TN 30 (03-96)
NL 00703.714 Notice to Beneficiary/Payee — Cost-of-Living Increase in Benefits Affects Garnishment Action
Document Identifier: E3714
A. Exhibit letter
We are writing to tell you about how a change in (1) Social Security payments affects court order number (2) concerning responsibility for child support, alimony, or court ordered victim restitution.
What We Plan To Do
Social Security payments will increase based on a rise in the cost of living. Although the amount you receive will increase, we must continue to take (3) percent out of the monthly payments.
What We Will Take Out
We will increase the amount we take out to $ (4) . You will receive a check for $ (5) each month beginning with the check you will receive around (6) .
If You Disagree With This Decision
If you disagree with any of these amounts, you should let us know within 60 days from the date you receive this letter.
If You Have Any Questions
B. Requesting instructions
“your”/beneficiary's full name, possessive in format: Robert L. Smith's
case/civil action number
percentage of withholding
dollar amount being withheld after COLA
adjusted monthly benefit amount
month/day/year (MM/DD/YYYY) new payment will arrive