TN 31 (02-97)

NL 00703.758 Request to Employer for Debtor Address

Document Identifier for Word Processor: E3758

A. EXHIBIT LETTER

We are trying to contact (1) about a Social Security matter. Our records show that this person worked for you. Please provide (2) most recent telephone number and address in your records.

 

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.                           

 

.                           

 

.                           

 

Telephone Number .           

 

If this information is not available, please check here: .          

 

Authorized Signature .          

 

Title and Date .                

 

Enclosure:

Return Envelope

B. REQUESTING INSTRUCTIONS

  • The debtor contact representative will send this notice to a debtor's last known employer to obtain address data.

     

Fill-ins:

  1. name of debtor

  2. name of debtor, possessive

C. TYPING INSTRUCTIONS

  • Use Form SSA-L2000-C2 for title II debtors.

  • Use Form SSA-L8166-U2 for title XVI debtors.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703758
NL 00703.758 - Request to Employer for Debtor Address - 02/13/1997
Batch run: 01/27/2009
Rev:02/13/1997