SSN:

We are writing to you about court order number (1) . We will no longer take the money out of (2) monthly Social Security payments because (3) . The $ (4) that we sent you in (5) is the last payment due.

(6)

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

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  The PSC will send this letter when garnishment ends.

   

• •

  Fill-ins:

  1. (1) 

     case/civil action number

  2. (2) 

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

  3. (3) 

     Choice 1 - “this individual is not currently receiving Social Security payments.”

     Choice 2 - “you recently ordered that we no longer withhold this money.”

     Choice 3 - “this individual has paid the full amount that the court order required.”

  4. (4) 

     dollar amount of last payment

  5. (5) 

     month and year

  6. (6) 

     Use the sentence below only when using choice 1 of fill-in 3:

     “If this individual receives benefits again, we will need a new court order before we can resume withholding money for child support, alimony, or court ordered victim restitution.”