Social Security Administration Supplemental Security Income Notice of Change in Payment

444 LINCOLN HWY FAIRLESS HILLS PA 19030

Date: May 27, 2009

Claim Number: 203-54-6641 DI

000000177 03 SP 1.220 0520,M02,004

234 09S1582D12062

LESLIE MARC DURANT

FOR ELYSSA DANIELLE DURANT ~

40 BOWMANS DRIVE ~

NEW HOPE PA 18938-9270

11111111111111111.11.1,.11'.'1111111'111"'1111'11111111'.'11'

Type of Payment:

Individual-Disabled

We are writing to tell you about changes in ELYSSA D. DURANT's Supplemental Security Income (SS!) payments. The following chart shows the SSI money due her for the months we changed. As you can see from the chart, we are changing her payments for both past and future months. The rest of this letter WIll tell you more about this change.

We explain how we figured the monthly payment amounts shown below on the last pages of this letter. The explanation shows how her income, other than any SSI payments, affects her SSI payment. It also shows how we decided how much of her income affects her payment amount. We include explanations only for months where payment amounts change.

The Payments of EL YSSA D. DURANT Will Be Changed As Follows:

Amount
From Through Due Each Month
November 1, 2006 November 30, 2006 $101.68
December 1, 2006 December 31, 2006 $472.50
January 1, 2007 February 28, 2007 $492.50
March 1, 2007 April 30, 2007 $425.50
June 1,2007 June 30, 2007 $419.38
July 1, 2007 September 30, 2007 $623.00
November 1, 2007 December 31, 2007 $341.47 SSA·L8151

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January 1, 2008 January 31, 2008 $355.47 ~
February 1, 2008 February 29, 2008 $444.15
March 1, 2008 March 31, 2008 $637.00
April 1, 2008 April 30, 2008 $561.83
May 1,2008 June 30, 2008 $637.00
July 1,2008 July 31, 2008 $352.77
August 1, 2008 October 31, 2008 $637.00
November 1, 2008 November 30,2008 $581.05
December 1,2008 December 31,2008 $575.82
January 1, 2009 January 31, 2009 $519.60
February 1, 2009 Continuing $674.00
Why ELYSSA D. DURANT's Payments Changed Because of her income, she was not eligible to receive Supplemental Security Income payments for May 2007 and for October 2007.

Information About ELYSSA D. DURANT's SSI Payments

• Because we already paid her $549.10 for May 2009 and another $67.40 of the money due her for this month was withheld to collect excess payments for other periods, $57.50 is the rest of the new payment due her for that month.

• You should receive the check no later than May 30, 2009.

• You should receive a check on June 1, 2009 for $549.10 and an additional check on June 2, 2009 for $57.50. The total of the two checks, $606.60, is the new payment due her for June 2009.

• Her regular monthly check of $606.60 will be sent to you about the first day of July 2009.

• The new payment due her as shown above is the amount we would send each month if we were not recovering an overpayment. Because we will continue to withhold $67.40 each month until the remaining overpayment of $556.29 is recovered, her new payment amount will be $606.60 beginning July 2009.

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ELYSSA D. DURANT's Payment Is Based On These Facts

• She had monthly income of $78.45 for April 2008. This amount does not affect her Supplemental Security Income payment.

• She had monthly income which must be considered in figuring her

eligibility as follows:

Her wages of $1,087.65 for September 2006, $346.00 for October 2006 through December 2006, $480.00 for January 2007 through

March 2007, $1,821.34 for May 2007, $492.25 for June 2007, $117.68 for August 2007, $706.08 for September 2007, $1,691.93 for

October 2007, $648.06 for November 2007, $470.70 for December 2007, $235.35 for February 2008, $653.46 for May 2008,$196.90 for September 2008, $207.36 for October 2008 and $393.80 for

November 2008.

• She has no income for April 2007, for July 2007, for January 2008, for March 2008, for June 2008 through August 2008 and for December 2008 on.

• We looked at the money amounts we paid her and the money amounts we should have paid her for each month listed below in determining her back payment of $57.50. The following chart shows the incorrect amounts paid and the correct amounts for those months. We added all of the incorrect money amounts. Then we added all of the correct money amounts we should pay. We subtracted the total incorrect money amount from the total correct money amount to get the total back payment.

Information About ELYSSA D. DURANT's Back Payments

Month Amount Paid Correct Amount
June 2007 $565.50 $419.38
July 2007 565.50 623.00
August 2007 565.50 623.00
September 2007 565.50 623.00
October 2007 545.43 0.00
March 2008 579.50 637.00
May 2008 579.50 637.00
June 2008 579.50 637.00
August 2008 579.50 637.00
September 2008 579.50 637.00
October 2008 579.50 637.00
November 2008 579.50 581.05
February 2009 616.50 674.00
March 2009 616.50 674.00
April 2009 616.50 674.00
May 2009 616.50 674.00
Total $9,329.93 $9,387.43
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• We are sending her a Supplemental Security Income check for $57.50 in ~:" :

May 2009. We will not count the part of this money which was due for back payments as her resource for 9 months. If the money is not spent before March 1, 2010, we will count any money left over as part of her resources. But things bought with this money may count as resources the month after they are bought. Your Social Security office can tell you which things count as resources. She cannot get SSI if the resources we count have a value of more than $2,000.

You Can Review The Information in ELYSSA D. DURANT's Case

The decisions in this letter are based on the law. You have a right to review and get copies of the information in our records that we used to make the decisions explained in this letter. You also have a right to review and copy the laws, regulations and policy statements used in deciding her case. To do so, please contact us. Our telephone number and address are shown under the heading "If You Have Questions."

Things You Should Know

• This determination replaces all previous determinations for the above periods.

• This information is also being sent to EL YSSA D. DURANT.

If You Disagree With The Decision

If you disagree with the decision, you have the right to appeal. We will review your case and consider any new facts you have.

• You have 60 days to ask for an appeal.

• The 60 days start the day after you get this letter. We assume you got this letter 5 days after the date on it unless you show us that you did not get it within the 5-day period.

• You must have a good reason for waiting more than 60 days to ask for an appeal.

• To appeal, you must fill out a form called "Request for Reconsideration." The form number is SSA-561. To get this form, contact one of our offices. We can help you fill out the form.

How To Appeal

TJ:lere ar.e two ways to appeal. You ~ pick the one you want. If you meet WIth us !!! person, It may help us deCIde your case.

• Case Review. You have a right to review the facts in your file. You can give us more facts to add to your file. Then we'Il decide your case again. You won't meet with the person who decides your case. This is the only kind of appeal you can have to appeal a medical decision.

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• Informal Conference. You'll meet with the person who decides your case. You can tell that person why you think you're right. You can give us more facts to help prove you're right. You can bring other people to help explain your case.

If You Want Help With Your Appeal

You can have a friend, representative or someone else help you. There are woups ~ can help you find ~ representative or give you free legal serViCes !._ you quahzy,There are also representatives who do not charge unless you win your appeal. Your local Social Security office has a list of groups that can help you with your appeal.

If you get someone to help you, you should let us know. If you hire someone, we must approve the fee before he or she can collect it.

If You Have Questions

For general information about SSI, please visit our website at www.socialsecurity.gov on the Internet. You will find the law and regulations about SSI eligibility and SSI payment amounts at www.socialsecurity.gov/SSlrules/.

For general questions about SSI or specific questions about ELYSSA D. DURANT's case, please call us toll-free at 1-800-772-1213, or call your local Social Security office at 267-580-1200. Our lines are busiest early in the week and early in the month, so if your business can wait, it's best to call at other times. We can answer most questions over the phone. If you need assistance for any reason, you can also write or visit any Social Security office. The office that serves your area is located at:

SOCIAL SECURITY

444 LINCOLN HWY FAIRLESS HILLS PA 19030

If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly when you arrive at the office.

~aJ;ZL_~

Laurie Watkins Regional Conunissioner

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The most SSI money the law allows us to pay Minus (.) "Total income we count" (see below)

$603.00 -SOl. 32

HOW WE FIGURED EI.YSSA D. DURANT'S PAYMENT FOR November 2006

Her Payment Amount

Total SSI Payment for November 2006

$101. 68

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $1,002.65 = $501.33 *

Wages we count

Her Income Other Than Her SSI

Income she receives in September 2006 affects her payment for November 2006

$1,002.65 501.33* $ 501.32

$ 50L 32

Total income we count

* beside a number means we have rounded the number

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR December 2006

Her Payment Amount

The most SST money the law allows us to pay Minus (-) "Total income we count" (see below)

$603.00 -130.50

Total SSI Payment for December 2006

$472.50

Her Income Other Than Her SSI

Income she receives in October 2006 affects her payment for December 2006

Total income we count

$346.00 - 20.00 $326.00 - 65.00 $261. 00 -130.50 $130.50

$130.50

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $261.00 = $130.50

Wages we count

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The most SSI money the law allows us to pay Minus (-) "Total income we count" (see below)

$623.00 -130.50

OS/27/2009

HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR January 2007 THROUGH February 2007

Her Payment Amount

Total Monthly SSI Payment

for January 2007 through February 2007

$492.50

Her Income Other Than Her SSI

Total income we count

$346.00 - 20.00 $326.00 - 65.00 $261.00 -130.50 $130.50

$130.50

Income she receives in November 2006 through December 2006 affects her payment for January 2007 through February 2007

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $261.00 = $130.50

Wages we count

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Her Payment Amount

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HOW WE FIGURED ELYSSA D. DURANT/S PAYMENT FOR March 2007 ~

THROUGH April 2007 rriGf

The most SSI money the law allows us to pay Minus (-) "Total income we count" (see below)

$623.00 -197.50

Total Monthly SSI Payment

for March 2007 through April 2007

$425.50

Her Income Other Than Her SSI

Income she receives in January 2007 through February 2007 affects her payment for March 2007 through April 2007

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $395.00 = $197.50

Wages we count

$480.00 - 20.00 $460.00 - 65.00 $395.00 -197.50 $197.50

$197.50

Total income we count

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR June 2007

Her Payment Amount

The most SSI money the law aUows us to pay Minus (-) "Total income we count" (see below)

$623.00 -203.62

Total SSI Payment for June 2007

$419.38

Her Income Other Than Her SSI

Income she receives in June 2007 affects her payment for June 2007

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $407.25 = $203.63 *

Wages we count

$492.25 - 20.00 $472.25 - 65.00 $407.25 -203.63* $203.62

$203.62

Total income we count

* beside a number means we have rounded the number

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR July 2007 THROUGH September 2007

Her Payment Amount

The most SST money the law allows us to pay

We didn't subtract (-) any income from SSI money

$623.00 0.00

Total Monthly SSI Payment

for July 2007 through September 2007

$623.00

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR November 2007 THROUGH December 2007

Her Payment Amount

The most SSI money the law allows us to pay Minus (-) "Total income we count" (see below)

$623.00 -281.53

Total Monthly SSI Payment

for November 2007 through December 2007

$341. 47

Her Income Other Than Her SSI

Total income we count

$648.06 - 20.00 $628.06 - 65.00 $563.06 -281. 53 $281. 53

$281.53

Income she receives in November 2007 affects her payment for November 2007 through December 2007

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $563.06 = $281.53

Wages we count

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR January 2008

The most SSI money the law allows us to pay Minus (-) "Total income we count" (see below)

$637.00 -281. 53

Her Payment Amount

Total SSI Payment for January 2008

$355.47

Her Income Other Than Her SSI

Income she receives in November 2007 affects her payment for January 2008

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $563.06 = $281.53

Wages we count

$648.06 - 20.00 $628.06 - 65.00 $563.06 -281. 53 $281. 53

$281. 53

Total income we count

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR February 2008

The most SSI money the law allows us to pay Minus (-) "Total income we count" (see below)

$637.00 -192.85

Her Payment Amount

Total SSI Payment for February 2008

$444.15

Her Income Other Than Her SSI

Income she receives in December 2007 affects her payment for February 2008

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $385.70 = $192.85

Wages we count

$470.70 - 20.00 $450.70 - 65.00 $385.70 -192.85 $192.85

$192.85

Total income we count

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR March 2008

Total SSI Payment for March 2008

$637.00

Her Payment Amount

The most 88! money the law allows us to pay

We didn't subtract (.) any income from 88! money

$637.00 0.00

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The most SSI money the law allows us to pay Minus (.) "Total income we count" (see below)

$637.00 - 75.17

HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR April 2008

Her Payment Amount

Total SSI Payment for April 2008

$561.83

Her Income Other Than Her SSI

Total income we count

$235.35 - 20.00 $215.35 - 65.00 $150.35 - 75.18* $ 75.17

$ 75.17

Income she receives in February 2008 affects her payment for April 2008

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $150.35 = $75.18 *

Wages we count

* beside a number means we have rounded the number

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR May 2008

The most SSl money the law allows us to pay

We didn't subtract (-) any income from SSI money

$637.00 0.00

Her Payment Amount

Total SSI Payment for May 2008

$637.00

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR June 2008

The most SSI money the law allows us to pay Minus (-) "Total income we count" (see below)

$637.00 0.00

Her Payment Amount

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages Wages we count

$78.45 -20.00 $58.45 -65.00 $ 0.00

$ 0.00

Total SSI Payment for June 2008

$637.00

Her Income Other Than Her SSI

Income she receives in April 2008 affects her payment for June 2008

Total income we count

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR July 2008

Her Payment Amount

The most SSI money the law allows us to pay Minus (-) "Total income we count" (see below)

$637_00 -284_23

Total SSI Payment for July 2008

$352.77

Her Income Other Than Her SSI

Income she receives in May 2008 affects her payment for July 2008

Wages

By law we don't count $20_00 of above income Subtotal

By law we don't count $65.00 of wages

By law we don't count 1/2 of this amount 1/2 of $568.46 = $284.23

Wages we count

$653.46 - 20_00 $633.46 - 65.00 $568.46 -284.23 $284.23

$284.23

Total income we count

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Total Monthly SSI Payment

for August 2008 through October 2008

$637.00

HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR August 2008 THROUGH October 2008

Her Payment Amount

The most SSI money the law allows us to pay

We didn't subtract (.) any income from SSI money

$637.00 0.00

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The most SSI money the law allows us to pay Minus (-) "Total income we count" (see below)

$637.00 - 55.95

HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR November 2008

Her Payment Amount

Total SSI Payment for November 2008

$581. 05

Her Income Other Than Her SSI

Total income we count

$196.90 - 20.00 $176.90 - 65.00 $111.90 - 55.95 $ 55.95

$ 55.95

Income she receives in September 2008 affects her payment for November 2008

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $111.90 = $55.95

Wages we count

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The most SSI money the law allows us to pay Minus (-) "Total income we count" (see below)

$637.00 - 61.18

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR December 2008

Her Payment Amount

Total SSI Payment for December 2008

$575.82

Her Income Other Than Her SSI

Income she receives in October 2008 affects her payment for December 2008

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $122.36 = $61.18

Wages we count

$207.36 - 20.00 $187.36 - 65.00 $122.36 - 61.18 $ 61.18

$ 61.18

Total income we count

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR January 2009

Total SSI Payment for January 2009

$674.00 -154.40

$519.60

Her Payment Amount

The most SSI money the law allows us to pay Minus (-) "Total income we count" (see below)

Her Income Other Than Her SSI

Income she receives in November 2008 affects her payment for January 2009

Total income we count

$393.80 - 20.00 $373.80 - 65.00 $308.80 -154.40 $154.40

$154.40

Wages

By law we don't count $20.00 of above income Subtotal

By law we don't count $65.00 of wages By law we don't count 1/2 of this amount 1/2 of $308.80 = $154.40

Wages we count

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR February 2009 THROUGH June 2009

The most SSI money the law allows us to pay

We didn't subtract C·) any income from SSI money

$674.00 0.00

Her Payment Amount

Total Monthly SSI Payment

for February 2009 through June 2009

$674.00

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HOW WE FIGURED ELYSSA D. DURANT'S PAYMENT FOR July 2009 ON

Her Payment Amount

The most S8I money the law allows us to pay

We didn't subtract (-) any income from S8I money

$674.00 0.00

Total Monthly SSI Payment for July 2009 on

$674.00

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