TN 31 (02-97)
Document Identifier for Word Processor: E3325
We withheld $ (1) too much from (2) Social Security benefits for voluntary Federal tax withholding. (3) We are sorry if our error caused you any inconvenience.
If You Have Any Questions
3901C
Fill-ins:
amount in excess of what we should have withheld
your; beneficiary's name, possessive in format
Choice 1 - To correct this error, we will begin withholding at the rate you requested. (When the error is in the current year.)
Choice 2 - To receive the money we withheld, you must contact the Internal Revenue Service. (When the error is in the prior year.)
Choice 3 - To correct this error, we will begin withholding at the rate you requested. To receive the $ (a) we withheld for the previous year, you must contact the Internal Revenue Service.
IRS amount
Choice 4 - We are refunding this amount to you. (When the error is in the current year and the person requests a refund.)
Refer to NL 00703.005E for 3901C text and fill-ins.
Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Because the requested fill-ins and paragraphs may vary according to different situations, follow the requester's instructions carefully.