The document is a model letter to address an overpayment situation involving Social Security in Chicago. It provides a simple format that users can adapt to their specific facts and circumstances. The letter includes a request for the recipient to acknowledge the enclosed payment voucher and check, related to an overpayment made to the Secretary of State. This form is particularly useful for legal professionals, such as attorneys, paralegals, and legal assistants, as it offers a straightforward template for communication regarding financial discrepancies. Key features include space for personal details, clear instructions on what to enclose, and a professional closing. When filling out the form, users should replace placeholders with appropriate information, ensuring accuracy for proper record-keeping. The model letter aims to facilitate efficient resolution of overpayment issues, making it accessible for individuals with varying levels of legal experience. By using this form, legal professionals can streamline communication with clients and other parties in financial matters.