TN 1 (07-25)
   
   
   
   LVY001
   
   This UTI is the lead in for the notices to the IRS
   
   NOTE: This UTI will only be generated on the notice to IRS
   
   Caption: None
   
   
   English
   
   We are writing to you about the Notice of Levy for IRS Control Number (1).
   
   Spanish
   
   Estamos escribiéndole sobre el Aviso de Recaudación de Impuestos para el Número de
      Control del Servicio de Impuestos Internos (IRS, por sus siglas en inglés) (1).
   
   
   Fill-In:
   
   (1) 9 Position numeric IRS Control Number
   
    
   
   LVY002
   
   This UTI is used to advise the IRS that we are not withholding the amount requested
      in the Notice of Levy
   
   
   Caption: None
   
   
   English
   
   You asked us to take money out of the Social Security payments for (1). We are not
      withholding the amount requested in the Notice of Levy because (2) (3).
   
   
   Spanish
   
   Usted nos pidió que saquemos dinero de los pagos de Seguro Social de (1). No estamos
      reteniendo la cantidad solicitada en el Aviso de Recaudación de impuestos porque (2)
      (3).
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
       
      
   
   
   
      
      - 
         
Spanish
         
       
      - 
         
BGN plus BLN
         
       
      
   
   
   (2) Choice 1
   
   
      
      - 
         
English
         
       
      - 
         
he
         
       
      
   
   
   
      
      - 
         
Spanish
         
       
      - 
         
él
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         she
         
       
      
   
   
   
      
      - 
         
Spanish
         
       
      - 
         
ella
         
       
      
   
   
   (3) Choice 1
   
   
      
      - 
         
English
         
       
      - 
         
does not currently receive any payments
         
       
      
   
   
   
      
      - 
         
Spanish
         
       
      - 
         
actualmente no recibe ningún pago
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
       
      - 
         
has a benefit amount that is lower than the lowest exemption allowed
         
       
      
   
   
   
      
      - 
         
Spanish
         
       
      - 
         
tiene una cantidad de beneficios que es menos de la exención mínima permitida
         
       
      
   
   
    
   
   LVY003
   
   This UTI advises the IRS to contact SSA if they have any questions
   
   Caption: Use under caption REFC01 “If You Have Any Questions”
   
   
   English
   
   If you have any questions, please write to us at the above address.
   
   Spanish
   
   Si tiene alguna pregunta, por favor escríbanos a la dirección mencionada previamente.
   
    
   
   LVY004
   
   This UTI tells the IRS that we acknowledge that they asked us to withhold from benefits
      to pay the tax levy
   
   
   Caption: None
   
   
   English
   
   You asked us to take money out of the Social Security payments for (1).
   
   Spanish
   
   Usted nos pidió que saquemos dinero de los pagos de Seguro Social de (1).
   
   Fill-in
   
   (1) Choice 1
   
   
      
      - 
         
English
         
       
      - 
         
BGN plus BLN
         
       
      
   
   
   
      
      - 
         
Spanish
         
       
      - 
         
BGN plus BLN
         
       
      
   
   
    
   
   LVY006
   
   This UTI advises the IRS that we will no longer withhold benefits for a tax levy because
      IRS sent a Release from Levy or the beneficiary is no longer receiving benefits or
      the beneficiary’s MBP < TEA.
   
   
   Caption: None
   
   
   English
   
   We will no longer take money out of (1) monthly Social Security payments because;
   
   
      - 
         
            •
            
               you recently sent us a release from levy, or
               
             
          
       
      - 
         
            •
            
               this individual is no longer receiving payments, or
               
             
          
       
      - 
         
            •
            
               this individual’s benefit amount is less than the total exemption amount
               
             
          
       
   
   
   The (2) that we sent you in (3) is the last payment you will receive.
   
   Spanish
   
   No continuaremos deduciendo dinero de los pagos mensuales de Seguro Social de (1),
      porque;
   
   
   
      - 
         
            •
            
               recientemente ustedes nos enviaron una orden de cesión de impuestos, o
               
             
          
       
      - 
         
            •
            
               esta persona ya no recibe pagos, o
               
             
          
       
      - 
         
            •
            
               la cantidad de los beneficios de esta persona es menos que el total de la cantidad
                  exenta.
               
               
             
          
       
   
   
   Los (2) que le enviamos el (3) es el último pago que recibirá.
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
       
      - 
         
BGN plus BLN possessive
         
       
      
   
   
   
      
      - 
         
Spanish
         
       
      - 
         
BGN plus BLN
         
       
      
   
   
   (2) Amount of last tax levy withholding
   
   (3) MM/CCYY LEVY-TERM-DATE
   
    
   
   LVY007
   
   This UTI advises the beneficiary or payee that the IRS has asked us to take money
      from the beneficiary’s benefit for the tax levy
   
   
   Caption: None
   
   
   English
   
   The Internal Revenue Service (IRS) has asked us to take money from (1) Social Security
      payments because (2) them money.
   
   
   Spanish
   
   El Servicio de Impuestos Internos (IRS, por sus siglas en inglés) nos ha pedido que
      saquemos dinero de los pagos de Seguro Social de (1) porque (2) les debe dinero.
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
       
      - 
         
BGN plus BLN possessive
         
       
      
   
   
   
      
      - 
         
Spanish
         
       
      - 
         
BGN plus BLN
         
       
      
   
   
       Choice 2
   
   
      
      - 
         
English
         
         your
         
         Spanish
         
         usted
         
       
      
   
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         he owes
         
         Spanish
         
         él
         
       
      
   
   
       Choice 2
   
   
      
      - 
         
English
         
         she owes
         
         Spanish
         
         ella
         
       
      
   
   
       Choice 3
   
   
      
      - 
         
English
         
         you owe
         
         Spanish
         
         usted
         
       
      
   
   
    
   
   LVY008
   
   This UTI advises the payee/beneficiary to complete the exemption statement and return
      it to SSA.
   
   
   NOTE:
         This UTI will always require the use of LVY017
   
   Caption: Use under caption INFC03 “What You Need To Do”
   
   
   English
   
   To help decide the correct amount of money to send the IRS, (1) (2) to complete page
      2 of this letter “Statement of Exemptions and Filing Status” and return it within
      10 days from the date you receive this letter. Return the completed statement in the
      enclosed envelope. Please keep a copy for your records.
   
   
   If we do not receive the completed statement within the 10 day period, IRS will only
      allow an exemption amount of $(3).
   
   
   Spanish
   
   Para ayudar a decidir la cantidad correcta de dinero para enviar al IRS, (1) (2) necesita
      completar la página 2 de esta carta “Declaración de Exenciones y Estado de Solicitud”
      y devolverla dentro de 10 días de la fecha en que usted reciba esta carta. Devuelva
      la declaración completada en el sobre adjunto. Por favor mantenga una copia para sus
      archivos.
   
   
   Si no recibimos la declaración completada dentro del plazo de 10 días, el IRS solamente
      permitirá una cantidad de exención de $ (3).
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
         Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (2) Choice 1
   
   
      
      - 
         
English
         
       
      
   
   
   
      
      - 
         
needs
         
       
      
   
   
   
      
      - 
         
Spanish
         
       
      
   
   
   
      
      - 
         
null
         
       
      
   
   
         Choice 2
   
   
      
      - 
         
English
         
         need
         
         Spanish
         
         null
         
       
      
   
   
   (3) Amount of IRS exemption for Married Filing Separately in $$$$.cc format from data
      element MRRDS-EX1-AMT in table IRSEXMPN.
   
   
    
   
   LVY009
   
   This UTI advises the beneficiary/payee to contact IRS if they have any questions
   
   Caption: Use under caption REFC01 “If You Have Any Questions”
   
   
   English
   
   If you need more information or have any questions, please contact your local IRS
      office.
   
   
   Spanish
   
   Si necesita más información o si tiene alguna pregunta, por favor comuníquese con
      su oficina local de IRS.
   
   
    
   
   LVY010
   
   Lead in UTI for beneficiary/payee on tax levy notices
   
   Caption: None
   
   
   English
   
   We are writing to you about the Internal Revenue Service (IRS) Notice of Levy.
   
   Spanish
   
   Estamos escribiéndole sobre el Aviso de Recaudación de Impuestos del Servicio de Impuestos
      Internos (IRS, por sus siglas en inglés).
   
   
    
   
   LVY012
   
   This UTI advises the beneficiary/payee that we will withhold the full benefit payment
      for tax levy
   
   
   Caption: Use under caption LVYC01 “What We Will Take Out”
   
   
   English
   
   The Internal Revenue Service (IRS) will take all of (1) Social Security payment beginning
      with the payment (2) would receive around (3) because (4) them money. The IRS calls
      this action a Notice of Levy.
   
   
   Spanish
   
   El Servicio de Impuestos Internos (IRS, por sus siglas en inglés) cogerá todo el pago
      de Seguro Social (1) comenzando con el pago que (2) recibiría alrededor de (3) porque
      (4) les debe dinero. El IRS llama a esta acción un Aviso de Recaudación.
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN possessive
         
         Spanish
         
         de BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         your
         
         Spanish
         
         suyo
         
       
      
   
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         he
         
         Spanish
         
         él
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         she
         
         Spanish
         
         ella
         
       
      
   
   
        Choice 3
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (3) Date of first check being withheld from GUCHKDTE
   
   (4) Choice 1
   
   
      
      - 
         
English
         
         he owes
         
         Spanish
         
         él
         
       
      
   
   
         Choice 2
   
   
      
      - 
         
English
         
         she owes
         
         Spanish
         
         ella
         
       
      
   
   
         Choice 3
   
   
      
      - 
         
English
         
         you owe
         
         Spanish
         
         usted
         
          
         
       
      
   
   
   LVY013
   
   This UTI is used when the beneficiary/payee is protesting the levy. It advises the
      beneficiary/payee that IRS determines the amount to be withheld for levy.
   
   
   Caption: None
   
   
   English
   
   You asked us not to let the Internal Revenue Service (IRS) take money out of (1) Social
      Security payments.
   
   
   When the IRS tells us to take money out of monthly payments to collect unpaid taxes,
      we must do so. The IRS makes the decision on whether SSA will take part or all of
      (2) payment.
   
   
   Spanish
   
   Usted nos pidió que no permitamos que el Servicio de Impuestos Internos (IRS, por
      sus siglas en inglés) saque dinero de los pagos de Seguro Social de (1).
   
   
   Cuando el IRS nos avisa que saquemos dinero de los pagos mensuales para cobrar impuestos
      pendientes, lo tenemos que hacer. El IRS toma la decisión sobre si la Administración
      del Seguro Social sacará una porción o todo su (2) pago.
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN possessive
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         your
         
         Spanish
         
         usted
         
       
      
   
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         his
         
         Spanish
         
         null
         
       
      
   
   
       Choice 2
   
   
      
      - 
         
English
         
         her
         
         Spanish
         
         null
         
       
      
   
   
        Choice 3
   
   
      
      - 
         
English
         
         your
         
         Spanish
         
         null
         
       
      
   
   
    
   
   LVY014
   
   This UTI advises the beneficiary/payee that part of the monthly payment will be withheld
      for tax levy
   
   
   Caption: Use under caption LEVC01 “What We Will Take Out”
   
   
   English
   
   The Internal Revenue Service (IRS) will take part of (1) Social Security benefits
      because (2) them money. The IRS calls this action a Notice of Levy.
   
   
   Spanish
   
   El Servicio de Impuestos Internos (IRS, por sus siglas en inglés) tomará una porción
      de los beneficios de Seguro Social (1) porque (2) les debe dinero. El IRS llama esta
      acción un Aviso de Recaudación de Impuestos.
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN possessive
         
         Spanish
         
         de BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         your
         
         Spanish
         
         suyos
         
       
      
   
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         he owes
         
         Spanish
         
         él
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         she owes
         
         Spanish
         
         ella
         
       
      
   
   
        Choice 3
   
   
      
      - 
         
English
         
         you owe
         
         Spanish
         
         usted
         
       
      
   
   
    
   
   LVY016
   
   This UTI advises the beneficiary/payee that we will no longer withhold for tax levy
      because benefits are no longer payable
   
   
   Caption: None
   
   
   English
   
   The Internal Revenue Service (IRS) will no longer take money out of (1) monthly payment
      because (2) no longer (3) Social Security payments.
   
   
   Spanish
   
   El Servicio de Impuestos Internos (IRS, por sus siglas en inglés) ya no sacará dinero
      del pago mensual (1) porque (2) ya no recibe (3) pagos de Seguro Social.
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
       
      
   
   
   
      
      - 
         
BGN plus BLN (possessive)
         
         Spanish
         
         De BGN plus BLN
         
       
      
   
   
       Choice 2
   
   
      
      - 
         
English
         
         your
         
         Spanish
         
         suyo
         
       
      
   
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         he
         
         Spanish
         
         él
         
       
      
   
   
       Choice 2
   
   
      
      - 
         
English
         
         she
         
         Spanish
         
         ella
         
       
      
   
   
        Choice 3
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (3) Choice 1
   
   
      
      - 
         
English
         
         receive
         
         Spanish
         
         null
         
       
      
   
   
       Choice 2
   
   
      
      - 
         
English
         
         receives
         
         Spanish
         
         null
         
       
      
   
   
    
   
   LVY017
   
   This UTI is the Statement of Exemptions and Filing Status to be included in the bene
      notice requesting to know the total exemptions being claimed so that SSA can determine
      if the Tax Levy amount requested by IRS can be withheld.
   
   
   Caption: None
   
   
   English
   
   STATEMENT OF EXEMPTIONS AND FILING STATUS
   
   (TO BE COMPLETED BY TAXPAYER)
   
   My filing status for my Income Tax Return is (check one):
   
   ____Single ____Married Filling a Joint Return
   
    
   
   ____Head of Household ____Qualifying Widow(er)
   
    
   
   ____Married Filling a Separate Return
   
    
   
   I also claim additional exemption(s) for:
   
    
   
   ____Age 65 ____Blind
   
    
   
   I certify that I can claim the people named below as personal exemptions on my income
      tax return and that none are claimed on another Notice of Levy. No one I have listed
      is my minor child to whom (as required by court or administrative order) I make support
      payments that are already exempt from levy. I understand the information I have provided
      may be verified by the Internal Revenue Service. Under penalties of perjury, I declare
      that this statement of exemptions and filing status is true.
   
   
   Name of dependents claimed as exemptions:
   
   Name Relationship Social Security Number
   
    
   
   __________________ ______________ _____________________
   
    
   
   __________________ ______________ _____________________
   
    
   
   __________________ ______________ _____________________
   
    
   
   __________________ ______________ ______________________
   
    
   
   __________________ _______________ ______________________
   
    
   
   __________________ _______________ ______________________
   
    
   
   __________________ ________________
   
   Taxpayer’s Signature Date
   
   SPANISH
   
   This UTI will be in English only
   
    
   
   LVY018
   
   This UTI advises the beneficiary/payee that we will no longer withhold for tax levy
      because IRS has sent a Release of Levy or no benefits are payable or exemptions are
      greater than the MBP.
   
   
   Caption: None
   
   
   English
   
   The Internal Revenue Service (IRS) will no longer take money out of (1) monthly payment
      because (2) no longer (3) IRS any money.
   
   
   Spanish
   
   El Servicio de Impuestos Internos (IRS, siglas en inglés) ya no deducirá dinero del
      pago mensual de (1) porque (2) ya no (3) le debe dinero al IRS.
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         your
         
         Spanish
         
         null
         
       
      
   
   
   (2)  Choice 1
   
   
      
      - 
         
English
         
         he
         
         Spanish
         
         él
         
       
      
   
   
         Choice 2
   
   
      
      - 
         
English
         
         she
         
         Spanish
         
         ella
         
       
      
   
   
        Choice 3
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (3) Choice 1
   
   
      
      - 
         
English
         
         owe
         
         Spanish
         
         null
         
       
      
   
   
       Choice 2
   
   
      
      - 
         
English
         
         owes
         
         Spanish
         
         null
         
       
      
   
   
    
   
   LVY040
   
   This UTI advises IRS that we will increase the monthly benefit and increase the amount
      withheld for Tax Levy
   
   
   Caption: None
   
   
   English
   
   We are increasing (1) Social Security payments beginning (2). Therefore, we will also
      increase the amount we take from each monthly payment to collect what (3) owes IRS.
   
   
   Spanish
   
   Estamos aumentando los pagos de Seguro Social de (1) comenzando en (2). Por lo tanto,
      también aumentaremos la cantidad que deducimos de cada pago mensual para cobrar lo
      que (3) le debe al IRS.
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN possessive
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (2) MM/CCYY
   
   (3) Choice 1
   
   
      
      - 
         
English
         
         he
         
         Spanish
         
         él
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         she
         
         Spanish
         
         ella
         
       
      
   
   
    
   
   LVY041
   
   This UTI advises IRS that we will decrease the monthly benefit and decrease the amount
      withheld for Tax Levy
   
   
   Caption:
         Used under caption “What We Plan To Do”
   
   
   English
   
   We are reducing (1) Social Security payments beginning (2). Therefore, we will also
      decrease the amount we take from each monthly payment to collect what (3) owes IRS.
   
   
   Spanish
   
   Estamos reduciendo los pagos de Seguro Social de (1) comenzando en (2). Por lo tanto,
      también reduciremos la cantidad que deducimos de cada pago mensual para cobrar lo
      que (3) le debe al IRS.
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN possessive
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (2) MM/CCYY
   
   (3)Choice 1
   
   
      
      - 
         
English
         
         he
         
         Spanish
         
         él
         
       
      
   
   
       Choice 2
   
   
      
      - 
         
English
         
         she
         
         Spanish
         
         ella
         
       
      
   
   
    
   
   LVY042
   
   This UTI advises the payee/beneficiary that the MBA has increased and the new amount
      to be withheld each month for Tax Levy.
   
   
   Caption: Used under caption “What We Will Take Out”
   
   
   English
   
   We are increasing (1) Social Security payments beginning (2). Therefore, we will also
      increase the amount we take from each monthly payment to collect what (3) (4) IRS.
   
   
   Spanish
   
   Estamos aumentando la cantidad de los pagos de Seguro Social de (1) comenzando en
      (2). Por lo tanto, también aumentaremos la cantidad que deducimos de cada pago mensual
      para cobrar lo que (3) (4) le debe al IRS.
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN possessive
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         your
         
         Spanish
         
         usted
         
       
      
   
   
   (2)  MM/CCYY
   
   (3) Choice 1
   
   
      
      - 
         
English
         
         he
         
         Spanish
         
         él
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         she
         
         Spanish
         
         ella
         
       
      
   
   
        Choice 3
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (4) Choice 1
   
   
      
      - 
         
English
         
         owes
         
         Spanish
         
         null
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English 
         
         owe
         
         Spanish
         
         null
         
       
      
   
   
    
   
   LVY043
   
   This UTI advises the payee/beneficiary that the MBA has decreased and the new amount
      to be withheld each month for Tax Levy.
   
   
   Caption:
         Used under caption “What We Will Take Out”
   
   
   English
   
   We are reducing (1) Social Security payments beginning (2). Therefore, we will also
      decrease the amount we take from each monthly payment to collect what (3) (4) IRS.
   
   
   Spanish
   
   Estamos reduciendo la cantidad de pagos de Seguro Social de (1) comenzando en (2).
      Por lo tanto, también reduciremos la cantidad de dinero que deducimos de cada pago
      mensual para cobrar lo que (3) (4) debe al IRS.
   
   
   FILL-INS
   
   (1) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN possessive
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
         Choice 2
   
   
      
      - 
         
English
         
         your
         
         Spanish
         
         usted
         
       
      
   
   
   (2) MM/CCYY
   
   (3) Choice 1
   
   
      
      - 
         
English
         
         he
         
         Spanish
         
         él
         
       
      
   
   
       Choice 2
   
   
      
      - 
         
English
         
         she
         
         Spanish
         
         ella
         
       
      
   
   
       Choice 3
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (4)  Choice 1
   
   
      
      - 
         
English
         
         owes
         
         Spanish
         
         null
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         owe
         
         Spanish 
         
         null
         
       
      
   
   
    
   
   LVY044
   
   This UTI is used when we pay a PMA and Tax Levy withholding data is on the data base.
      It advises the beneficiary/payee of the amount of Tax Levy we will withhold from the
      PMA Check
   
   
   Caption:
         Used under caption “What We Plan To Do”
   
   
   English
   
   IRS asked us to take (1) from any retroactive payments (2) (2) (3) due to pay IRS.
      We withheld (4) from the payment (5) will receive around (6). You will receive another
      letter showing the payment amount (7) will receive.
   
   
   Spanish
   
   El IRS nos pidió que dedujéramos (1) de cualquier pago retroactivo que se le debe
      a (2) (3) para pagarle al IRS. Retuvimos (4) del pago que (5) recibirá alrededor de
      (6). Usted recibirá otra carta declarando la cantidad que (7) recibirá.
   
   
   FILL-INS
   
   (1) Amount
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (3)  Choice 1
   
   
      
      - 
         
English
         
         is
         
         Spanish
         
         null
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         are
         
         Spanish
         
         null
         
       
      
   
   
   (4) Amount of withholding from the PMA for Tax Levy
   
   (5) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (6) MM/DD/CCYY that payment will be received (business day plus 7 days)
   
   (7) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
    
   
   LVY045
   
   This UTI is used when we pay a PMA and Tax Levy withholding data is on the data base.
      It advises IRS of the amount of Tax Levy we will withhold from the PMA Check
   
   
   Caption: Used under caption “What We Plan To Do”
   
   
   English
   
   You asked us to take (1) from any retroactive payments (2) is due to pay IRS. We withheld
      (3) from the payment (4) will receive around (5).
   
   
   Spanish
   
   Usted nos pidió que dedujéramos (1) del cualquier pago retroactivo que se le deba
      a (2) para pagar al IRS. Retuvimos (3) del pago que (4) recibirá alrededor de (5).
   
   
   FILL-INS
   
   (1) Amount
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (3) Amount of withholding from the PMA for Tax Levy
   
   (4) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (5) MM/DD/CCYY that payment will be received (business day plus 7 days)
   
    
   
   LVY046
   
   This UTI is used when we pay a CMA and Tax Levy withholding data is on the data base.
      It advises IRS of the amount of Tax Levy we will withhold from the CMA payment.
   
   
   Caption:
         Used under caption “What We Plan To Do”
   
   
   English
   
   You asked us to take (1) from each monthly payment (2) is due to pay IRS. We withheld
      (3) from the payment (4) will receive around (5
   
   
   Spanish
   
   Usted nos pidió que dedujéramos (1) de cada pago mensual que se le debe a (2) para
      pagarle al IRS. Retuvimos (3) del pago que (4) recibirá alrededor de (5).
   
   
   FILL-INS
   
   (1) Amount of Tax Levy withheld from the CMA payment
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (3) Amount of withholding for Tax Levy from CMA
   
   (4) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (5) MM/DD/CCYY that CMA payment will be received
   
    
   
   LVY047
   
   This UTI is used when we pay a CMA and Tax Levy withholding data is on the data base.
      It advises the beneficiary/payee of the amount of Tax Levy we will withhold from the
      CMA payment.
   
   
   Caption: Used under caption “What We Plan To Do”
   
   
   English
   
   IRS asked us to take (1) from each monthly payment (2) (3) due to pay IRS. We withheld
      (4) from the payment (5) will receive around (6). You will receive another letter
      showing the payment (7) will receive.
   
   
   Spanish
   
   El IRS nos pidió que dedujéramos (1) de cada pago mensual que se le debe a (2) (3)
      para pagarle al IRS. Retuvimos (4) del pago que (5) recibirá alrededor de (6). Usted
      recibirá otra carta declarando el pago que (7) recibirá.
   
   
   FILL-INS
   
   (1) Amount of Tax Levy withheld from the CMA payment
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
         Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (3) Choice 1
   
   
      
      - 
         
English
         
         is
         
         Spanish
         
         null
         
       
      
   
   
         Choice 2
   
   
      
      - 
         
English
         
         are
         
         Spanish
         
         null
         
       
      
   
   
   (4) Amount of withholding for Tax Levy from CMA
   
   (5) Choice 1
   
   
      
      - 
         
English
         
         he
         
         Spanish
         
         él
         
       
      
   
   
         Choice 2
   
   
      
      - 
         
English
         
         she
         
         Spanish
         
         ella
         
       
      
   
   
         Choice 3
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (6) MM/DD/CCYY that CMA payment will be received
   
   (7) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
         Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
    
   
   LVY048
   
   This UTI is used when the ongoing monthly Tax Levy withholding is being changed. It
      advises the beneficiary of the amount of Tax Levy we will withhold each month
   
   
   Caption:
         Used under caption “What We Plan To Do”
   
   
   English
   
   IRS asked us to take (1) from each monthly payment (2) (3) due to pay IRS. We will
      withhold (4) beginning (5). You will receive another letter showing the payment amount
      (6) will receive.
   
   
   Spanish
   
   El IRS nos pidió que dedujéramos (1) de cada pago mensual que se le debe a (2)(3)
      para pagar al IRS. Retendremos (4) comenzando en (5). Usted recibirá otra carta indicando
      el pago que (6) recibirá.
   
   
   FILL-IN
   
   (1)Amount of Tax Levy withheld from ongoing MBP
   
   (2)Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
          Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (3) Choice 1
   
   
      
      - 
         
English
         
         is
         
         Spanish
         
         null
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         are
         
         Spanish
         
         null
         
       
      
   
   
   (4) Amount of withholding for Tax Levy from ongoing MBP
   
   (5) MM/CCYY that ongoing monthly withholding amount was changed
   
   (6)Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
    
   
   LVY049
   
   This UTI is used when the ongoing monthly Tax Levy withholding is being changed. It
      advises IRS of the amount of Tax Levy we will withhold each month
   
   
   Caption:
         Used under caption “What We Plan To Do”
   
   
   English
   
   You asked us to take (1) from each monthly payment (2) is due to pay IRS. We will
      withhold (3) beginning (4).
   
   
   Spanish
   
   Usted nos pidió que dedujéramos (1) de cada pago mensual que se le debe a (2) para
      pagarle al IRS. Retendremos (3) comenzando en (4).
   
   
   FILL-INS
   
   (1)Amount of Tax Levy withheld from ongoing MBP
   
   (2) Choice 1
   
   
      
      - 
         
English
         
       
      
   
   
   
      
      - 
         
BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (3) Amount of withholding for garnishment from ongoing MBP
   
   (4) MM/CCYY that ongoing monthly withholding amount was changed
   
    
   
   LVY050
   
   This UTI is used when we pay a PMA, CMA and change the ongoing MBP and Tax Levy withholding
      data is on the data base. It advises IRS of the amount of Tax Levy we will withhold
      from the PMA, CMA and ongoing MBP
   
   
   Caption:
         Used under caption “What We Plan To Do”
   
   
   English
   
   You asked us to take (1) from any retroactive payments (2) is due to pay IRS. You
      also asked us to take (3) from each monthly payment. We withheld (4) from the payment
      (5) will receive around (6) and (7) from the payment (8) will receive around (9) and
      (10) from the monthly payments beginning (11).
   
   
   Spanish
   
   Usted nos pidió que dedujéramos (1) de cualquier pago retroactivo que se le deba a
      (2) para pagarle al IRS. Usted también nos pidió que dedujéramos (3) de cada pago
      mensual. Retuvimos (4) del pago que (5) recibirá alrededor de (6) y (7) del pago que
      (8) recibirá alrededor de (9) y (10) de los pagos mensuales comenzando en (11).
   
   
   FILL-INS
   
   (1) Amount of Tax Levy being withheld from the PMA payment
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (3)Amount of Tax Levy withholding from MBP payment
   
   (4) Amount of Tax Levy withholding from PMA payment
   
   (5)Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (6) MM/DD/CCYY that PMA payment will be received (business day plus 7 days)
   
   (7) Amount of garnishment withholding from CMA payment
   
   (8) Choice 1
   
   
      
      - 
         
English
         
         he
         
         Spanish
         
         él
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         she
         
         Spanish
         
         ella
         
       
      
   
   
   (9)MM/DD/YYYY that CMA payment will be made
   
   (10) Amount of Tax Levy withholding from ongoing MBP
   
   (11) MM/YYYY that ongoing MBP will reflect Tax Levy withholding
   
    
   
   LVY051 
   
   This UTI is used when we pay a PMA, CMA and change the ongoing MBP and Tax Levy withholding
      data is on the data base. It advises the beneficiary/payee of the amount of Tax Levy
      we will withhold from the PMA, CMA and ongoing MBP.
   
   
   Caption: Used under caption “What We Plan To Do”
   
   
   English
   
   IRS asked us to take (1) from any retroactive payments (2) (3) due to pay IRS. IRS
      also asked us to take (4) from each monthly payment. We withheld (5) from the payment
      (6) will receive around (7) and (8) from the payment (9) will receive around (10)
      and (11) from the monthly payments beginning (12). You will receive another letter
      showing the payment amounts (13) will receive.
   
   
   Spanish
   
   El IRS nos pidió que dedujéramos (1) de cualquier pago retroactivo que se le deba
      a (2) (3) para pagarle al IRS. El IRS también nos pidió que dedujéramos (4) de cada
      pago mensual. Retuvimos (5) del pago que (6) recibirá alrededor de (7) y (8) del pago
      que (9) recibirá alrededor de (10) y (11) de los pagos mensuales comenzando en (12).
      Usted recibirá otra carta indicando la cantidad que (13) recibirá.
   
   
   FILL-INS
   
   (1) Amount of Tax Levy being withheld from the PMA payment
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (3) Choice 1
   
   
      
      - 
         
English
         
         is
         
         Spanish
         
         null
         
       
      
   
   
       Choice 2
   
   
      
      - 
         
English
         
         are
         
         Spanish
         
         null
         
       
      
   
   
   (4) Amount of Tax Levy being withheld from the MBP payment
   
   (5) Amount of Tax Levy being withheld from PMA
   
   (6) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (7) MM/DD/CCYY that PMA payment will be received (business day plus 7 days)
   
   (8) Amount of Tax Levy withholding from CMA
   
   (9) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (10) MM/DD/YYYY that CMA payment will be received
   
   (11) Amount of Tax Levy withholding from ongoing MBP
   
   (12) MM/YYYY that ongoing withholding amount will begin
   
   (13) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
          Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
          
         
       
      
   
   
   LVY052 
   
   This UTI is used when a CMA is being paid and the ongoing MBP is changing. It advises
      the bene/payee of the amount of Tax Levy we will withhold from the CMA payment and
      the amount to be withheld from the ongoing MBP.
   
   
   Caption:
         Used under caption “What We Plan To Do”
   
   
   English
   
   IRS asked us to take (1) from each monthly payment (2) (3) due to pay IRS. We withheld
      (4) from the payment (5) will receive around (6). After that we will withhold (7)
      each month. You will receive another letter showing the payment amount (8) will receive.
   
   
   Spanish
   
   El IRS nos pidió que dedujéramos (1) de cada pago mensual que se le deba a (2) (3)
      para pagarle al IRS. Retuvimos (4) del pago que (5) recibirá alrededor de (6). Después,
      retendremos (7) cada mes. Usted recibirá otra carta indicando la cantidad del pago
      que (8) recibirá.
   
   
   FILL-INS
   
   (1) Show the amount in data element MBP_WHLDG_AMT in table CANCTRL
   
   (2) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (3) Choice 1
   
   
      
      - 
         
English
         
         is
         
         Spanish
         
         null
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         are
         
         Spanish
         
         null
         
       
      
   
   
   (4) Amount of Tax Levy withholding from CMA payment
   
   (5) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
        Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
   (6) MM/DD/YYYY that CMA payment will be paid
   
   (7) Amount of Tax Levy withholding from ongoing MBP
   
   (8) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
          Choice 2
   
   
      
      - 
         
English
         
         you
         
         Spanish
         
         usted
         
       
      
   
   
    
   
   LVY053
   
   This UTI is used when a CMA is being paid and the ongoing MBP is changing. It advises
      the IRS of the amount of Tax Levy we will withhold from the CMA payment and the amount
      to be withheld from the ongoing MBP.
   
   
   Caption: Used under caption “What We Plan To Do”
   
   
   English
   
   You asked us to take (1) from each monthly payment (2) is due to pay IRS. We withheld
      (3) from the payment (4) will receive around (5). After that we will withhold (6)
      each month.
   
   
   Spanish
   
   Usted nos pidió que dedujéramos (1) de cada pago mensual de (2) que usted recibe para
      pagarle al IRS. Retuvimos (3) del pago que (4) recibirá alrededor del (5). Continuaremos
      reteniendo (6) cada mes.
   
   
   FILL-INS
   
   (1) Amount of Tax Levy being withheld from the MBP
   
   (2)Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (3) Amount of Tax Levy withholding from CMA
   
   (4) Choice 1
   
   
      
      - 
         
English
         
         BGN plus BLN
         
         Spanish
         
         BGN plus BLN
         
       
      
   
   
   (5) MM/DD/YYYY that CMA payment will be received
   
   (6) Amount of Tax Levy withholding from ongoing MBP