POMS Reference

NL 00703: Exhibit and Dictated Letters

TN 33 (02-98)

Document Identifier: E3745

A. EXHIBIT LETTER

We are writing to you about the enclosed Notice of Levy. You asked us to take money out of the [1] for [2]. We are not withholding the amount requested in the Notice of Levy because [3][4].

If you have any questions, please write to us at the above address.

Enclosure:

Notice of Levy

Fill-ins:

[1]

Choice 1 -

Social Security payments

 

Choice 2 -

Black Lung payments

 

Choice 3 -

Social Security and Black Lung payments

(2)

full name of beneficiary as it appears on the Levy, in format: James L. Smith

[3]

last name of beneficiary, in format: Mr. Smith

[4]

Choice 1 -

does not currently receive any payments

 

Choice 2 -

has claimed exemptions that exceed the amount of the monthly payment

 

Choice 3 -

has a benefit amount that is lower than the lowest exemption allowed