Personal Interview - Intranet Screens (field office or National 800 Number)

Domestic Direct Deposit Application

Single Payment System Screens 1

Personal Interview - Intranet Screens (field office or National 800 Number)

OMB: 0960-0634

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Single Payment System (SPS) / Direct Deposit: Screen Package

Table of Contents






































SINGLE PAYMENT SYSTEM SCREENS


PAYMENTS OUTSIDE TITLE II SYSTEM – 1.1


LnNo

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234567890123456789012345678901234567890123456789012345678901234567890123456789

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0

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SPS PAYMENTS OUTSIDE TITLE II SYSTEM POT

s

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0



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l

*SELECT ONE OF THE FOLLOWING: X


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u



5

m

1=SINGLE PAYMENT SYSTEM 2=SINGLE PAYMENT SYSTEM PENDING LIST


6

n



7

*

3=GARNISHMENT SYSTEM 4=IRS TAX LEVY SYSTEM


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o



9

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5=APPOINTED REPRESENTATIVE DIRECT PAY 6=ATTORNEY 1099 MAIN MENU.


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e



11


7=CPS (FUTURE USE - DARKENED ON SCREEN)


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14

s

SELECTION #7 IS FOR FUTURE USE AND WILL BE DARKENED ON THE MENU UNTIL AVAILABL

E

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d



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PF1 HELP AVAILABLE


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**************(line 23 reserved for applications information)*****************


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**************(Line 24 Reserved for Operating Systems Information)***********



SCREEN FR MSOM
























SINGLE PAYMENT SYSTEM SCREENS


SINGLE PAYMENT SYSTEM MENU-1.2


LnNo

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234567890123456789012345678901234567890123456789012345678901234567890123456789

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0

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SPS SINGLE PAYMENT SYSTEM MENU SPSM


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NUMBER HOLDER SSN: XXXXXXXXX


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APPOINTED REPRESENTATIVE SSN: XXXXXXXXX


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m



6

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*SELECT ONE OF THE FOLLOWING: X


7

*



8

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1=ATTORNEY FEE PAYMENT 2=MISCELLANEOUS PAYMENT


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3=FULL ACCOUNT QUERY 4=APPOINTED REPRESENTATIVE QUERY.


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s



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PF1 HELP AVAILABLE


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**************(line 23 reserved for applications information)*****************


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**************(Line 24 Reserved for Operating Systems Information)***********



SCREEN FR MSOM



SINGLE PAYMENT SYSTEM SCREENS


PAYMENT TRANSACTION MENU - 1.3


LnNo

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1 2 3 4 5 6 7 7

234567890123456789012345678901234567890123456789012345678901234567890123456789

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0

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SPS PAYMENT TRANSACTION MENU SPPT


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3

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NUMBER HOLDER SSN: SSSSSSSSS


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FIRST NAME: SSSSSSSSSSSSSSS MIDDLE NAME: SSSSSSSSSSSSSSS


5

m

LAST NAME: SSSSSSSSSSSSSSSSSSSS SUFFIX: SSSS


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7

*

*CHOOSE OPTION: X


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1=ESTABLISH PAYMENT 2=UPDATE 3=QUERY 4=REISSUE CHECK


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5=SECOND SIGNOFF 6=THIRD SIGNOFF 7=DELETE.


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e



11


SELECT PAYMENT OR PAYMENTS (X)


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PIC PAYEE LEGEND PAYMENT STATUS DATE PAYMENT SELECT:


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SS SSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSS SS/SS/SS SSSSS.SS X


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s

SS SSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSS SS/SS/SS SSSSS.SS X


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SS SSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSS SS/SS/SS SSSSS.SS X


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SS SSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSS SS/SS/SS SSSSS.SS X


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SS SSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSS SS/SS/SS SSSSS.SS X


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SS SSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSS SS/SS/SS SSSSS.SS X


19

d

SS SSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSS SS/SS/SS SSSSS.SS X


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SS SSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSS SS/SS/SS SSSSS.SS X


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SS SSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSS SS/SS/SS SSSSS.SS X


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PF1 HELP AVAILABLE MORE(Y/N):P


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**************(line 23 reserved for applications information)*****************


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**************(Line 24 Reserved for Operating Systems Information)***********



SCREEN FR MSOM























SINGLE PAYMENT SYSTEM SCREENS


SINGLE PAYMENT-SYSTEMS GENERATED ATTORNEY FEE PAYMENT(SPAY)


LnNo

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234567890123456789012345678901234567890123456789012345678901234567890123456789

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SPS ATTORNEY FEE PAYMENT SPAY


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SSN: SSSSSSSSS PIC: SS PAYMENT STATUS: SSSSSSSSSSSSSSS DATE: SS/SS/SSSS


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*TRUST FUND (D/R): P FAV DECISION DATE:MMDDYYYY CLIENT PIC:SS


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7

*

*PROGRAM SERVICE CENTER: 9 PHONE: SSSSSSSSSSSSSSS TYPE(D/F): S


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PNA1: SSSSSSSSSSSSSSSSSSSSSS PNA2: SSSSSSSSSSSSSSSSSSSSSS


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PNA3: SSSSSSSSSSSSSSSSSSSSSS PNA4: SSSSSSSSSSSSSSSSSSSSSS


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PNA5: SSSSSSSSSSSSSSSSSSSSSS PNA6: SSSSSSSSSSSSSSSSSSSSSS


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ZIP: SSSSS


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13

e

ROUTING AND TRANSIT: SSSSSSSSS CHECK DIGIT: S DIRECT DEPOSIT CODE: S


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s

DEPOSITOR’S ACCOUNT NUMBER: SSSSSSSSSSSSSSSSS


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*SELECT FEE TYPE: P 1=FEE AGREEMENT 2-FEE PETITION.


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17

v

NUMBER OF DIRECT PAY APPOINTED REPS:SS NUMBER OF NONDIRECT PAY APPT REPS:99


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TOTAL FEE: 99999.99 ESCROW: 99999.99


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PIC: SS FEE: 99999.99


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REMARKS: _____________________________________________________________________

_

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PF1 HELP AVAILABLE REPEAT (Y/N): P


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**************(line 23 reserved for applications information)*****************


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**************(Line 24 Reserved for Operating Systems Information)***********


SCREEN FR MSOM

This screen displays all necessary information to make a payment to an attorney or eligible for direct payment non-attorney (EDPNA). If the attorney or EDPNA has elected to receive direct deposit, that data is also propagated and protected from the ARDB into the appropriate fields on the SPAY screen.

This screen allows for input of direct deposit routing transaction number, check digit, direct deposit code, depositor’s account number; check digit code and direct deposit code are propagated.









SINGLE PAYMENT SYSTEM SCREENS


MISCELLANEOUS PAYMENT SCREEN – 1.9


LnNo

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234567890123456789012345678901234567890123456789012345678901234567890123456789

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0

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SPS MISCELLANEOUS PAYMENT MPA

Y

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0



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SSN: SSSSSSSSS *PIC: XX PAYMENT STATUS: SSSSSSSSSSSSSSSSSSSS DATE: SS/SS/SSS

S

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5

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*TRUST FUND: (D/R) X *PROGRAM SERVICE CENTER: X *NET AMOUNT: 99999.99


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*LEGEND 1: XXXXXXXXXXXXXXXXXXXXXX LEGEND 2: XXXXXXXXXXXXXXXXXXXXXX


7

*

*ADDRESS 1: XXXXXXXXXXXXXXXXXXXXXX ADDRESS 2: XXXXXXXXXXXXXXXXXXXXXX


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*CITY: XXXXXXXXXXXXXXXXXXXXXX STATE: XX ZIP: XXXXX


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COUNTRY: XXXXXXXXXXXXXXXXXXXXXX CODE: XXX POSTAL ZONE: XXXXXXXXXXXXXXX


10

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ROUTING AND TRANSIT: XXXXXXXX CHECK DIGIT: X DIRECT DEPOSIT CODE: X


11


DEPOSITOR’S ACCOUNT NUMBER: XXXXXXXXXXXXXXXXX


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RECIPIENT INFORMATION - SSN: XXXXXXXXX PHONE: XXXXXXXXXXXXXXX TYPE:(D/F) X


13

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SUPPLEMENTAL SECURITY INCOME (Y/N): P FIRST NAME: XXX LAST NAME: XXXXX


14

s

DATE OF BIRTH: XXXXXXXX AMOUNT FOR THE SUPPLEMENTAL SECURITY RECORD: XXXXX.XX


15

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PAYMENT START (MMYYYY): XXXXXX PAYMENT STOP (MMYYYY): XXXXXX


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PAYMENT PRORATION: YEAR: PPPP AMOUNT: 99999.99 YEAR: PPPP AMOUNT: 99999.99


18

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YEAR: PPPP AMOUNT: 99999.99 YEAR: PPPP AMOUNT: 99999.99


19

d

YEAR: PPPP AMOUNT: 99999.99 OTHER TAX YEARS : 99999.99


20


NONTAX YEARS AMOUNT : 99999.99 ALIEN TAX AMOUNT: 99999.99


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REMARKS: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

X

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REPEAT (Y/N): P


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**************(line 23 reserved for applications information)*****************


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**************(Line 24 Reserved for Operating Systems Information)***********



SCREEN FR MSOM


This screen allows SPS to make miscellaneous payments and allows for input of direct deposit routing transaction number, check digit, direct deposit code, and depositor’s account number; check digit code and direct deposit code are propagated.

SINGLE PAYMENT SYSTEM SCREENS


ATTORNEY PAYMENT QUERY SCREEN – 1.10


LnNo

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234567890123456789012345678901234567890123456789012345678901234567890123456789

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SPS ATTORNEY PAYMENT QUERY APQY


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SSN: SSSSSSSSS PIC: SS PAYMENT STATUS: SSSSSSSSSSSSSSSSSSSS DATE: SS/SS/SSS

S

4

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TRUST FUND: S PROGRAM SERVICE CENTER: S PHONE: SSSSSSSSSSSSSSS


5

m

LEGEND 1: SSSSSSSSSSSSSSSSSSSSSS LEGEND 2: SSSSSSSSSSSSSSSSSSSSSS


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ADDRESS 1: SSSSSSSSSSSSSSSSSSSSSS ADDRESS 2: SSSSSSSSSSSSSSSSSSSSSS


7

*

ADDRESS 3: SSSSSSSSSSSSSSSSSSSSSS ADDRESS 4: SSSSSSSSSSSSSSSSSSSSSS


8

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CITY: SSSSSSSSSSSSSSSSSSSSSS STATE: SS ZIP: SSSSS ZIP 4: SSSS


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COUNTRY: SSSSSSSSSSSSSSSSSSSSSS CODE: SSS POSTAL ZONE: SSSSSSSSSSSSSSS


10

e



11


ROUTING AND TRANSIT: SSSSSSSS CHECK DIGIT CODE: S DIRECT DEPOSIT CODE: S


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DEPOSITOR’S ACCOUNT NUMBER: SSSSSSSSSSSSSSSSS


13

e

ATTORNEY TIN: SSSSSSSSS ATTORNEY TYPE: S ATTORNEY EIN: SSSSSSSSS(FUTURE ENTR

Y

14

s

FEE TYPE: S FEE AGREEMENT DATE: SSSSSSSS(FUTURE ENTRY)


15

e

FAV DECISION DATE: SS/SS/SSSS CLIENT PIC: S TOTAL FEE: SSSSS.SS


16

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THERE ARE: SS DIRECT PAY APPT REPS AND: SS NONDIRECT PAY REPS


17

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PAID DATE: SS/SS/SS NET AMOUNT: SSSSS.SS USER FEE: SSSS.SS ESCROW: SSSSS.S

S

18

e

DECISION STATUS: SS SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS


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d



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REMARKS: SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS

S

22


PF1 HELP AVAILABLE


23


**************(line 23 reserved for applications information)*****************


24


**************(Line 24 Reserved for Operating Systems Information)***********



SCREEN FR MSOM




This screen allows you to query the attorney or eligible direct payment non-attorney records that are updated to the SPS database for a specific SSN.

Screen allows for input of direct deposit routing transaction number, check digit code, direct deposit code, and depositor’s account number; check digit code and direct deposit are propagated.



















SINGLE PAYMENT SYSTEM SCREENS


MISCELLANEOUS PAYMENT QUERY SCREEN – 1.11


LnNo

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1

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234567890123456789012345678901234567890123456789012345678901234567890123456789

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0

1

C

SPS MISCELLANEOUS PAYMENT QUERY MPQY


2

0



3

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SSN: SSSSSSSSS PIC:SS PAYMENT STATUS: SSSSSSSSSSSSSSSSSSSS DATE: SS/SS/SSS

S

4

u

PAID DATE: SS/SS/SS NET AMOUNT: SSSSS.SS


5

m

TRUST FUND: S PROGRAM SERVICE CENTER: S PHONE: SSSSSSSSSSSSSSS


6

n

LEGEND 1: SSSSSSSSSSSSSSSSSSSSSS LEGEND 2: SSSSSSSSSSSSSSSSSSSSSS


7

*

ADDRESS 1: SSSSSSSSSSSSSSSSSSSSSS ADDRESS 2: SSSSSSSSSSSSSSSSSSSSSS


8

o

CITY: SSSSSSSSSSSSSSSSSSSSSS STATE: SS ZIP: SSSSS ZIPPLUS4: SSSS


9

n

COUNTRY: SSSSSSSSSSSSSSSSSSSSSS CODE: SSS POSTAL ZONE: SSSSSSSSSSSSSSS


10

e

ROUTING AND TRANSIT: SSSSSSSS CHECK DIGIT: S DIRECT DEPOSIT CODE: S


11


DEPOSITOR’S ACCOUNT NUMBER: SSSSSSSSSSSSSSSSS


12

r

RECIPIENT SSN: SSSSSSSSS SUPPLEMENTAL SECURITY INCOME: S


13

e

FIRST NAME: SSS LAST NAME: SSSSS


14

s

DATE OF BIRTH: SS/SS/SSSS CHARGEABLE INCOME: SSSSS.SS


15

e

PAYMENT START: SSSSSS PAYMENT STOP: SSSSSS


16

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PAYMENT PRORATION – SSSS : SSSSS.SS SSSS : SSSSS.SS SSSS : SSSSS.SS


17

v

SSSS : SSSSS.SS SSSS : SSSSS.SS OTHER TAX YEARS : SSSSS.SS


18

e

NONTAX YEARS AMOUNT: SSSSS.SS ALIEN TAX AMOUNT: SSSSS.SS


19

d

DECISION STATUS: SS SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS


20


REMARKS: SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS

S

21




22




23


**************(line 23 reserved for applications information)*****************


24


**************(Line 24 Reserved for Operating Systems Information)***********



SCREEN FR MSOM


This screen allows the technician or manager to query the miscellaneous records that have been updated to SPS for a specific SSN. This screen allows for input of direct deposit routing and routing transaction number, check digit code, direct deposit code, and depositor’s account number; check digit code and direct deposit are propagated.



File Typeapplication/msword
Author297862
Last Modified By297862
File Modified2012-07-17
File Created2012-07-17

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