Free Motion for Leave to Appeal in forma pauperis - District Court of Delaware - Delaware

ase 1:05-cv-00877-JJF Document Z3-2 Filed 1 1/14/2007 Page 1 of 1 1
I Your New Benefit Amount
BENEFICIARYS NAME; session o Aubusson . 1 ¤e·r=·· 0 1
1 Your Social Security benefits will increase by 3.3 percent in 12007, because of a rise in the cost of ·‘ '
living. You eau use uns 1esss»· when you aeea paver or your essen: amount to receive food stamps, rent
subsidies, energy assistance, bank loans, or for other business. 1 ‘ 00
‘ How Mugh Will I Get And When?. _ 1 _ _ 0 - - 1
· • Your new monthly amountlbeforo deductions} is i 1 · »~ ‘
_ • The amount we are deducting for Medicare medical insurance is _ · _
· (If you did not have Medicare asof Nov 15, 2006, _ 0 » ·
or if someone else pays your premium, we show $0.00.) 0 v -
1 • The amount we are deducting for your Medicare prescription drug plan is _ S - 0
0 (If you did not elect withholding as of Nov. 1, 2006, we show $0.00.} _ 1 1 l —
_____M__ • The_a_mg__unt we are deducting for voluntary0fgd_eral tax withholding is ___ ;_ v_ ‘ 0 i
0 (If you did not elect voluntary federal tax withholding as of · 1 = 0 ~
Nom 15, 2006, we show $0.00.) 0 1 _ _ _ p F
• Aher taking any other deductions, we will deposit -_ 0 1 '
‘ into your bank account on Jan. 3, 2007. r 1 0 ‘ 0 Q
If you disagree with any of these amounts, you should. write to us within 60 days from the date _ " *
0 you receive this letter .1 _1.. , . _ p · /01 0
What If I Have Questions? 1 0 _ 1_
v 1 Visit our websiteat www.so£:Ealsecur·£ty.gov for information about Social Security Or, call 1
1-300-772-1213 and speak to a representative nom 7 a.m. until 7 p.m. on business days. Recorded _ 0 , 0 ]
information and services are available 24 hours a day Our lines are busiest early in the week and early 1 ·
_ in the month; it is best to call at other times. Ifyou are deaf or hard of hearing, call our TTY number; ‘ i
1-800-325-0778. lf you are outside the United States, you can contact any US. embassy or consulate
, odicc, or the Veterans Affairs Regional Omoo in Manila. Have your Social Security claim number 0 _ l
. available when you call or visit and include it on any letter you send to Social Security If you are inside »
the United States, you also can visit your local o_ii':lce. 0
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I ·_ 1. _ 1 ·920’WBASH€B4OAD ‘ 0 ,1 _
j ‘ · _ · NEWCASTLE DE 1 ‘5,‘· . 0
_ BNC#: A0EiB1368F49623, ‘ 1 “" _ 0 0 Over b· 0 0
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