TN 30 (03-96)
NL 00703.504 Suspension Notice — Child is Working and Reports Change in Address — Payee Development Necessary — Domestic
Document Identifier For Word Processor: E3504
A. EXHIBIT LETTER
We are writing to let you know that we are stopping your Social Security benefits in
(1) . This is the check you would normally get about (2) . Your benefits are stopping because you told us that you are working and plan to earn $ (3) during the year.
Information We Need From You
Let us know right away if the amount of money you expect to earn changes. We need this information so that we can pay you the right amount of benefits.
Also, please read the enclosed pamphlet, “When You Get Social Security Retirement or Survivors Benefits...What You Need To Know.” It explains the kinds of things you need to tell us.
If You Have Any Questions
SSA Pub. No. 05-10077
B. REQUESTING INSTRUCTIONS
This notice is used when a child beneficiary submits an estimate of earnings and a change of address. The amount of the estimate does not permit reinstatement during the current calendar year. Development of a proper payee has been deferred until a notice is received that the child is no longer working and has not returned to the payee's care. The notice is sent to the child at his/her new address.
month/year; e.g. July 1992
month/day/year; e.g., August 3, 1992
dollar amount of estimate
Refer to NL 00703.005E. for 3901C text.
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.