TN 33 (02-98)

NL 00703.751 Protesting Levy

Document Identifier: E3751

Exhibit Letter

We are writing to [1] because [2] asked us not to let the Internal Revenue Service (IRS) take money out of [3][4].

When the IRS tells us to take money out of monthly payments to collect unpaid taxes, we must do so. The IRS makes the decision on whether SSA will take part or all of [5] payment.

If [6] more information about IRS' decision concerning this Notice of Levy, please contact them at [7].

Fill-ins:

[1]

Choice 1 -

you

 

Choice 2 -

Name of beneficiary, in format: Mr. Smith

[2]

Choice 1 -

you

 

Choice 2 -

he

 

Choice 3 -

she

[3]

Choice 1 -

your

 

Choice 2 -

his

 

Choice 3 -

her

[4]

Choice 1 -

Social Security payments

[5]

Choice 1 -

your

 

Choice 2 -

his

 

Choice 3 -

her

[6]

Choice 1 -

you need

 

Choice 2 -

he needs

 

Choice 3 -

she needs

[7]

IRS address on Levy form


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703751
NL 00703.751 - Protesting Levy - 10/04/2005
Batch run: 01/27/2009
Rev:10/04/2005