TN 17 (08-14)

NL 00730.114 “G” Paragraphs and Captions

List of “G” Paragraphs and Captions

A. “GAR” Universal Text Identifier – Garnishment

GARC01 – CAPTION

If You Disagree With The Court Order

GAR012 – GARNISHMENT AMOUNT DEDUCTED FROM PRIOR MONTHLY ACCRUAL (PMA) AND/OR CURRENT MONTHLY ACCRUAL (CMA)

We took out (1) from (2) benefits due (3) through (4) to pay (5) child support, alimony, or court ordered victim restitution.

Fill-in values:

 

Fill-in (1)

 

Choice 1

Deductions/Additions History Amount (DAH-AMOUNT) for Deductions/Additions History Item Code (DAH-ITEM) 465 (Garnishment) and a Deductions/Additions History Type of Payment (DAH-TOP) = PMA (P)

Choice 2

Deductions/Additions History Amount (DAH-AMOUNT) for Deductions/Additions History Item Code (DAH-ITEM) 465 (Garnishment) and Deductions Additions History Type of Payment (DAH-TOP) = RCMA (R) or PCMA (C)

Fill-in (2)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Fill-in (3)

 

Choice 1

you

Choice 2

him

Choice 3

her

Fill-in (4)

 

Choice 1

Current Operating Month (COM) in the format Month CCYY

Choice 2

Deferred Payment Date (DPD) in the format Month CCYY

Fill-in (5)

 

Choice 1

your

Choice 2

his

Choice 3

her

GAR013 – GARNISHMENT AMOUNT DEDUCTED FROM THE MONTHLY BENEFIT PAYABLE (MBP)

We will take out (1) from (2) benefit each month to pay (3) child support, alimony, or court ordered victim restitution.

Fill-in values:

 

Fill-in (1)

Deductions/Additions History Amount (DAH-AMOUNT) for Deductions/Additions History Item Code (DAH-ITEM) 465 (Garnishment) and Deductions/Additions Type of Payment (DAH-TOP) = MBP (M)

Fill-in (2)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Fill-in (3)

 

Choice 1

your

Choice 2

his

Choice 3

her

GAR014 – GARNISHMENT DEDUCTION STARTS – LEDGER ACCOUNT FILE (LAF) = C and CURRENT AMOUNT (CAMT) = $0.00

We withheld (1) from (2) monthly payment to pay child support, alimony, or court ordered victim restitution.

Fill-in values:

 

Fill-in (1)

Deductions/Additions History Amount (DAH-AMOUNT) for Deductions/Additions History Item Code (DAH-ITEM) 465 (Garnishment) and Deductions Additions History Type of Payment (DAH-TOP) = RCMA (R) or PCMA (C)

Fill-in (2)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Choice 2

your

GAR015 – GARNISHMENT DEDUCTION AMOUNT CHANGES – CLOSED PERIOD CHANGE ONLY

We changed the amount we take out of (1) monthly benefit to pay (2) child support, alimony, or court ordered victim restitution.

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Fill-in (2)

 

Choice 1

your

Choice 2

his

Choice 3

her

GAR016 – GARNISHMENT AMOUNT NO LONGER BEING DEDUCTED FROM SOCIAL SECURITY ADMINISTRATION BENEFITS

We stopped taking money out of (1) benefits for child support, alimony, or court-ordered victim restitution.

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

GAR062 – GARNISHMENT REFUND AND ANOTHER TITLE II REDESIGN INTRODUCTORY PARAGRAPH IS GENERATED

This payment includes a refund of money we withheld to pay for (1) child support, alimony, or court ordered victim restitution.

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) possessive

GAR063 – GARNISHMENT REFUND AND NO OTHER TITLE II REDESIGN INTRODUCTORY PARAGRAPH GENERATED

(1) due a refund of money we withheld to pay child support, alimony, or court ordered victim restitution.

Fill-in values:

 

Fill-in (1)

 

Choice 1

You are

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) plus “is”

GAR088 – NO APPEAL RIGHTS APPLY FOR GARNISHMENT DEDUCTION BUT APPEAL RIGHTS APPLY FOR ANOTHER TITLE II REDESIGN REASON

The appeal rights discussed below do not apply to the court ordered child support, alimony, or court ordered victim restitution. If you disagree with the court order, you will need to contact the court directly, or have a lawyer do it for you.

GAR091 – GARNISHMENT DEDUCTION AMOUNT CHANGES – ONGOING

We made a change in (1) child support, alimony or court ordered victim restitution because (2) monthly benefit amount changed. (3) current court order may not have changed.

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Fill-in (2)

 

Choice 1

your

Choice 2

his

Choice 3

her

Fill-in (3)

 

Choice 1

Your

Choice 2

His

Choice 3

Her

GAR092

We are writing to you about court order number *F1. We stopped taking money out of *F2 Social Security payments because *F3. The *F4 that we sent you in *F5 was the last payment due.

Fill-Ins

*F1-1 case
*F1-2 civil action number

*F2-1 full name as it appears on the order possessive

*F3-1 he is no longer receiving payments

*F3-2 she is no longer receiving payments

*F3-3 you ordered that we no longer withhold this money

*F3-4 he has paid more than the court order required

*F3-5 she has paid more than the court order required

*F4-1 dollar amount of last payment

*F5-1 month and year

   

RCYC01

GAR093

(Enclosure: Refund Envelope: The enclosure will appear at the end of the notice)

*F1 should not have received the *F2 that we sent after that date. Please return the *F3 to us by check or money order. Make it payable to the Social Security Administration. Be sure to put *F4 claim number on the check or money order.

IMPORTANT: Please use the Refund Envelope enclosed in our letter to mail your payment to us. Always include the claim number on the check or money order. If you no longer have the envelope, please mail your payment to:

Social Security Administration
Mid Atlantic Program Service Center
PO Box 3430
Philadelphia PA 19122-9985

Enclosure: Refund Envelope

  

Fill-Ins:

*F1-1 “You” (NOTE: Use this fill-in when sending this notice directly to the receiver. The receiver could be the court or another party.)

*F1-2 Name of receiver of garnished payments if other than the court (Use Name of receiver of garnished payments if other than the court, when sending this notice to the court asking them to return money they ordered us to send the receiver.)

*F2-1 combined dollar amount of all the checks that we shouldn't have sent

*F3-1 combined dollar amount of all the checks that we shouldn't have sent

*F4-1 Beneficiary’s name possessive

   

OPTIONAL:

OPTC02

  

OPTIONAL:

GAR094

If *F1 receiving payments again, we will need a new court order before we can start withholding money for child support, alimony, or court ordered victim restitution.

(NOTE: Use this sentence only when using choice 1 or 2 of fill-in 3 for GAR 092, i.e., he or she is not currently receiving Social Security payments.)

*F1-1 you start

*F1-2 Beneficiary’s name starts

REQUIRED Either CTDO or 3901D

   

Enclosures:
Refund Envelope

B. “GPO” Universal Text Identifier – Government Pension Offset

GPOC01 – CAPTION

Other Government Payments Affect Benefits

GPO001 – SOCIAL SECURITY ADMINISTRATION BENEFITS WITHHELD OR REDUCED DUE TO GOVERNMENT PENSION OFFSET (GPO)

We reduce the Social Security benefits we pay to (1) as a (2) when (3) a Federal, State, or local government pension. The pension must be based on work that is not covered by Social Security. We reduce benefits by two-thirds the amount of the pension. If the two-thirds amount is equal to or more than the Social Security monthly benefit, then we do not pay benefits. There are some exceptions to this rule. The enclosed factsheet, “Government Pension Offset,” explains this reduction in detail.

Fill-in values:

 

Fill-in (1)

 

Choice 1

you

Choice 2

him

Choice 3

her

Fill-in (2)

 

Choice 1

widow

Choice 2

widower

Choice 3

husband

Choice 4

wife

Fill-in (3)

 

Choice 1

you receive

Choice 2

he receives

Choice 3

she receives

GPO005 – MONTHLY BENEFIT AMOUNT (MBA) REDUCED DUE TO GOVERNMENT PENSION OFFSET (GPO)

We changed (1) monthly benefit to (2) beginning (3) because (4) eligible for a government pension.

Fill-in values:

 

Fill-in (1)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Choice 2

your

Fill-in (2)

Post-MBR Monthly Benefit Amount (MBA) associated with the Effective Date (EFD) of the MBA change

Fill-in (3)

Post-MBR Effective Date (EFD) on associated with the Monthly Benefit Amount (MBA) change in the format Month CCYY

Fill-in (4)

 

Choice 1

he is

Choice 2

she is

Choice 3

you are


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900730114
NL 00730.114 - "G" Paragraphs and Captions - 10/08/2015
Batch run: 10/08/2015
Rev:10/08/2015