BASIC (05-11)

NL 00720.370 UPT Underpayment

UPT010 BENEFICIARY DUE MONEY (M14)

(Requested)

Caption: Your Benefits

Since  (1)  of  (2)  benefits were withheld,  (3)  due  (4) .

Fill-in values:

Fill-in (1) - Requested As A One Position Alpha Character Or As A Money Amount In Format $$$$$.¢¢

Choice 1 (A): all

Choice 2: Amount

Fill-in (2) - Systems Generated

Choice 1: your

Choice 2: Beneficiary's name possessive

Fill-in (3) - Systems Generated

Choice 1: you are

Choice 2: he is

Choice 3: she is

Fill-in (4) - Requested As A Money Amount In Format $$$$$.¢¢

Amount


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900720370
NL 00720.370 - UPT Underpayment - 05/20/2011
Batch run: 05/20/2011
Rev:05/20/2011