TN 30 (03-96)
NL 00703.707 Notice to Beneficiary/Payee — Initial Withholding Due to Garnishment — Court Ordered Amount No More Than Federal or State Limits
Document Identifier: E3707
A. Exhibit letter
We are writing to you about court order number (1) .
In an earlier letter, we told you that we might have to take money out of (2) Social Security payments to satisfy the court order. (3) order us to take money out to collect child support, alimony, or court ordered victim restitution. Therefore, we will reduce the monthly payments (4) .
What We Will Take Out
We will take out (5) from each monthly payment to collect what (6) . You will receive a check for $ (7) each month beginning with the check you receive around (8) .
If You Disagree With The Decision
If you disagree with the decision of (9) , you will need to contact them directly, or have a lawyer do this for you. They can be contacted at:
If You Have Any Questions
B. Requesting instructions
This letter should be sent to the beneficiary/payee when the Court sets a garnishment amount or percentage that is no more than federal or state limits and withholding begins.
Refer to NL 00703.005E for 3901C text.
case/civil action number
“your”/beneficiary's full name, possessive in format: Robert L. Smith's
name of court or public official/agency in format: Baltimore County Court
|(4)||Choice 1 -||for the months of . (when there is a limited timeframe)|
| ||Choice 2 -||beginning . (the month/year change is effective)|
money amount or percentage of withholding
“you owe”/beneficiary's title and last name “owes,” in format: Mr. Smith owes
adjusted monthly benfit amount
month/day/year new payment will arrive
name of court or public official/agency in format: the Baltimore County Court
address of court or public official/agency