We are writing to you about court order number (1) . We have stopped sending the money that we take out of (2) monthly Social Security payments to (3) because (4) .

The $ (5) that we sent (6) in (7) is the last payment that we plan to forward until we have more information.

If you have any questions, please write to us at the above address.

Enclosure:

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  The PSC will send this notice when garnishment has been suspended.

   

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  Fill-ins:

  1. (1) 

     case/civil action number

  2. (2) 

     beneficiary's name, possessive in format: John Smith's

  3. (3) 

     name of receiver of garnishment payments

  4. (4) 

     Choice 1 -

     we believe (name of person that the garnished payment supports) may have died.

     Choice 2 -

     we believe (name of receiver of garnishment payments) has a different address.

     Choice 3 -

     (Any other reason that we might stop forwarding the payments)

     NOTE: A manual review of the letter is necessary with choice three.

  5. (5) 

     dollar amount of last payment

  6. (6) 

     name of receiver of garnishment payments

  7. (7) 

     month and year