NL: Notices, Letters and Paragraphs
TN 24 (12-17)
VTW001 General (Beneficiary's Requested Start Dates and Rates)
You asked that we withhold money from (1) benefits for voluntary Federal tax withholding. You want (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) .
Fill-ins:
(1) “your”/Beneficiary's Name possessive
(2) 7 percent/15 percent/28 percent/31 percent/null
(3) “withheld”/null
(4) “beginning”/“for”/null
(5) Date in the format September 1995/null
(6) “and”/“through”/null
(7) Date in the format September 1995/null
(8) “,”/and/null
(9) 7 percent/15 percent/28 percent/31 percent/null
(10) “withheld”/null
(11) “beginning”/“for”/null
(12) Date in the format September 1995/null
(13) “and”/“through”/null
(14) Date in the format September 1995/null
(15) “and”/null
(16) 7 percent/15 percent/28 percent/31 percent/null
(17) “withheld”/null
(18) “beginning”/null
(19) Date in the format September 1995/null
VTW002 Start Withholding (Current Benefits)
We will withhold $ (1) from (2) benefit for (3) . Thereafter, we will withhold $ (4) each month. (5) (6)
Fill-ins:
(1) Money fill-in
(2) “your”/Beneficiary's Name possessive
(3) Date fill-in
(4) Money fill-in
(5) “We will continue to withhold until”/null
(6) Date fill-in/null
VTW003 Voluntary Tax Withholding from PMA
We will withhold $ (1) from (2) next check. This check is the money (3) due through (4) .
Fill-ins:
(1) Money fill-in
(2) “your”/Beneficiary's Name possessive
(3) “you are”/“she is”/ “he is”
(4) Date fill-in
VTW004 Stopped Withholding but Resume in Future
We will not withhold money for voluntary Federal tax withholding from (1) monthly Social Security benefits beginning (2) through (3) .
Fill-ins:
(1) “your”/Beneficiary's Name possessive
(2) Date fill-in
(3) Date fill-in
VTW005 Not Enough for Withholding
Since the amount due (1) (2) (3) is not enough for voluntary Federal tax withholding, we cannot honor your request.
Fill-ins:
(1) “you”/Beneficiary's Name
(2) “through”/“for”/“from”/null
(3) Date fill-in
VTW006 Stopped Withholding
As you asked, we will stop voluntary Federal tax withholding from (1) monthly Social Security benefit beginning (2) .
Fill-ins:
(1) “your”/Beneficiary's Name possessive
(2) Date fill-in