TN 30 (03-96)

NL 00703.927 Benefits to Mother/Father, or Wife, Husband, Former Wife or Former Husband Terminate — Child Attains Age 16 — Domestic

Document Identifier for Word Processor: E3927

A. Exhibit letter

We are writing to let you know that your entitlement to benefits ended as of (1) . We based this on information that (2) became age 16 in (3) .

3927AWe can pay (1) benefits only when you have (2) child in your care, under age 16 or disabled, who is entitled to Social Security benefits.
3927BWe can pay (1) benefits only when you have a child in your care, under age 16 or disabled, who is entitled to benefits on (2) Social Security record.

(If there is an overpayment, follow instructions in NL 00703.920 on what paragraphs to include.)

 

Other Social Security benefits

3922E

OR

3922F

 

Your responsibilities

When benefits are terminated during the year, you must file an annual report if you earn over $ (4) . In this report, include your earnings for the entire year both before and after your benefits were terminated.

 

If you disagree with the decision1

ALS020

If you want help with your appeal2

3100E

 

If you have any questions

3901C

1 If there is an overpayment, omit this paragraph.

2 If the person has an attorney, omit this paragraph.

B. Requesting instructions

  • The benefit authorizer sends to the terminated parent when the youngest child-in-care attains age 16.

  • Use paragraphs 3927A and 3922E when benefits to mother/father terminate because last child-in-care marries. Use paragraphs 3927B and 3922F when benefits to wife, husband, former wife, former husband terminate. Use ALS020 (except when there is an overpayment), 3100E and 3901C in all cases.

  • Refer to NL 00703.180 for ALS020 text. Refer to NL 00703.100 for 3100E text. Refer to NL 00703.005E. for 3901C text.

     

Fill-ins:

  1. last month/year of entitlement e.g., May 1993

  2. full name of child beneficiary

  3. month/year e.g., June 1993

  4. exempt amount for year of termination

3927A

  1. mother's/father's

 
  1. full name of number holder, possessive

3927B

  1. wife's/husband's/former wife's/former husband's

 
  1. full name of number holder, possessive

C. Typing instructions

Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Information for this notice will be shown on Form SSA-573.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703927
NL 00703.927 - Benefits to Mother/Father, or Wife, Husband, Former Wife or Former Husband Terminate -- Child Attains Age 16 -- Domestic - 02/01/2016
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