NL: Notices, Letters and Paragraphs
TN 2 (09-11)
CFD003 REQUEST FOR CONSERVED FUNDS (T13)
(Requested/Generated)
Caption: If You Saved Any Money
While you were (1) payee, you may have saved some money for (2) . If you have, you should return it to us unless you have already made other plans with us for handling it. The money you will need to return includes:
Saved and invested benefits.
Interest earned from these savings and investments.
Money you have left over from any checks we sent you.
Any checks you might receive after the date of this letter.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name
Fill-in (2) - Systems Generated
Choice 1: him
Choice 2: her
CFD004 RETURN CONSERVED FUNDS
(Generated)
Caption: How To Pay Us Back
To do this, you can write us a check or money order. Make it out to the Social Security Administration. Be sure to write "Conserved Funds for (1) , (2) on that check or money order. Please mail it in the enclosed envelope.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Full Name
Fill-in (2) - Systems Generated
Choice 1: Claim Number and BIC (XXX-XX-XXXX HA)