TN 30 (03-96)
NL 00703.352 Accrued Benefits Paid In Monthly Installments to Payee
(GN 00603.070 and GN 00603.085)
Document Identifier for Word Processor: E3352
A. EXHIBIT LETTER
We are writing to tell you about extra money we are sending you for (1) .
What We Will Pay and When
(2) is due $(3) from (4) through (5) .
You will get this money over a period of months.
We will send you $(6) each month in addition to the regular check you already get for (7) .
These checks will start (8) and end when all of the extra money is paid to you.
|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
The FO sends this notice when accrued benefits were withheld at the time benefits were awarded and the withheld amount will now be paid to the representative payee in monthly installments.
Name of beneficiary in the format, Joan Sands
First name of beneficiary, if child; if adult, “Mr.” or “Ms.” last name
Total amount of money due the beneficiary
First month and year accrued benefits were withheld in the format, May 1992
Last month and year accrued benefits were withheld
Amount to be paid in each installment
Month, day, year the first installment payment will be made in the format of
August 3, 1993
Optional Paragraph 3350A:
Beneficiary first name, if child; if adult, “Mr.” or “Ms.” with last name
Use paragraph 3350A when the type of payee code (TYP) is not SLM.
See NL 00703.005E. for 3901C and D text and fill-in.
C. TYPING INSTRUCTIONS
Use FO Letterhead and follow the notice standards. Information for this notice will be shown on Form SSA-573.