The FO sends this notice when accrued benefits were withheld at the time benefits
were awarded and the withheld amount will now be paid to the representative payee
in monthly installments.
Fill-ins:
-
(1)
Name of beneficiary in the format, Joan Sands
-
(2)
First and last name of beneficiary, if child or adult.
-
(3)
Total amount of money due the beneficiary
-
(4)
First month and year accrued benefits were withheld in the format, May 1992
-
(5)
Last month and year accrued benefits were withheld
-
(6)
Amount to be paid in each installment
-
(7)
Month, day, year the first installment payment will be made in the format of August
3, 1993.
Optional Paragraph 3350A:
-
(1)
Beneficiary first name, if child; if adult, “Mr.” or “Ms.” with last name
Use paragraph 3350A when the type of payee code (TYP) is not SLM.
See NL 00703.005E. for 3901C and D text and fill-in.