TN 31 (02-97)
Document Identifier for Word Processor: E3323
Since the amount due (1) (2) (3) is not enough for voluntary Federal tax withholding, we cannot honor your request.
If You Have Any Questions
3901C
Fill-ins:
Use this notice when withholding is requested but the MBP is less than the amount calculated for VTW. Use alone or with paragraph VTW001.
you; beneficiary's name
Choice 1 - through (when PMA or CMA)
Choice 2 - for (when CMA only)
Choice 3 - from (when MBP or CMA and MBP)
Choice 4 - null
Date in format May 1996 or null
Refer to NL 00703.005E for 3901C text and fill-ins.
Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Because the requested fill-ins and paragraphs may vary according to different situations, follow the requester's instructions carefully.