We are writing to tell you about an incorrect Social Security payment which you have
received, and how you can pay this money back.
How The Incorrect Payment Happened
We deposited $ (1) into (2) bank account at (3) after (4) death on (5) . This money was not due (6) , because no check is due for the month of death or for later months. In this case,
we did not learn about the death in time to stop the payment from being incorrectly
deposited into the bank account.
We were unable to recover all of the incorrectly paid money from the joint account.
Since you withdrew $ (7) from the account, you owe this amount to us.
How To Pay Us Back
You should send us a check or money order for $ (8) , the amount you withdrew from the bank account. Make your check or money order out
to the Social Security Administration. Be sure to put the Social Security claim number,
which is shown above, on the check or money order. Please use the enclosed envelope
to mail it to us.
If You Have Any Questions
3901C
Enclosure:
Refund Envelope