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NL: Notices, Letters and Paragraphs

Effective Dates: 05/20/2011 - Present

BASIC (05-11)

LSP – LUMP SUM PAYMENT

LSP013 CHILDREN AWARDED SHARE OF THE LSDP (B80)

(Requested)

Caption: What We Will Pay

There are  (1)  children who were eligible for benefits on  (2)  Social Security record in the month  (3)  died. Each child is due an equal share of the lump-sum death payment. The amount we have shown above is  (4)  share.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: enter number of PICs in format two

Fill-in (2) - Systems Generated

Choice 1: number holder's fullname possessive

Fill-in (3) - Systems Generated

Choice 1: she

Choice 2: he

Fill-in (4) - Systems Generated

Choice 1: her

Choice 2: his

Choice 3: fullname possessive

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