TN 30 (03-96)
NL 00703.350 Accrued Benefits — Total Paid to Representative Payee or Directly to the Beneficiary
Document Identifier for Word Processor: E3350
A. EXHIBIT LETTER
We are writing to tell you about a check we are sending you (1) .
What We Will Pay and When
|3350A||It Is Important To Keep Track of This Money |
| ||You will need to keep track of how you use all of the money we send you for (1) . That is because every year we will ask you to report on how you used the money. We call this a representative payee accounting.|
If You Have Any Questions
3901C - Domestic
3901D - Foreign
B. REQUESTING INSTRUCTIONS
Send when accrued benefits were withheld at the time benefits were awarded and the entire withheld amount is to be paid to the representative payee or directly to the beneficiary.
Leave blank in direct pay cases. Otherwise, show “for (full name of beneficiary)”, in the format, for June Sampson
In direct pay cases show “You are”. Otherwise, show “(first name of beneficiary) is” in the format, June is, if child; if adult, show “Mr.” or “Ms.” is, in format, Ms. Sampson.
Total amount of money due
First month, year accrued benefits were withheld, in the format of June 1992
Last month, year accrued benefits were withheld
Month, day, year payment is due, in the format of July 3, 1993
Optional Paragraph 3350A:
beneficiary's first name, if a child; if an adult, “Mr.” or “Ms.” last name
Use paragraph 3350A only when we pay the accumulated benefits to a payee and the type of payee code (TYP) is not SLM. Otherwise, omit the paragraph.
See NL 00703.005E. for 3901C and D text and fill-in.
C. TYPING INSTRUCTIONS
Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Information for this notice will be shown on Form SSA-573.