TN 23 (02-16)
NL 00730.149 Fact and Worksheets
A. AETH01 Factsheet and Worksheets Captions and UTI's
AETH01 – HEADER
How Work Affects Your Social Security
AETC07 – CAPTION
The Yearly Earnings Limit
AETC08 – CAPTION
A Special Rule That Applies To Earnings In One Year
AETC09 – CAPTION
If Your Expected Earnings Change
AET045 – EXPLANATION ON HOW EARNINGS CAN AFFECT A BENEFICIARY WHEN HE OR SHE IS UNDER FULL RETIREMENT AGE.
When you get Social Security retirement benefits before you reach full retirement age, there is a limit to the amount you can earn and still receive benefits. And, if other family members get benefits on your Social Security record, your earnings may affect the total family benefits.
Once you are full retirement age or older, there is no limit on the amount you can earn while you and your family receive benefits.
AET046 – EXPLANATION OF BENEFIT WITHHOLDING
Each year, there is a limit to the amount you can earn for the year and still qualify for full benefits. If you earn over the allowed amount for the year, we usually withhold $1 in benefits for every $2 you earn above the limit.
When we know that you expect to earn over the limit, we withhold benefits. At the end of the year, when we know how much you actually earned, we pay any additional benefits that you are due. Or if we paid you too much in benefits, we ask you to pay us back. However, in the year you turn full retirement age, we only withhold $1 for every $3 you earn above the limit:
AET047 – EXPLANATION OF THE SPECIAL ONE-YEAR RULE EARNINGS TEST
Sometimes, people who retire in mid-year have already earned more than the yearly earnings limit before they retire. That's why there's a special rule that applies to earnings for one year, usually the first year of retirement. Under this rule, you can receive a full Social Security payment for any whole month you are "retired," regardless of your yearly earnings. This year, a person under full retirement age is considered retired if he:
Fill-in values: | |
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Fill-in (1) | |
Choice 1 | LMETY Monthly earnings limit in format $$$$$.¢¢ |
Choice 2 | Year of Earnings Report (YOER) monthly earnings calculated in the format $$$$$.¢¢ |
BRR013 – UTI INFORMS THE BENEFICIARY TO REPORT ANY CHANGES IN EARNINGS
To help us pay you correctly, please report any change in your earnings to us. If you see that your earnings will be different from your last report or your earlier estimate, please call or visit any Social Security office to let us know.
B. AETH02 Factsheet and Worksheet Captions and UTI's
AETH02 – HEADER ON THE FACT SHEET
How to Estimate Earnings
AETC10 – CAPTION
If You Work For Wages
AETC11 – CAPTION
If You Are Self-Employed
AETC12 – CAPTION
If You Work For Wages and Are Self-Employed
If You Work For Wages and Are Self-Employed
AET048 – WORKSHEET ON HOW TO ESTIMATE EARNINGS
If (1) (2) self-employed in (3), you need to estimate (4) net earnings from self-employment for the year. Then, prorate that amount by the number of months before (5).
To prorate, divide (6) estimated net earnings for the year by 12 (the number of months in a year). This will give (7) average estimated net earnings per month. Multiply this number times the number of months before (8).
For example, if you estimate (9) net earnings for the year at $48,000 and (10) (11) (12) in (13), here is how you would prorate (14) net earnings:
$48,000 12 = $4,000 X (15) = (16)
Fill-in values: | |
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Fill-in (1) | |
Choice 1 | Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) |
Choice 2 | you |
Fill-in (2) | |
Choice 1 | is |
Choice 2 | are |
Fill-in (3) | Current Operating Year (COY) in the format CCYY |
Fill-in (4) | |
Choice 1 | his |
Choice 2 | her |
Choice 2 | your |
Fill-in (5) | Full Retirement Age (FRA) month |
Fill-in (6) | |
Choice 1 | his |
Choice 2 | her |
Choice 3 | your |
Fill-in (7) | |
Choice 1 | his |
Choice 2 | her |
Choice 3 | your |
Fill-in (8) | Full Retirement Age (FRA) month |
Fill-in (9) | |
Choice 1 | his |
Choice 2 | her |
Choice 3 | your |
Fill-in (10) | |
Choice 1 | he |
Choice 2 | she |
Choice 3 | you |
Fill-in (11) | |
Choice 1 | turns |
Choice 2 | turn |
Fill-in (12) | Full Retirement Age (FRA) using the choices below |
Choice 1 | 65 |
Choice 2 | 65 and 2 months |
Choice 3 | 65 and 4 months |
Choice 4 | 65 and 6 months |
Choice 5 | 65 and 8 months |
Choice 6 | 65 and 10 months |
Choice 7 | 66 |
Choice 8 | 66 and 2 months |
Choice 9 | 66 and 4 months |
Choice 10 | 66 and 6 months |
Choice 11 | 66 and 8 months |
Choice 12 | 66 and 10 months |
Choice 13 | 67 |
Fill-in (13) | Full Retirement Age (FRA) month |
Fill-in (14) | |
Choice 1 | his |
Choice 2 | her |
Choice 3 | your |
Fill-in (15) | Number of months prior to the Full Retirement Age (FRA) month as a numeric value |
Fill-in (16) | 4000 times the number determined in Fill-in (15) |
AET049 – FACTSHEET UTI ON HOW TO ESTIMATE EARNINGS
If (1) (2) for wages and (3) self-employed in (4), add (5) wages for the months before (6) to (7) estimated prorated net earnings from self-employment for that same period. Or if you estimate a net loss from self-employment for any of the months before (8), subtract that amount from (9) wages.
Fill-in values: | |
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Fill-in (1) | |
Choice 1 | Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) |
Choice 2 | you |
Fill-in (2) | |
Choice 1 | works |
Choice 2 | work |
Fill-in (3) | |
Choice 1 | is |
Choice 2 | are |
Fill-in (4) | Current Operating Year (COY) in the format CCYY |
Fill-in (5) | |
Choice 1 | his |
Choice 2 | her |
Choice 3 | your |
Fill-in (6) | Full Retirement Age (FRA) month |
Fill-in (7) | |
Choice 1 | his |
Choice 2 | her |
Choice 3 | your |
Fill-in (8) | Full Retirement Age (FRA) month |
Fill-in (9) | |
Choice 1 | his |
Choice 2 | her |
Choice 3 | your |
AET050 – FACTSHEET UTI ON HOW TO ESTIMATE EARNINGS
If (1) (2) for wages, you can check (3) pay stub to find out how much (4) earned in (5) before attaining full retirement age in (6).
Look at the pay stub for the last pay period before (7).
(8) earnings include:
(9) total gross wages, plus any tips (10) received, plus any contributions (11) made to a tax-deferred savings plan not counted in (12) gross wages.
Fill-in values: | |
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Fill-in (1) | |
Choice 1 | you |
Choice 2 | Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) |
Fill-in (2) | |
Choice 1 | work |
Choice 2 | works |
Fill-in (3) | |
Choice 1 | your |
Choice 2 | his |
Choice 3 | her |
Fill-in (4) | |
Choice 1 | you |
Choice 2 | he |
Choice 3 | she |
Fill-in (5) | Current Operating Year (COY) in the format CCYY |
Fill-in (6) | Full Retirement Age (FRA) month |
Fill-in (7) | Full Retirement Age (FRA) month |
Fill-in (8) | |
Choice 1 | Your |
Choice 2 | His |
Choice 3 | Her |
Choice 4 | BGN (possessive) |
Fill-in (9) | |
Choice 1 | Your |
Choice 2 | His |
Choice 3 | Her |
Fill-in (10) | |
Choice 1 | you |
Choice 2 | he |
Choice 3 | she |
Fill-in (11) | |
Choice 1 | you |
Choice 2 | he |
Choice 3 | she |
Fill-in (12) | |
Choice 1 | your |
Choice 2 | his |
Choice 3 | her |
C. BENH01 Factsheet and Worksheet Captions and UTI's
BENH01 – HEADER ON THE FACTSHEET
Your Monthly Benefits
PMT018 – FACTSHEET UTI USED AFTER THE HEADER BENHO1
Below we show the monthly changes to (1) benefit amount (2) (3).
The dollar amounts in the column “Monthly Amounts Credited” are the amounts we thought (4) due each month based on information we had at the time. Based on the information we now have, we have corrected the amounts that (5) due during this time. We used these "Corrected Monthly Amounts" to decide whether we paid (6) too much or too little.
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Fill-in (1) | |
Choice 1 | your |
Choice 2 | Null |
Choice 3 | Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive) |
Fill-in (2) | |
Choice 1 | for |
Choice 2 | between |
Choice 3 | from |
Fill-in (3) | Changed month(s) using one of the formats below. |
Choice 1 | Month CCYY |
Choice 2 | Month CCYY plus the word “and” plus Month CCYY |
Choice 3 | Month CCYY plus the word “through” plus Month CCYY |
Fill-in (4) | |
Choice 1 | you were |
Choice 2 | he was |
Choice 3 | she was |
Fill-in (5) | |
Choice 1 | you were |
Choice 2 | he was |
Choice 3 | she was |
Fill-in (6) | |
Choice 1 | you |
Choice 2 | him |
Choice 3 | her |
PMT019 – FACTSHEET UTI THAT IS USED AS THE HEADING FOR THE “YOUR MONTHLY BENEFITS” CHART
Months Monthly Amounts Corrected Monthly
Credited/Paid Amounts
PMT020 – FACTSHEET UTI THAT SHOWS THE SINGLE MONTHLY BENEFIT CREDITED (MBC) CHANGES FOR THE “YOUR MONTHLY BENEFITS” CHART
(1) (2) (3)
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Fill-in (1) | |
Choice 1 | Start date of the occurrence of change Month CCYY |
Choice 2 | Month CCYY the word “through” plus Month CCYY |
Fill-in (2) | Pre-MBR Monthly Benefit Credited (MBC) for this occurrence |
Fill-in (3) | Post-MBR Monthly Benefit Credited (MBC) for this occurrence |
PMT022 – CLOSING PARAGRAPH OF FACTSHEET UTI BENH01
The amounts credited or paid to (1) may not match the payments (2) actually received. This is because there may have been reasons in (3) case why we could not pay (4) this amount. For example, we may have withheld Medicare premiums or money because of another debt.
Fill-in values: | |
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Fill-in (1) | |
Choice 1 | you |
Choice 2 | Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) |
Fill-in (2) | |
Choice 1 | you |
Choice 2 | he |
Choice 3 | she |
Fill-in (3) | |
Choice 1 | your |
Choice 2 | his |
Choice 3 | her |
Fill-in (4) | |
Choice 1 | you |
Choice 2 | him |
Choice 3 | her |
PMT025 – FACTSHEET UTI THAT SHOWS THE MONTHLY BENEFIT CREDITED (MBC) CHANGES WHEN THE CHANGE IS FOR MORE THAN ONE MONTH ON THE “YOUR MONTHLY BENEFITS” CHART
(1)
(2) (3) (4)
Fill-in values: | |
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Fill-in (1) | Start date of this occurrence of change in the format Month CCYY plus the word “through” |
Fill-in (2) | Month CCYY |
Fill-in (3) | Pre-MBR Monthly Benefit Credited (MBC) |
Fill-in (4) | Post-MBR Monthly Benefit Credited (MBC) |
D. ERNH01 Factsheets and Worksheets Captions and UTI's
ERNH01 – THIS UTI IS THE HEADING ON THE FACT SHEET. NOTE: THIS FACT/WORKSHEET INCLUDING ALL THE UTI'S WITHIN CAN APPEAR ONLY ON A WORKING BENEFICIARY NOTICE
How We Figured (1) (2) For (3)
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Fill-in (1) | |
Choice 1 | His |
Choice 2 | Her |
Choice 3 | Your |
Fill-in (2) | |
Choice 1 | Incorrect Payment |
Choice 2 | Underpayment |
Choice 3 | Overpayment |
Choice 4 | Payment |
Fill-in (3) | Year of Earnings Report (YOER) as a numeric value in the format CCYY |
ERNC06 – CAPTION
Result Of (1) (2) Earnings
Fill-in values: | |
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Fill-in (1) | |
Choice 1 | His |
Choice 2 | Her |
Choice 3 | Your |
Fill-in (2) | |
Choice 1 | Expected |
Choice 2 | Null |
ERN016 – FACTSHEET UTI THAT GIVES THE BENEFICARY HIS OR HER ESTIMATED EARNINGS FOR AN OPEN YEAR
You told us that you expect to earn (1) (2).
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Fill-in (1) | Provide ellipsis Example: (………) |
Fill-in (2) | Post-MBR Amount of Reported Earnings (AORE) |
ERN019 – FACTSHEET UTI THAT GIVES THE BENEFICIARY ACTUAL EARNINGS FOR A PRIOR YEAR
You earned (1) (2)
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Fill-in (1) | Provide ellipsis Example: (………) |
Fill-in (2) | Post-MBR Amount of Reported Earnings (AORE) |
AET051 – FACTSHEET UTI THAT GIVES THE ANNUAL LIMIT AMOUNT
Less the (1) earnings limit of (2) (3)
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Fill-in (1) | Year of Earnings Report (YOER) in the format CCYY |
Fill-in (2) | Provide ellipsis Example: (………) |
Fill-in (3) | Annual earnings limit |
AET037 – FACTSHEET UTI THAT GIVES THE BENEFICIARY'S EARNINGS OVER THE ANNUAL EARNINGS LIMIT FOR A YEAR
The amount you (1) above the allowed amount is (2) (3).
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Fill-in (1) | |
Choice 1 | expect to earn |
Choice 2 | earned |
Fill-in (2) | Provide ellipsis Example: (………) |
Fill-in (3) | Earnings over the exempt amount |
AET052 – FACTSHEET UTI THAT GIVES THE BENEFICIARY'S BENEFIT OFFSET DUE AMOUNT DUE TO EARNINGS OVER THE ANNUAL EARNINGS LIMIT FOR A YEAR
We deduct $1 in benefits for every (1) you earn over the allowed amount. The amount we should (2) from your benefits based on your (3) earnings (rounded down to a whole dollar) (4).
Fill-in values: | |
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Fill-in (1) | |
Choice 1 | $3 |
Choice 2 | $2 |
Fill-in (2) | |
Choice 1 | withhold |
Choice 2 | have withheld |
Fill-in (3) | |
Choice 1 | expected |
Choice 2 | Null |
Fill-in (4) | Provide ellipsis Example: (…) |
Fill-in (5) | Excess earnings |
WDS010 – FACTSHEET UTI EXPLAINS TO THE BENEFICIARY THAT BENEFITS NEED TO BE WITHHELD FOR THE ENTIRE YEAR DUE TO THEIR ANNUAL EARNINGS
The amount we should withhold based on (1) expected earnings is more than (2) total benefits of (3).
Fill-in values: | |
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Fill-in (1) | |
Choice 1 | his |
Choice 2 | her |
Choice 3 | your |
Fill-in (2) | |
Choice 1 | his |
Choice 2 | her |
Choice 3 | your |
Fill-in (3) | Provide ellipsis Example: (…) |
Fill-in (4) | Total annual benefits |
WDS014 – FACTSHEET UTI THAT IS USED WITH UTI WDS010 EXPLAINS TO THE BENEFICIARY THAT BENEFITS NEED TO BE WITHHELD FOR THE ENTIRE YEAR DUE TO HIS OR HER ANNUAL EARNINGS
(So we need to withhold all your benefits this year (1).)
Fill-in values: | |
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Fill-in (1) | |
Choice 1 | and the benefits of others on your record |
Choice 2 | Null |
WDS012 – FACTSHEET UTI THAT IS USED FOR ESTIMATED EARNINGS YEARS AND EXPLAINS TO THE WORKING BENEFICIARY THAT WHEN THE EXACT AMOUNT OF EARNINGS IS PROCESSED ANY UNDERPAYMENT WILL BE PAID AND ANY OVERPAYMENT WILL BE CHARGED
At the end of the year, when we know how much (1) actually earned, we will pay (2) any benefits due. Or if we paid too much, we will ask (3) to pay us back.
Fill-in values: | |
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Fill-in (1) | |
Choice 1 | you |
Choice 2 | Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) |
Choice 3 | he |
Choice 4 | she |
Fill-in (2) | |
Choice 1 | you |
Choice 2 | him |
Choice 3 | her |
Fill-in (3) | |
Choice 1 | you |
Choice 2 | Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) |
Choice 3 | him |
Choice 4 | her |