TN 19 (08-14)

NL 00730.124 “L” Paragraphs and Captions

List of “L” Paragraphs and Captions

A. “LIS” Universal Text Identifiers – Lead-In Statements

LIS003 – NUMBER HOLDER DIES OR LAST CHILD IN CARE DIES

We are sorry to learn of (1) recent loss. Please accept our sincere sympathy.

Fill-in values:

Fill-in (1)

 

Choice 1

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

Choice 2

your

LIS009 – Generic Introductory Paragraph

We are writing to you about (1) Social Security benefits.

Fill-in values:

Fill-in (1)

 

Choice 1

your

Choice 2

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

B. “LVY” Universal Text Identifiers – Tax Levy

LVY030 – LEVY AMOUNT DEDUCTED FROM PMA OR CMA

We withheld (1) from this payment to pay (2) debt to the IRS.

Fill-in values:

Fill-in (1)

 

Choice 1

Deductions Additions History Amount (DAH-AMOUNT) for the Deductions Additions History Type of Payment (DAH-TOP) = P (PMA) with DAH-ITEM = 470

Choice 2

Show the DAH-AMOUNT for the DAH-TOP = R (RCMA) or C (PCMA) with DAH-ITEM = 470

Fill-in (2)

 

Choice 1

your

Choice 2

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

LVY031 – LEVY AMOUNT DEDUCTED FROM MONTHLY BENEFIT PAYABLE (MBP)

We will withhold (1) from (2) payment each month to pay (3) debt to the IRS.

Fill-in values:

Fill-in (1)

Deductions Additions History Amount (DAH-AMOUNT) for the Deductions Additions History Type of Payment (DAH-TOP) = M (MBP) with Deductions Additions History Item Code (DAH-ITEM) = 470

  

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

LVY032 – LEVY DEDUCTION STARTS AND LEDGER ACCOUNT FILE (LAF) = C AND CURRENT MONTHLY ACCRUAL (CMA) = $0.00

We withheld (1) from (2) monthly payment to pay (3) debt to the IRS.

Fill-in values:

Fill-in (1)

Show the Deductions Additions History Amount (DAH-AMOUNT) for the Deductions Additions History Type of Payment (DAH-TOP) = R (RCMA) or C (PCMA) with Deductions Additions History Item Code (DAH-ITEM) = 470

  
  

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

LVY033 – LEVY DEDUCTION AMOUNT CHANGES

We changed the amount we withhold from (1) monthly payment to pay (2) debt to the IRS.

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

LVY034 – LEVY AMOUNT NO LONGER DEDUCTED FROM SOCIAL SECURITY ADMINISTRATION BENEFITS

We are no longer withholding money from (1) payments to pay (2) debt to the IRS.

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

LVY036 – LEVY REFUND AND ANOTHER TITLE II REDESIGN INTRODUCTORY PARAGRAPH IS GENERATED

This payment includes a refund of money we withheld to pay (1) debt to the IRS.

Fill-in values:

Fill-in (1)

 

Choice 1

your

Choice 2

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

LVY037 – LEVY REFUND AND THERE IS NO OTHER TITLE II REDESIGN INTRODUCTORY PARAGRAPH GENERATED

(1) due a refund of money that we withheld to pay (2) debt to the IRS.

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”

Fill-in (2)

 

Choice 1

your

Choice 2

his

Choice 3

her


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900730124
NL 00730.124 - "L" Paragraphs and Captions - 04/15/2015
Batch run: 04/15/2015
Rev:04/15/2015