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TRS 231
Rev.09'15
TEAC}iER RtrTIRE},1E}{T SYSTEX{ OF TEXAS
1000 Red River Street, Austin, Texas 78701-2698
'lelephone 1-800-***-****
www.trs.texas.gov
VER,IF CATION OF MOhITHLY PAYMEI{TS
The payee is a mem
07 /3L/03
CURRENT
GBOSS AMOUNT OF
MONTHLY PAYMENT
1005.85
r Of TRS.
rement Date
EFFECTIVE DATE OF
COMMENCEMENT OF PAYMENT
FROM . THROUGH
03 - FOR LIFE
*xR1087
TRS OPTION
MEM. BENEFICIARY
09
934*
EFFPCTIVE DATE
OF CURRENT
PAYMENT
os /30 /t3
r005,85 ross Total of A11 Monthly Payments
35.19 bal Federal Income Tax Withheld Monthly
* NONE- I Insurance Premium(s) Withheld Monthly
- NONE- Dues to Professional Organizations
97 0 .67
-
Amount of All Monthly Payments
EI}NA E SIMS
UNIT D
12339 W VI GE DR
i iilil it I rfi iirff iillt ilil ll l
02 /12 /L8
Date
I]DNA E SIMS
Name
453- 64-2184
Social Security Nutnber
This forrr is used
individual.
The person named abo currently receives the
ment System. Monthly nuity payments are
month for which the pa ment accrues.
provide inforrnation concerni.ng retirernent benefits for the nanled following monthly payments from the Teacher Retire- generally due to be paid on the last working day of the I ililt rilillll lll lilll lllil illll lllll lllll lllll llllllll 1- HOUSTON TX 039
Manager of Benefit Payments
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7 k,*,Ffi,fi;
HrH* BnNe u sIr
H4Ffr rzeeg wEST
rJUUlAr DtjU
Retirem
Important In
We are writi
If You Dis
review the
gB
Kansas City, Missouri 64L06-2817
odyf^Date: n i'lml'?January 26, i'Lf"2018 "%r yl,
I'rl'rl'l'llrrrrl;lli;llillll,,,
.,0* o,n 1 tr to
LLAGE DR
2R6PN *58 Pre
bTl[
77A39-4905
t, L LlrJ Survivors l:\(IJlll'tllDuI and ctbrt rl. Disability fnsuranee rmation
Mid-America Program Service Center
601 East Twelfth Street
-7
TDtb
UNIT D
HOUSTON
You w
After t
each
If y.ou do no
revlew your
make the fi
decision that
The
got th
{.,a
""
t[+
asree with this decision, you have the right to appeal. we will as? ana look at any new facts you have. -A person who did not r a".i"-" will decide your case. We will review the parts,of the vou think are wrong ind correct any mistakes' We may also its of our decision t"hat you think aie right. We will make a davs start the dav after you receive this letter' We assume you
-iJtt"r
b days aft"er the <iate on it unless you show us that you get it within the 5-daY Period.
Ls33o lA{JPage
\"/ 6 )utp*
Wnr
.'ltT- lt 53-75t"0
nue to deduct the Medicare Part B (medical insurance) premium decision that may or may not be in Your favor.
You h ve 60 days to ask for an appeal in writing.
to you about your Social Security benefits.
What You Sh ld Know
We changed. our monthly benefit to $625.90 as of January 2018. we found that your pn r amount was incorrect.
What We tffi Pay And When
We pay Soci,
example, Soc
security benefits for a given month rn the next month. -t'or I Security benefits for March are paid in April.
I receive $504.00 for January 2018 around February 14, 2018. at you will receive $504.00 on or about the second Wednesday of nth.
Information
We will cont
t Medicare
of $121.00 f your payments.
With The Decision
1133?1
(3J*777 - t'lt'3
Contact this candidate