TN 33 (02-98)

NL 00703.747 Notification to IRS - Levy Ceasing

Document Identifier: E3747

A. EXHIBIT LETTER

We are writing to you about the enclosed Notice of Levy. We will no longer take money out of [1] monthly [2] because [3]. The $[4] that we sent you in [5] is the last payment you will receive.

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

Enclosure:

Notice of Levy

Fill-ins:

[1]

Beneficiary's name, possessive, in format: Mr. Smith's

[2]

Choice 1 -

Social Security payments

 

Choice 2 -

Black Lung payments

 

Choice 3 -

Social Security and Black Lung payments

[3]

Choice 1 -

you recently sent us a Release From Levy

 

Choice 2 -

this individual is no longer receiving payments

[4]

$$ amount of last payment

[5]

MM/YYYY


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703747
NL 00703.747 - Notification to IRS - Levy Ceasing - 02/18/1998
Batch run: 01/27/2009
Rev:02/18/1998