TN 33 (02-98)

NL 00703.746 IRS Levy Implemented

Document Identifier: E3746

A. EXHIBIT LETTER

We are writing to you about the enclosed Notice of Levy. You asked us to take money out of the [1] for [2].

What We Will Take Out

We will take out $[3] from each monthly payment to collect what [4] owes IRS. We will continue to withhold this amount until we receive a Release From Levy from you.

If you have any questions, please write to us at the above address.

Enclosure:

Notice of Levy

Fill-ins:

[1]

Choice 1 -

Social Security payments

 

Choice 2 -

Black Lung payments

 

Choice 3 -

Social Security and Black Lung payments

[2]

full name of beneficiary as it appears on the Levy, in format: James L. Smith

[3]

$$ amount withheld each month

[4]

last name of beneficiary, in format: Mr. Smith


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703746
NL 00703.746 - IRS Levy Implemented - 02/18/1998
Batch run: 01/27/2009
Rev:02/18/1998