Social Security Administration
Retirement, Survivors, and Disability Insurance
Notice of Change in Benefits
4023 Perry Court
Danielsville, PA 18038
We are writing to give you new information about the retirement benefits which you
receive on this Social Security record.
We can pay you beginning July 2005.
What We Will Pay
You will soon receive a payment for $700, which is the money you are due through July
After that you will receive $ 700 on or about the third of each month.
You asked us to consider your request for good cause for not satisfying your outstanding
warrant. While we review your request, we are sending you the money we withheld for
July 2005. If we later find that we cannot grant you good cause for not satisfying
your outstanding arrest warrant, you will have to pay back this money.
If You Have Any Questions
If you have any questions, you may call us at 1-800-2345-SSA. We can answer most questions
over the phone. You can also write any Social Security office. The office that serves
your area is located at:
41 N 4th St.
Allentown, PA 18102
If you do call or visit an office, please have this letter with you. It will help
us answer your questions. Also, if you plan to visit an office, you may call ahead
to make an appointment at the office. This will help us serve you more quickly when
you arrive at the office
NOTE: The general referral paragraph and the appropriate signature are also required for
the notice. See NL 00601.040 for additional paragraphs required on post-entitlement notices; e.g., Medicare paragraphs,
etc. See NL 00601.003 for name and signature requirements on notices.