TN 35 (09-98)

NL 00703.296 Foreign Address — Suspension Notice — SSA-21 In File —Exception To Alien Nonpayment Provision Not Met — Outside the U.S. More Than 6 Months (Payee Version)

Document Identifier for Word Processor: E3296

A. EXHIBIT LETTER

We are writing to tell you that we stopped the Social Security benefits you receive for (1) beginning with the check you would have received in (2) .

 

Why The Benefits Stopped

We stopped the benefits because we cannot pay benefits after (3)   been outside the United States for more than 6 months in a row. Our records show that (4) left the U.S. in
(5) , and (6) not returned.

 

3296AWe cannot pay benefits now because (1) , and (2) not meet any of the special conditions that would allow us to pay benefits after (3)  been outside the United States for 6 months. These conditions are explained in the enclosed booklet.
OR
3296B
We cannot pay benefits now because (1) did not reside in the United States for at least 5 years. The enclosed booklet explains the special conditions that would allow us to pay benefits after (2) been outside the United States for 6 months.
OR
3296C
We cannot pay benefits now because (1) and (2) adopted outside the U.S. The enclosed booklet explains the special conditions that would allow us to pay benefits after (3) been outside the United States for 6 months.

 

When We Can Start Your Benefits Again

We can start paying benefits again if (7) back to the United States. (8) will have to be here for a full month before we can start the benefits again.

If (9) to the United States, please get in touch with any Social Security office. Bring
(10) passport with you so we can verify the date of return to the U.S.

 

If You Disagree With The Decision

3180B

 

If You Have Any Questions

3901D

 

Enclosure:

SSA Pub. No. 05-10137

B. REQUESTING INSTRUCTIONS

Send this notice when:

  • SSA-21 is in file,

  • an exception to the alien nonpayment provision is notmet, and

  • the beneficiary has already been outside the U.S. for 6 months.

Use paragraph 3296A, 3296B or 3296C. Use paragraphs 3180B and 3901D in all cases. Refer to NL 00703.180 for 3180B text. Refer to NL 00703.005E. for 3901D text and fill-ins.

 

Fill-ins:

  1. full name of beneficiary or beneficiaries

  2. month/year

  3. he has, she has, they have

  4. he, she, they

  5. month/year

  6. he has, she has, they have

  7. (Full Name of Beneficiary) comes, (Full Name of Beneficiaries) come

  8. He, She, They

  9. he returns, she returns, they return

  10. his, her, their

3296A(1)(Full Name of Beneficiary) is not a U.S. citizen, (Full Names of Beneficiaries) are not U.S. citizens
 (2)he does, she does, they do
 (3)he has, she has, they have
3296B(1)full name of beneficiary or beneficiaries
 (2)he has, she has, they have