Reclamations
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Worksheet for Adjusting the Outstanding Total if the
Date of Death is Wrong
The worksheet must be used by the RDFI to calculate the adjusted total if there is an error in the date of death. When an RDFI needs to make an adjustment, it must photocopy the worksheet (Table 3-H), and return it with the Notice of Reclamation.
| Table 3-H |
PMT 1 |
PMT 2 |
PMT 3 |
PMT 4 |
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| List the month/day/year of each payment shown on the Reclamation form. |
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_____ |
_____ |
_____ |
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| For each payment (shown on the Reclamation) did the person die before the date of the payment? (Enter
"yes" or "no") |
_____ |
_____ |
_____ |
_____ |
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| For each "yes", enter the dollar amount of the payment. (Do not enter the dollar amount if "no.") |
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_____ |
_____ |
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Total all "yes" payments $_______________
(This is the adjusted outstanding total to use on the Notice of Reclamation). |
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Note:
The RDFI must photocopy the worksheet and return with the Notice of Reclamation. If the worksheet is not completed and returned, it may delay the process and/or cause the Notice of Reclamation to reject.
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