Form SSA-L9778 Retirement, Survivors and Disability Insurance: Earnings

Annual Earnings Test-Direct Mail Follow-up Program Notices

SSA-L9778

Annual Earnings Test-Direct Mail Follow-up Program Notices; 20 CFR 404.452-.455

OMB: 0960-0369

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Social Security Administration
Retirement, Survivors and Disability Insurance
Important Information

Date:

w~

Claim Number:

*!)

I am writing to ask your help in making sure that we are paying you the correct
amount of Social Security benefits. W e need you t o give us current infomation
about your work.

.

Earlier, you told us that your earnings this year would be abou- 
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File Modified2006-10-04
File Created2006-10-04

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