TN 3 (05-92)

NL 00803.145 Completed Field Office Manually Prepared Version of the SSA-L8172-U3 Notice of Overpayment

EXAMPLE

This Notice of Overpayment requests refund from a former recipient of an overpayment due to the recipient's pension income. Since the former recipient receives a title II check and lives in a State where cross- program recovery is allowed, the notice also offers this repayment option.

NOTE: We have included the numbers of the paragraphs we used in the left margin.

Example: Completed Field Office Manually Prepared Version of the SSA-L8172-U3 Notice of Overpayment

G-NL 00803.145-1

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Example: Completed Field Office Manually Prepared Version of the SSA-L8172-U3 Notice of Overpayment

G-NL 00803.145-2

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Example: Completed Field Office Manually Prepared Version of the SSA-L8172-U3 Notice of Overpayment

G-NL 00803.145-3

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Example: Completed Field Office Manually Prepared Version of the SSA-L8172-U3 Notice of Overpayment

G-NL 00803.145-4

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Example: Completed Field Office Manually Prepared Version of the SSA-L8172-U3 Notice of Overpayment

G-NL 00803.145-5

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To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900803145
NL 00803.145 - Completed Field Office Manually Prepared Version of the SSA-L8172-U3 Notice of Overpayment - 04/07/1999
Batch run: 01/27/2009
Rev:04/07/1999