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NL 00720: Manual Adjustment, Credit and Award Process (MADCAP) Beneficiary Notice Print Program

Effective Dates: 05/20/2011 - Present

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

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NL 00719: MADCAP Annotations of the MADCAP Input Form
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NL 007: Letters and Paragraphs for Title II, Title XVI, and Title XVIII
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NL 00722: Other Computer Generated Notices
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