TN 31 (02-97)
NL 00703.811 Withheld Past-Due Benefits Released to Attorney — Concurrent Title II and Title XVI Case — Offset Information Pending —Auxiliary Beneficiary(ies) — Fee Agreement Case
Document Identifier for Word Processor: E3811
A. EXHIBIT LETTER
We told you in another letter that (1) lawyer could charge you no more than $ (2) , under the fee agreement, for his or her work on your Social Security claim. We also explained your right to review the amount of the fee.
What We Are Paying Your Lawyer
Because no one asked us to review the amount of the fee, we are paying (3) lawyer
$ (4) . This means we are paying the lawyer in full for the work on your Social Security claim.
We will let you know later how much we must withhold from your benefits for (5) because of the Supplemental Security Income you received.
If You Have Any Questions
B. REQUESTING INSTRUCTIONS