We are writing to you about court order number (1) . We stopped taking money out of (2) Social Security payments because (3) . The $ (4) that we sent you in (5) was the last payment due.
How to Pay Us Back
(6) should not have received the (7) that we sent after that date. Please return the
(8) to us by check or money order. Make it payable to the Social Security Administration.
Be sure to put (9) claim number on the check or money order.
IMPORTANT: Please use the Refund Envelope enclosed in our letter to mail your payment to us.
Always include the claim number on the check or money order. If you no longer have
the envelope, please mail your payment to:
Social Security Administration
Mid Atlantic Program Service Center
PO Box 3430
Philadelphia PA 19122-9985
Enclosure: Refund Envelope
Optional - Use the following only when he or she is not currently receiving Social Security
If Receives Social Security Payments
If (10) receiving payments again, we will need a new court order before we can start withholding
money for child support, alimony, or court ordered victim restitution.
Suspect Social Security Fraud?
Please visit http://oig.ssa.gov/r or call the Inspector General's Fraud Hotline at 1-800-269-0271 (TTY 1-866-501-2101).
If You Have Questions
CTDO – Domestic
3901D - Foreign