We are writing to tell you that your Social Security check will stay the same even though you expect to earn $ (1) or less this year.

 

The Reason For Our Decision

We did not stop your checks while you were earning more money because it would not have changed the total amount we paid to your family. Because we did not stop your checks before, we do not need to change your check amount now that you are making a different amount of money.

The checks you receive are no longer paid to you for other family members. They belong to you.

 

Your Responsibilities

Please let us know right away if you plan to earn more than $ (2) . This will help us make sure that we pay the right amount.

 

If You Have Any Questions

3901C

Use this notice when a beneficiary submits a work notice indicating he/she no longer expects his/her earnings to exceed the yearly earnings limitation for the current taxable year and the beneficiary has been receiving his/her full benefit rate while working because of the family maximum provisions.

 

Fill-ins

1. (1) 

   current annual exempt amount for the beneficiary

2. (2) 

   current annual exempt amount for the beneficiary

Use SSA-L2000-C2 (Universal Notice) and follow the notice standards.

Information for this letter will be shown on Form SSA-573.