SSN:
We are writing to let you know that beginning (1) we will take less out of (2) Social Security payments to satisfy court order number (3) for child support, alimony, or court ordered victim restitution.
What We Will Take Out
You have given us proof that (4) a spouse and/or dependent child(ren) other than those named in the original court
order. Therefore, we will take out (5) from each monthly payment.
You will receive monthly benefit payments of $ (6) beginning around (7) .
If You Have Any Questions
3901C