TN 33 (02-98)

NL 00703.750 Imposition of Levy Against Full Monthly Benefit Payment

Document Identifier: E3750

A. EXHIBIT LETTER

We are writing to tell [1] that the Internal Revenue Service (IRS) will take [2] [3] of $[4] beginning with the payment [5] would receive around [6] because [7] them money. The IRS calls this action a Notice of Levy.

If [8] more information or [9] any questions, please contact [10] local IRS office.

Fill-ins:

[1]

Choice 1 -

you

 

Choice 2 -

Name of beneficiary, in format: Mr. John Smith

[2]

Choice 1 -

your

 

Choice 2 -

his

 

Choice 3 -

her

[3]

Choice 1 -

Social Security payments

 

Choice 2 -

Black Lung payments

 

Choice 3 -

Social Security and Black Lung payments

[4]

$$ amount of monthly benefit

[5]

Choice 1 -

you

 

Choice 2 -

he

 

Choice 3 -

she

[6]

MM/DD/YYYY

[7]

Choice 1 -

you owe

 

Choice 2 -

he owes

 

Choice 3 -

she owes

[8]

Choice 1 -

you need

 

Choice 2 -

he needs

 

Choice 3 -

she needs

[9]

Choice 1 -

have

 

Choice 2 -

has

[10]

Choice 1 -

your

 

Choice 2 -

his

 

Choice 3 -

her


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703750
NL 00703.750 - Imposition of Levy Against Full Monthly Benefit Payment - 02/18/1998
Batch run: 01/27/2009