We are writing to ask for some information about (1) , who has direct deposit of (2) Social Security benefit payment with you. We are unable to locate (3) at the address we have in our records:

(4)

If we are unable to obtain a current address for (5) , we will stop (6) checks.

 

What We Need

Please provide the mailing address you have for (7) , (8) , in the space below, and return this letter in the enclosed envelope.

 

Customer's Current Mailing Address is:

 

.               

 

.               

 

.               

 

Right To Financial Privacy

A financial institution can provide the Social Security Administration with address information for a title II beneficiary without the person's consent. This conforms with the Right to Financial Privacy Act (12 U.S.C 3414 k.1).

 

If You Have Any Questions

If you have any questions, or do not have this information please let us know right away. Please include the Social Security claim number shown above in any letter you send us.

 

Enclosure:

Return Envelope

• •

  The FO or PC should send this letter to the Financial Institution where the beneficiary has a direct deposit when the beneficiary cannot be located.

  The bank account number must be included in the notice header by completing line 11 of model #CTFP. Since the claim number is now displayed as the Beneficiary Notice Control Number (BNC#) instead of the SSN, the Bank Account Number is essential for the financial institution to identify the account.

   

• •

  Fill-ins:

  1. (1) 

     name of beneficiary

  2. (2) 

     “his” or “her”

  3. (3) 

     “him” or “her”

  4. (4) 

     address shown in SSA records

  5. (5) 

     same as (1)

  6. (6) 

     same as (2)

  7. (7) 

     same as (1)

  8. (8) 

     claim number

The FO or PC should use FO or PC letterhead. Be sure to enclose a return envelope and include all eight fill-ins.