BASIC (05-11)

NL 00720.320 SEI Self Employment Income

SEI006 SELF-EMPLOYMENT DETERMINATION SSA-7000-U5 PREPARED (C12)

(Requested)

Caption: Information About Work and Earnings

We will send a copy of our decision about  (1)  self-employment earnings to the Internal Revenue Service. They will make any changes that are needed to the tax record.

Fill-in values:

Fill-in (1) System Generated

Choice 1: Beneficiary's name possessive

Choice 2: your

SEIR02 SEI DETERMINATION PENDING (E02)

(Requested)

Caption: Your Benefits

We have not decided whether your income for  (1)  was self-employment income. We will let you know as soon as we make this decision. If we decide that it was self-employment income, we will also tell you if it will increase your benefit.

Fill-in values:

Fill-in (1) Requested As A Date In Format Shown Below

Month(s) and year(s) of incorrect payment in MM/CCYY or MM/CCYY AND MM/CCYY or MM/CCYY through MM/CCYY format

SEIR03 SEI EXCLUDED BECAUSE OF STATUTE OF LIMITATIONS (E03)

(Requested)

Caption: Your Benefits

We could not use  (1)  income from self-employment for  (2)  because a Federal tax return to report it was not filed on time. To be considered on time, tax returns have to be filed within 3 years, 3 months, and 15 days from the end of the taxable year.

Fill-in values:

Fill-in (1) System Generated

Choice 1: Beneficiary's name possessive

Choice 2: your

Fill-in (2) Requested As A Date In Format Shown Below

Month(s) and year(s) of incorrect payment in MM/CCYY or MM/CCYY AND MM/CCYY or MM/CCYY through MM/CCYY format

SEIR04 REQUESTED EVIDENCE OF SEI NOT SUBMITTED (E04)

(Requested)

Caption: Your Benefits

We asked you for proof of  (1)  income from self-employment for  (2)  . We have not considered this income because  (3)   (4)  not given us the proof we asked for.

Fill-in values:

Fill-in (1) System Generated

Choice 1: Beneficiary's name possessive

Choice 2: your

Fill-in (2) Requested As A Date In Format Shown Below

Month(s) and year(s) of incorrect payment in MM/CCYY or MM/CCYY AND MM/CCYY or MM/CCYY through MM/CCYY format

Fill-in (3) System Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (4) System Generated

Choice 1: have not

Choice 2: has not

SEIR06 SELF EMPLOYMENT (E06)

(Requested)

Caption: Your Benefits

We will send a copy of our decision about  (1)  self-employment earnings to the Internal Revenue Service. They will make any changes that are needed to the tax record.

Fill-in values:

Fill-in (1) Systems Generated

Choice 1: Beneficiary's name possessive

Choice 2: your

SEIR07 SEI REDUCED TO LESS THAN $400.00 (E07)

(Requested)

Caption: Your Benefits

Net income from self-employment of less than $400 per year is not considered earnings for Social Security purposes. Since we reduced your self-employment income for  (1)  to less than $400, it does not count as Social Security earnings.

Fill-in values:

Fill-in (1) Requested As A Date In Format Shown Below

MM/CCYY


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