TN 36 (03-99)
NL 00703.920 Instructions for Inclusion of Overpayment Language in Termination Notices
If the termination action was processed later than the actual event date, causing
an overpayment to the terminated beneficiary or the representative payee, the termination
notice will require overpayment, refund/recovery, and waiver language. We indicate
on the exhibit where this language should be. Below we show what the language should
be for various situations.
All Termination Notices with an Overpayment will include paragraph 3922A, below.
3922A |
Since we could not stop (1) payments until (2) , you will have to pay back the money you got (3) for (4) . This overpayment totals $ (5) .
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Fill-ins:
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(1)
your; when representative payee involved, “Mr.” or “Ms.” last name possessive, if adult; if child, first name, possessive
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(2)
month we actually stopped payments
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(3)
for “Mr.” or “Ms.” last name if adult; for first name, if child; or omit if no payee
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(5)
total amount of overpayment (including taxes withheld from alien)
The refund/recovery and waiver/appeal language will depend on the situation. Every
overpayment letter must include one of the refund/recovery paragraphs and one of the
waiver paragraphs. All overpayment letters must include a refund envelope and Form
SSA-3105.
REFUND/RECOVERY PARAGRAPHS
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1.
TERMINATED BENEFICIARY RECEIVING BENEFITS FOR OTHER BENEFICIARY IN SAME HOUSEHOLD
— REFUND REQUESTED OR ADJUSTMENT PROPOSED —OVERPAYMENT MORE THAN MONTHLY PAYMENT—
3102A (See NL 00703.102)
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2.
TERMINATED BENEFICIARY RECEIVING BENEFITS FOR OTHER BENEFICIARY IN SAME HOUSEHOLD
— REFUND REQUESTED OR ADJUSTMENT PROPOSED —OVERPAYMENT MORE THAN MONTHLY PAYMENT —
ALIEN TAX WITHHOLDING INVOLVED
3103A (See NL 00703.103)
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3.
TERMINATED BENEFICIARY RECEIVING BENEFITS FOR OTHER BENEFICIARY IN SAME HOUSEHOLD
— OVERPAYMENT LESS THAN MONTHLY PAYMENT
3102B (See NL 00703.102)
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4.
TERMINATED BENEFICIARY RECEIVING BENEFITS FOR OTHER BENEFICIARY IN SAME HOUSEHOLD
— OVERPAYMENT EQUAL TO MONTHLY PAYMENT
3102C (See NL 00703.102)
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5.
TERMINATED BENEFICIARY RECEIVING BENEFITS FOR OTHER BENEFICIARY IN SAME HOUSEHOLD
— OVERPAYMENT LESS THAN MONTHLY PAYMENT — ALIEN TAX WITHHOLDING INVOLVED
3103B (See NL 00703.103)
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6.
TERMINATED BENEFICIARY RECEIVING BENEFITS FOR OTHER BENEFICIARY IN SAME HOUSEHOLD
— OVERPAYMENT EQUAL TO MONTHLY PAYMENT — ALIEN TAX WITHHOLDING INVOLVED
3103C (See NL 00703.103)
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Use fill in 3106A if the liable individual is receiving other program benefits (e.g.,
a person liable for repayment of a title II overpayment receives or title XVI payments).
Use 3100FC if the person is outside the U.S.
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8.
REFUND REQUESTED FROM TERMINATED BENEFICIARY — ALIEN TAX WITHHOLDING INVOLVED
3107B (See NL 00703.107)
3106A (See NL 00703.106)
Use fill-in 3106A if the liable individual is receiving other program benefits.
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