TN 30 (03-96)
NL 00703.123 Advance Notice - Benefits Will Be Reduced
Document Identifier for Word Processor: E3123
A. Exhibit Letter
We plan to reduce your Social Security payments (1) to $ (2) in (3) because (4) .
If You Disagree With The Decision
Please tell us within 101 days of the date of this letter if you disagree with the decision. You will also need to give us any proof you have to show that what we were told is wrong.
If you let us know within 101 days that you disagree with the decision, we will not reduce your checks. We will continue to pay you while we review your case to see if you are right. However, if you are wrong we will ask you to pay back any money you received that was not due.
If we do not hear from you within 101 days, we will reduce your checks. We will send you another letter at that time with more information about our action.
If You Have Any Questions
3901C - Domestic
3901D - Foreign
B. Requesting Instructions
“and those of your family” (use only if other family members are involved)
null (use if no other family members are involved)
month/year of reduction
reason for action
C. Typing Instructions
FOs will use standard FO letterhead. If sent from PC, use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Information for this notice is shown on Form SSA-573.
1 For foreign beneficiaries, 30 days.