TN 30 (03-96)
NL 00703.708 Notice to Beneficiary/Payee — Withholding Percentage is Reduced
Document Identifier: E3708
A. Exhibit letter
We are writing to let you know that beginning (1) we will take less out of (2) Social Security payments to satisfy court order number (3) for child support, alimony, or court ordered victim restitution.
What We Will Take Out
You have given us proof that (4) a spouse and/or dependent child(ren) other than those named in the original court order. Therefore, we will take out (5) from each monthly payment.
You will receive monthly benefit payments of $ (6) beginning around (7) .
If You Have Any Questions
B. Requesting instructions
This notice is sent when we reduce the withholding percentage because the beneficiary presents proof that he/she is supporting a second family not named in the original order.
Refer to NL 00703.005E. for 3901C text.
month/year (MM/YYYY) change is effective
beneficiary's full name, possessive in format: Robert L. Smith's/ “your”
case/civil action number
“you are supporting”/beneficiary's last name, “is supporting” in format: Mr. Smith is supporting.
money amount or percentage of withholding
adjusted monthly benefit amount
month/day/year (MM/DD/YYYY) new payment will arrive