We are writing to let you know that your entitlement to benefits ended as of (1) . We based this on information that (2) became age 16 in (3) .
3927A
OR
3927B
Other Social Security benefits
3923A
OR
3923B
If you disagree with the decision1
ALS020
If you have any questions
3901D
1 If there is an overpayment, omit this paragraph.