NL: Notices, Letters and Paragraphs
TN 4 (08-12)
PMT001 PAYMENT DATE BASED ON DOB - PAYMENT CYCLING (G44)
(System Generated)
Caption: What We Will Pay
The day of the month you receive (1) payments depends on (2) date of birth.
Fill-in values:
Fill-in (1)
Choice 1: your
Choice 2: Beneficiary's Name possessive
Fill-in (2)
Choice 1: your
Choice 2: his
Choice 3: her
PMT002 CHANGE IN PAYMENT DATE - AUXILIARY OR SURVIVOR BECOMES ENTITLED ON DIFFERENT SSN OR OWN CLAIM (B65)
(Requested)
Caption: Your Benefits
Because (1) now entitled to benefits on a different Social Security record, the day you will receive (2) payment has changed.
Fill-in values: Systems Generated
Fill-in (1)
Choice 1: you are
Choice 2: Beneficiary's Name is
Fill-in (2)
Choice 1: your
Choice 2: his
Choice 3: her
PMT003 N/H AND ALL AUXILIARIES OR ALL SURVIVORS VOLUNTEER FOR PAYMENT CYCLING (B67)
(Requested)
Caption: Your Benefits
As requested, we are changing the day we make (1) monthly payments.
Fill-in values: Systems Generated
Fill-in (1)
Choice 1: Beneficiary name possessive
Choice 2: your
Choice 3: the children's
PMT017 PAYMENT CYCLE SHIFTED TO ANOTHER CYCLE (B66)
(Requested)
Caption: Your Benefits
We are changing the date we make (1) monthly payments. (2) new payment date will be the third of the month. We will also change the payment date of everyone on this record to the third of the month.
We must make payment on the third of the month when anyone on this record:
receives railroad retirement or Supplemental Security Income (SSI) payments,
has income or resources used to decide if someone else is eligible for SSI,
moves outside the U.S.,
has Medicare premiums paid by the State,
has payments garnished, or
is entitled on more than one record.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: your
Choice 2: Beneficiary's Name possessive
Fill-in (2) - Systems Generated
Choice 1: Your
Choice 2: His
Choice 3: Her
PMT027 (B90)
(System Generated)
Caption: Your Benefits
We are changing the day we make (1) monthly payments due to entitlement on more than one record.
Fill-in values:
Fill-in (1)
Choice 1: Beneficiary's Name possessive
Choice 2: your