We sent you $ (1) more in Social Security benefits than we should have.
How To Pay Us Back
||You should refund this overpayment within 30 days. Please make your check or money
order payable to “Social Security Administration,” and send it to us in the enclosed envelope. Always include your claim number (as
shown above) on the check or money order. If you cannot refund the $ (1) now, you should give us: (a) a partial payment; (b) an explanation of your assets
and income and expenses; and (c) a definite plan for repaying the rest of the money.
||Please send your check or money order in United States (U.S.) currency or in local
currency equal to the United States dollars. When you pay us in local currency, we
use the exchange rate in effect at the time we get your payment. If this causes a
difference between the amount you pay us and the amount you owe us, we will let you
know. If you cannot mail your payment directly to us, please go to the nearest U.S.
Embassy or consulate for help in making the refund.1
||If we do not receive your refund within 30 days, we plan to recover the overpayment
by withholding (2) full benefit beginning with the payment you would normally receive for (3) about (4) . We will continue withholding the benefit you receive for (5) until the amount we have kept is equal to the amount owed us.
If You Think You Should Not Have To Pay Us Back
If You Disagree With The Decision
1 If the person lives in the Philippines, substitute “the U.S. Veterans Affairs Regional
Office, SSA Division, 1131 Roxas Boulevard, Manila.
2 If the overpayment is less than the monthly payment, omit the refund envelope.