We are writing to let you know that we are stopping your Social Security benefits
in
(1) . This is the check you would normally get about (2) . Your benefits are stopping because you told us that you are working and plan to
earn $ (3) during the year.
Information We Need From You
Let us know right away if the amount of money you expect to earn changes. We need
this information so that we can pay you the right amount of benefits.
Also, please read the enclosed pamphlet, “When You Get Social Security Retirement or Survivors Benefits...What You Need To Know.” It explains the kinds of things you need to tell us.
If You Have Any Questions
3901C
Enclosure:
SSA Pub. No. 05-10077