-in (2) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (3) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (4) - Systems Generated
            
            
Choice 1: you do
            Choice 2: he does
            Choice 3: she does
          
    
   
      ERN082 FACILITY OF PAYMENT BENEFIT PAYABLE/ANOTHER BENEFICIARY STOPPED WORK OR REDUCED EARNINGS
         (W60)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We can pay  (1)  because of a change in the earnings of  (2)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (2) - Requested As A Language
            
            
Choice 1: Name of other beneficiary
          
    
   
      ERN083 BENEFITS WITHHELD FOR MONTH(S) PRIOR TO FILING/ATTAINMENT OF FULL RETIREMENT AGE PENDING
         RECEIPT OF ANNUAL REPORT (W81)
      
      
      (Requested)
      
      Caption: Your Benefits
      
       (1)  are due benefits for  (2)  because  (3)  did not work during that period. Based on  (4)  estimated earnings of  (5)  for  (6)  ,  (7)  due  (8)  for  (9)  , and  (10)  due  (11)  full benefit for each month after that.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: You are
            Choice 2: Beneficiary's name is
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
            Choice 2: MM/CCYY and MM/CCYY
            Choice 3: MM/CCYY through MM/CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (4) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (5) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount of the Estimate
         Fill-in (6) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (7) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (8) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Amount
         Fill-in (9) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
         Fill-in (10) - Systems Generated
            
            
Choice 1: are
            Choice 2: is
         Fill-in (11) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
          
    
   
      ERN084 (WB3) EARNINGS
      
      
      (Requested)
      
      Caption: Your Benefits
      
       (1)  current estimate of total earnings for  (2)  offset period this year is  (3)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: Your
            Choice 2: Name possessive
         Fill-in (2) - Systems Generated
            
            
Choice 1: your
            Choice 2: Name possessive
         Fill-in (3) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Estimated total earnings for the offset period
          
    
   
      ERN085 (WB4) EARNINGS
      
      
      (Requested)
      
      Caption: Your Benefits
      
       (1)  revised estimate of total earnings for  (2)  offset period this year is  (3)  .  (4)  previously estimated total earnings of  (5)  for this period.
      
      
      
      Fill-in values: :
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: Your
            Choice 2: Name possessive
         Fill-in (2) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (3) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Revised estimate of total earnings for the offset period
         Fill-in (4) - Systems Generated
            
            
Choice 1: You
            Choice 2: Name
         Fill-in (5) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Previous estimate of total earnings for same period
          
    
   
      ERN086 EARNINGS LIMIT INCREASED - BENEFITS DUE EARLIER BASED ON ESTIMATE (W10)
      
      
      (Requested)
      
      Caption: None
      
      We are writing to let  (1)  know that the annual earnings test limit increased this year. The earnings limit
         is the amount  (2)  may earn in a year without causing a reduction in  (3)  benefits. Based on  (4)  estimate of  (5)  for this year, we told  (6)  that  (7)  benefits would begin  (8)  . Because the earnings limit was raised we can pay  (9)  benefits sooner.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: beneficiary name
         Fill-in (2) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (3) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (4) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (5) - Requested As A Money Amount In Format Shown Below
            
            
Choice 1: Estimate in $$$$$.¢¢ format
         Fill-in (6) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (7) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (8) - Requested As A Date In Format Shown Below
            
            
Choice 1: Month of entitlement in MM/CCYY format
         Fill-in (9) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
          
    
   
      ERN087 EARNINGS LIMIT INCREASED - ADDITIONAL BENEFITS DUE (W09)
      
      
      (Requested)
      
      Caption: None
      
      We are writing to let  (1)  know that the annual earnings test limit increased this year. The earnings limit
         is the amount  (2)  may earn in a year without causing a reduction in  (3)  benefits. Based on  (4)  estimate of  (5)  for this year,  (6)  due more benefits.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: You
            Choice 2: Beneficiary's name is
         Fill-in (2) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (3) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (4) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (5) - Requested As A Money Amount In Format $$$$$.¢¢
            
            
Choice 1: Estimate in $$$$$.¢¢ format
         Fill-in (6) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
          
    
   
      ERN088 TO WORKING BENEFICIARY PAYMENT BASED ON ATTAINMENT OF FULL RETIREMENT AGE IN CURRENT
         OR PRIOR MONTH (W22)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We withheld  (1)  benefits for  (2)  because of  (3)  earnings. We are paying  (4)  because  (5)  reached full retirement age. In  (6)  case that is  (7)  . We are paying  (8)  for the month  (9)  reached full retirement age and all later months.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: beneficiary name possessive
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
            Choice 2: MM/CCYY and MM/CCYY
            Choice 3: MM/CCYY through MM/CCYY
         Fill-in (3) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (4) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (5) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (6) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (7) - Systems Generated
            
            
Choice 1: FRA from FRA utility in format of (i.e., 66 and 2 months)
         Fill-in (8) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (9) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
          
    
   
      ERN089 SPOUSE REINSTATED AND COMBINED WITH OWN RETIREMENT BENEFIT/BASED ON N/H's WORK/EARNINGS
         (W07)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Based on  (1)  spouse's work, we can pay  (2)   (3)  benefits beginning  (4)  . We will combine these benefits with  (5)  own retirement benefits, and send  (6)  one check each month.
      
      
       (7)  next check includes  (8)  benefits for  (9)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: Beneficiary's Name possessive
         Fill-in (2) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (3) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) husband's
            Choice 2: (B) wife's
         Fill-in (4) - Requested As A Date In Format Shown Below
            
            
MM/CCYY
         Fill-in (5) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (6) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (7) - Systems Generated
            
            
Choice 1: Your
            Choice 2: His
            Choice 3: Her
         Fill-in (8) - Systems Generated
            
            
Choice 1: husband's
            Choice 2: wife's
         Fill-in (9) - Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
            Choice 2: MM/CCYY and MM/CCYY
            Choice 3: MM/CCYY through MM/CCYY
          
    
   
      ERN090 EMPLOYER REPORTED EARNINGS USED TO DETERMINE BENEFITS DUE (W19)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We adjusted  (1)   (2)  Social Security benefits based on earnings of  (3)  that  (4)  employer reported. We are writing to let  (5)  know that we will use the same amount of earnings to decide the benefits  (6)  due in  (7)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: your
            Choice 2: Beneficiary's Name possessive
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: CCYY
         Fill-in (3) Requested As A Money Amount in Format Shown Below
            
            
Choice 1: $$$$$.¢¢
         Fill-in (4) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (5) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (6) – Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (7) - Systems Generated
            
            
Choice 1: CCYY
          
    
   
      ERN091 EARNINGS COUNTED FOR MONTHS BEFORE FULL RETIREMENT AGE (W65)
      
      
      (Requested)
      
      Caption: You May Be Due More Benefits
      
      Because  (1)  worked while getting Social Security, we reduced  (2)  benefits when  (3)  earned over certain limits each year. However,  (4)  may be due more Social Security benefits because of a rule that applies in the year
         when  (5)  full retirement age.
      
      
      In the year  (6)  became  (7)  , which is  (8)  full retirement age; we count  (9)  earnings only for the months before  (10)   (11)  .
      
      
      Therefore, if through  (12)   (13)  :
      
      
      
         - 
            
               • 
                  Less than the limit of  (14)  ,  (15)  due payments for all months.
                   
 
 
- 
            
               • 
                  More than the limit of  (16)  ,  (17)  due the amount left after we subtract $1 for every $3  (18)  over the limit.
                   
 
 
Remember that, beginning with the month  (19)  full retirement age, the earnings test no longer applies. We will send  (20)  a form to find out how much  (21)  earned for the months before  (22)  reached  (23)  full retirement age. Once we receive  (24)  reply, we will pay  (25)  any additional benefits due.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you have
            Choice 2: beneficiary name plus has
         Fill-in (2) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (4) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (5) - Systems Generated
            
            
Choice 1: you reach
            Choice 2: he reaches
            Choice 3: she reaches
         Fill-in (6) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (7) - Systems Generated
            
            
Choice 1: Full Retirement Age (i.e., 66 years and 2 months)
         Fill-in (8) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (9) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (10) - Systems Generated
            
            
Choice 1: you reach
            Choice 2: he reaches
            Choice 3: she reaches
         Fill-in (11) - Systems Generated
            
            
Choice 1: Full Retirement Age (i.e., 66 years and 2 months)
         Fill-in (12) - Systems Generated
            
            
Choice 1: CCYY
         Fill-in (13) - Systems Generated
            
            
Choice 1: you earn
            Choice 2: he earns
            Choice 3: she earns
         Fill-in (14) - Systems Generated
            
            
Choice 1: Earnings Limit
         Fill-in (15) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (16) - Systems Generated
            
            
Choice 1: Earnings Limit
         Fill-in (17) - Systems Generated
            
            
Choice 1: you are
            Choice 2: he is
            Choice 3: she is
         Fill-in (18) - Systems Generated
            
            
Choice 1: you earn
            Choice 2: he earns
            Choice 3: she earns
         Fill-in (19) - Systems Generated
            
            
Choice 1: you reach
            Choice 2: he reaches
            Choice 3: she reaches
         Fill-in (20) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
         Fill-in (21) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (22) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (23) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (24) - Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (25) - Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
          
    
   
      ERN092 BENEFITS PAYABLE IN CURRENT OR PRIOR YEAR BECAUSE OF NON-SERVICE MONTHS FOLLOWED BY
         SUSPENSION (W38)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We can pay  (1)  benefits for  (2)  because  (3)   (4)   (5)  during  (6)  . We are withholding the rest of  (7)  benefits for  (8)  because of  (9)  work and earnings.
      
      
      Please be sure to let us know right away if  (10)  work or earnings change, because changes would affect the amount of  (11)  benefits.
      
      
      
      Fill-in values:
         
         Fill-in (1) Systems Generated
            
            
Choice 1: you
            Choice 2: beneficiary's name
         Fill-in (2) Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
            Choice 2: MM/CCYY and MM/CCYY
            Choice 3: MM/CCYY through (MM/CCYY
         Fill-in (3) Systems Generated
            
            
Choice 1: you are not
            Choice 2: he is not
            Choice 3: she is not
            Choice 4: you will not
            Choice 5: he will not
            Choice 6: she will not
         Fill-in (4) Requested As A One Position Alpha Character
            
            
Choice 1: (A) earn more than
            Choice 2: (B) earning more than
            Choice 3: (C) perform substantial services in self employment
            Choice 4: (D) performing substantial services in self-employment
         Fill-in (5) Requested As A One Position Alpha Character Or As A Money Amount In Format
            $$$$$.¢¢
            
            
Choice 1: (A) null
            Choice 2: Amount
         Fill-in (6) Requested As A One Position Alpha Character
            
            
Choice 1: (A) that month
            Choice 2: (B) those months
            Choice 3: (C) each of those months
         Fill-in (7) Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (8) Requested As A Date In Format Shown Below
            
            
Choice 1: MM/CCYY
            Choice 2: MM/CCYY and (MM/CCYY
            Choice 3: MM/CCYY through (MM/CCYY
         Fill-in (9) Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (10) Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
         Fill-in (11) Systems Generated
            
            
Choice 1: your
            Choice 2: his
            Choice 3: her
          
    
   
      ERN093 PARTIAL BENEFIT PAID TO AUXILIARY DUE TO WORKERS EARNINGS POSSIBLE FULL BENEFITS PAYABLE
         AFTER PARTIAL MONTH (W40)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Because of  (1)  work and earnings, only a partial benefit is payable for  (2)   (3)   (4)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) Requested As A One Position Alpha Character
            
            
Choice 1: (A) your husband's
            Choice 2: (B) your wife's
            Choice 3: (C) your former husband's
            Choice 4: (D) your father's
            Choice 5: (E) your mother's
            Choice 6: (F) bene's name possessive + husband's
            Choice 7: (G) bene's name possessive + wife's
            Choice 8: (H) bene's name possessive + former husband's
            Choice 9: (I) bene's name possessive + father's
            Choice 10: (J) bene's name possessive + mother's
         Fill-in (2) Requested As A Money Amount In Format $$$$$.¢¢
            
            
MM/CCYY of partial payment
         Fill-in (3) Requested As A One Position Alpha Character
            
            
Choice 1: (A) null
            Choice 2: (B) and your full benefit for each month thereafter
            Choice 3: (C) and his full benefit for each month thereafter
            Choice 4: (D) and her full benefit for each month thereafter
            Choice 5: (E) and your full benefit for
            Choice 6: (F) and his full benefit for
            Choice 7: (G) and her full benefit for
         Fill-in (4) Requested As A One Position Alpha Character or Date In Format Shown Below
            
            
Choice 1: (A) null
            Choice 2: MM/CCYY
            Choice 3: MM/CCYY and MM/CCYY
            Choice 4: MM/CCYY through MM/CCYY
          
    
   
      ERN094 NO BENEFITS DUE AUXILIARY BECAUSE OF NUMBER HOLDER'S WORK AND EARNINGS (W42)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      Because of  (1)  work and earnings, no benefits are payable at this time. If  (2)    work activity changes, some benefits may be payable to  (3) 
      
      
      Fill-in values:
         
         Fill-in (1) Requested As A One Position Alpha Character
            
            
Choice 1: (A) your husband's
            Choice 2: (B) your wife's
            Choice 3: (C) your former husband's
            Choice 4: (D) your father's
            Choice 5: (E) your mother's
            Choice 6: (F) bene's name possessive + husband's
            Choice 7: (G) bene's name possessive + wife's
            Choice 8: (H) bene's name possessive + former husband's
            Choice 9: (I) bene's name possessive + father's
            Choice 10: (J) bene's name possessive + mother's
         Fill-in (2) Systems Generated
            
            
Choice 1: his
            Choice 3: her
         Fill-in (3) Systems Generated
            
            
Choice 1: you
            Choice 2: him
            Choice 3: her
          
    
   
      ERNR09 LAG EARNINGS PENDING (E09)(C33)
      
      
      (Requested)
      
      Caption: Information About Work and Earnings; or Caption: Your Benefits
      
      We used  (1)  earnings through  (2)  to figure the benefit amount. Later, we will refigure the benefit to include any
         earnings  (3)  had after  (4)  .  (5)  will not have to ask us to do this. After we have refigured the benefit amount, we
         will let you know about any increase.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: Beneficiary's name
            Choice 2: your
         Fill-in (2) - Requested As A Year In Format CCYY
            
            
Choice 1: last year included in the computation
         Fill-in (3) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
         Fill-in (4) - Requested As A Year In Format CCYY
            
            
Choice 1: last year included in the computation
         Fill-in (5) - Systems Generated
            
            
Choice 1: you
            Choice 2: he
            Choice 3: she
          
    
   
      ERNR10 WAGES FROM EMPLOYER COULD NOT BE COUNTED (E50)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We could not use the money received from  (1)  for  (2)  because  (3)  .
      
      
      
      Fill-in values:
         
         Fill-in (1) - Requested As A Language
            
            
Choice 1: employers name
         Fill-in (2) - Requested As A Date In Format Shown Below
            
            
Choice 1: year(s) CCYY
         Fill-in (3) - Requested As A One Position Alpha Character
            
            
Choice 1: (A) the facts we have do not show that there was an employer-employee relationship
            Choice 2: (B) the money does not meet our requirements to be considered wages
            Choice 3: (C) the money was paid as a pension
            Choice 4: (D) pension
            Choice 5: (E) the money was paid because of sickness or accident, and paid more than
               6 months after work ended
            
          
    
   
      ERNR11 WAGE DETERMINATION PENDING (E51)
      
      
      (Requested)
      
      Caption: Your Benefits
      
      We have not used the payments  (1)  received from  (2)  for  (3)  through  (4)  because we have not yet decided whether these payments are wages. We will let you
         know as soon as we make a decision.
      
      
      
      Fill-in values:
         
         Fill-in (1) - Systems Generated
            
            
Choice 1: you
            Choice 2: Beneficiary's name
         Fill-in (2) - Requested As A Language
            
            
Choice 1: employers name
         Fill-in (3) - Requested As A Year In Format CCYY
            
            
Choice 1: year
         Fill-in (4) - Requested As A Year In Format CCYY
            
            
Choice 1: year