We sent you $ (1) more in Social Security benefits for (2) than we should have.
(3) .
As representative payee, you are personally liable for repayment unless you used the
overpaid funds for the benefit of (4) and the overpayment was made through no fault of your own.
How To Pay Us Back
3103A
or
3104B
or
3102B
If You Think You Should Not Have To Pay Us Back
3100C
If You Disagree With The Decision
3108B
Enclosures:
SSA-3105
Refund envelope1
1 If the overpayment is less than the monthly payment, omit the refund envelope.