We are writing to you about an overpayment (1) us. The amount of the overpayment is $ (2) .
We have written to you about this before, but you have not settled this matter. You
should repay this overpayment now, or contact us about how you will pay us back.
If We Do Not Hear From You
If you do not pay us or get in touch with us about this overpayment by (3) , we will consider sending (4) case to the Department of Justice.
If we do this, the Department of Justice might take you to court to collect the overpayment.
If that happens and the court decides against you, you might have to pay both the
overpayment and court costs.
Please Get In Touch With Us Now
Please get in touch with us now if (5) can not afford to pay all the money (6) us. In some situations we will settle for less than the full amount (7) us. We call this a compromise settlement.
Contact us for more information about this kind of settlement. Of course, if we accept
your offer, we will not refer (8) case to the Justice Department.
How To Pay Us Back
Call us at (9) now if you want to pay back all or part of the money (10) us. Then send us a check or money order made out to the Social Security Administration.
Be sure to put (11) , (12) on it. Please use the enclosed envelope to mail your check or money order to us.
If You Have Any Questions