We are writing to tell you that we plan to (1) (2) Social Security benefits because we learned that (3) (4) (5) payments. We received this information (6) . Based on the information we have, we should have (7) the Social Security benefits beginning (8) .
What You Can Do
(9)
If you know that our information is wrong, please let us know right away. We cannot
use this information to change Social Security benefits until we give you time to
check it. You will also need to give us any proof you have that shows that our information
is wrong.
If We Do Not Hear From You
If we do not hear from you within (10) days from the date of this letter, we will assume the information in this letter
is correct and use it to (11) (12) benefits.
We will send another letter at this time. It will explain the change in (13) benefits, the amount of any overpayment, and how to appeal our decision.
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You will have 60 days to ask for an appeal.
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The 60 days will start the day after you receive the next letter.
If You Have Any Questions
3901C