NL: Notices, Letters and Paragraphs
BASIC (05-11)
UPT010 BENEFICIARY DUE MONEY (M14)
(Requested)
Caption: Your Benefits
Since (1) of (2) benefits were withheld, (3) due (4) .
Fill-in values:
Fill-in (1) - Requested As A One Position Alpha Character Or As A Money Amount In Format $$$$$.¢¢
Choice 1 (A): all
Choice 2: Amount
Fill-in (2) - Systems Generated
Choice 1: your
Choice 2: Beneficiary's name possessive
Fill-in (3) - Systems Generated
Choice 1: you are
Choice 2: he is
Choice 3: she is
Fill-in (4) - Requested As A Money Amount In Format $$$$$.¢¢
Amount