RECIEPT FOR YOUR CLAIM FOR SUPPLEMENTAL SECURITY INCOME

Receipt Date: October 28, 1999

Christopher Alan Walters			261-90-6357

If yo have a question or something to report call (208-321-2906) You may visit or write to Social Securiyt Office : Jamie Social Security Suite 101 1249 S Vinnell Boise, ID 83709

We will process your application for Supplemental Security Income as quickly as possible. If you have trouble getting information or records we have asked for, please contact us and we will help you.

You should hear from us within 60-90 days after that you have given us all information we requested. Some claims may take longer if we need more information. If you do not get a check or a notice by then, please get in touch with us.

Reporting Responsiblities

The amount of a Social Security Income check is based on the information told to us. You must tell Social Security ever time there is a change-- while we process your application AND if you start receiving Supplemental Security Income.

Remember, a change may make the SSI monthly payment bigger or smaller. Report changes in income to your ineligible husband/wife who lives with you, or you sponsor, or sponsor's spouse if you are an alien. You must also report changes in things of value that these people own. Report changes in income, school attendance and marirtal status of inelibigle children who live with you.....

KEEP THIS PAGE FOR YOUR RECORDS

Christopher Alan Walters c/o Boise Rescue 520 Front street Boise, ID 83704