TN 5 (06-05)

NL 00715.300 Voluntary Tax Withholding Paragraph/UTIs

VTW002

We will withhold $ (1) from (2) benefit for (3) . Thereafter, we will withhold

$ (4) each month. (5) (6)

FILL-IN

  1. VCAMT ($$$,$$$.¢¢)

  2. your/beneficiary’s name) ‘ (apostrophe only)/(beneficiary’s name) ‘s (apostrophe “s”)

  3. Month & Year of CMA payment

  4. CVWA ($,$$$.¢¢)

  5. We will continue to withhold until/NULL

  6. Month & Year of VSTRT date/NULL

NOTE: If FILL-IN #6 is present, a period (.) should follow.

VTW003

We will withhold $ (1) from (2) next check. This check is the money (3) due through (4) .

FILL-IN

(1) VCAMT ($$$,$$$.¢¢)

(2) your/(beneficiary’s name) ‘ (apostrophe only)/(beneficiary’s name) ‘s (apostrope “s”)

(3) you are/he is/she is/(beneficiary’s name) is

(4) Month & Year of CMA payment

VTW006

As you asked, we will stop voluntary Federal tax withholding from (1) monthly Social Security benefit beginning (2)

FILL-IN

  1. your/(beneficiary’s name) ‘ (apostrophe only)/(beneficiary’s name) ‘s (apostrophe “s”)

  2. Month & Year following COM

VTW008

Since (1) no longer receiving benefits, we cannot continue to honor your request for voluntary Federal tax withholding. (2)

FILL-IN

  1. you are/(beneficiary’s name) is

  2. When benefits are again payable, we will resume withholding the percentage you requested. /If you ever become entitled again, voluntary tax withholding will have to be requested again. /If he ever becomes entitled again, voluntary tax withholding will have to be requested again. /If she ever becomes entitled again, voluntary tax withholding will have to be requested again.

VTW009

We will continue to withhold money for voluntary Federal tax withholding as you requested.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900715300
NL 00715.300 - Voluntary Tax Withholding Paragraph/UTIs - 06/23/2005
Batch run: 01/27/2009
Rev:06/23/2005