NL 00720: Manual Adjustment, Credit and Award Process (MADCAP) Beneficiary Notice Print Program
BASIC (05-11)
SEI006 SELF-EMPLOYMENT DETERMINATION SSA-7000-U5 PREPARED (C12)
(Requested)
Caption: Information About Work and Earnings
We will send a copy of our decision about (1) self-employment earnings to the Internal Revenue Service. They will make any changes that are needed to the tax record.
Fill-in values:
Fill-in (1) System Generated
Choice 1: Beneficiary's name possessive
Choice 2: your
SEIR02 SEI DETERMINATION PENDING (E02)
(Requested)
Caption: Your Benefits
We have not decided whether your income for (1) was self-employment income. We will let you know as soon as we make this decision. If we decide that it was self-employment income, we will also tell you if it will increase your benefit.
Fill-in values:
Fill-in (1) Requested As A Date In Format Shown Below
Month(s) and year(s) of incorrect payment in MM/CCYY or MM/CCYY AND MM/CCYY or MM/CCYY through MM/CCYY format
SEIR03 SEI EXCLUDED BECAUSE OF STATUTE OF LIMITATIONS (E03)
(Requested)
Caption: Your Benefits
We could not use (1) income from self-employment for (2) because a Federal tax return to report it was not filed on time. To be considered on time, tax returns have to be filed within 3 years, 3 months, and 15 days from the end of the taxable year.
Fill-in values:
Fill-in (1) System Generated
Choice 1: Beneficiary's name possessive
Choice 2: your
Fill-in (2) Requested As A Date In Format Shown Below
Month(s) and year(s) of incorrect payment in MM/CCYY or MM/CCYY AND MM/CCYY or MM/CCYY through MM/CCYY format
SEIR04 REQUESTED EVIDENCE OF SEI NOT SUBMITTED (E04)
(Requested)
Caption: Your Benefits
We asked you for proof of (1) income from self-employment for (2) . We have not considered this income because (3) (4) not given us the proof we asked for.
Fill-in values:
Fill-in (1) System Generated
Choice 1: Beneficiary's name possessive
Choice 2: your
Fill-in (2) Requested As A Date In Format Shown Below
Month(s) and year(s) of incorrect payment in MM/CCYY or MM/CCYY AND MM/CCYY or MM/CCYY through MM/CCYY format
Fill-in (3) System Generated
Choice 1: you
Choice 2: he
Choice 3: she
Fill-in (4) System Generated
Choice 1: have not
Choice 2: has not
SEIR06 SELF EMPLOYMENT (E06)
(Requested)
Caption: Your Benefits
We will send a copy of our decision about (1) self-employment earnings to the Internal Revenue Service. They will make any changes that are needed to the tax record.
Fill-in values:
Fill-in (1) Systems Generated
Choice 1: Beneficiary's name possessive
Choice 2: your
SEIR07 SEI REDUCED TO LESS THAN $400.00 (E07)
(Requested)
Caption: Your Benefits
Net income from self-employment of less than $400 per year is not considered earnings for Social Security purposes. Since we reduced your self-employment income for (1) to less than $400, it does not count as Social Security earnings.
Fill-in values:
Fill-in (1) Requested As A Date In Format Shown Below
MM/CCYY