TN 25 (02-95)

Situation Where Used:

IC: Award—contingent upon agreement to dispose of excess resources.

PE: Payments are being continued based on agreement to dispose of excess resources.

To    (1)    Supplemental Security Income payments,    (2)    agreed to dispose of countable excess resources. When    (3)    disposed of the resources, we will refigure    (4)    Supplemental Security Income payments for the months we sent    (5)    payment to take into account the amount    (6)    for these resources.    (7)    may have to return any amounts not due     (8)    for this period. If    (9)    to dispose of the excess resources by    (10)    , we must determine whether any of the Supplemental Security Income payments we sent    (11)    were due.

1. Choice 1 - receive

   Choice 2 - continue receiving

    

2. Choice 1 - you

   Choice 2 - she

   Choice 3 - he

    

3. Choice 1 - you have

   Choice 2 - she has

   Choice 3 - he has

    

4. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

5. Choice 1 - you

   Choice 2 - her

   Choice 3 - him

    

6. Choice 1 - you receive

   Choice 2 - she receives

   Choice 3 - he receives

    

7. Choice 1 - You

   Choice 2 - She

   Choice 3 - He

    

8. Choice 1 - you

   Choice 2 - her

   Choice 3 - him

    

9. Choice 1 - you fail

   Choice 2 - she fails

   Choice 3 - he fails

    

10. (Month/Day/Year)

     

11. Choice 1 - you

    Choice 2 - her

    Choice 3 - him

     

1272. Situation Where Used:

Denial for excess resources—no conditional payment agreement.

NOTE: New approved 1272 language. Use for manual notices.

We find that for    (1)    ,    (2)    resources worth more than    (3)    .

For    (4)    to    (5)    SSI payments, the resources that    (6)    cannot be worth more than    (7)    . We call this amount the limit on resources.

Resources are the things that    (8)    such as cash, stocks, bank accounts, trusts, certain types of life insurance, buildings and land on which     (9)    not live. We do not include as resources the home in which     (10)    , one car used for necessary activities, and some other things.

1. Choice 1 - (Month/Year that resources exceed the limit)

   Choice 2 - (Month/Year through (Month/Year) that resources exceed the limit)

   Choice 3 - (Month/Year that resources exceed the limit)

    

2. Choice 1 - you have

   Choice 2 - she has

   Choice 3 - he has

   Choice 4 - you and your spouse have

   Choice 5 - she and her spouse have

   Choice 6 - he and his spouse have

    

3. (Appropriate dollar amount for resource limit, as in fill-in (7).)

    

4. Choice 1 - you

   Choice 2 - her

   Choice 3 - him

    

5. Choice 1 - receive

   Choice 2 - continue to receive (postentitlement cases)

    

6. Choice 1 - you have

   Choice 2 - she has

   Choice 3 - he has

   Choice 4 - you and your spouse have

   Choice 5 - she and her spouse have

   Choice 6 - he and his spouse have

    

7. Choice 1 - $1,900 in 1988 (individual resource limit)

   Choice 2 - $2,850 in 1988 (couple resource limit)

   Choice 3 - $2,000 in 1989 (individual resource limit)

   Choice 4 - $3,000 in 1989 (couple resource limit)

    

8. Choice 1 - you own

   Choice 2 - she owns

   Choice 3 - he owns

   Choice 4 - you and your spouse own

   Choice 5 - she and her spouse own

   Choice 6 - he and his spouse own

    

9. Choice 1 - you do

   Choice 2 - she does

   Choice 3 - he does

   Choice 4 - they do

    

10. Choice 1 - you live

    Choice 2 - she lives

    Choice 3 - he lives

    Choice 4 - they live

     

Situation Where Used:

IC: Denial for excess resources of individual and/or spouse.

PE: Used with paragraph 2270 when payment status changes from CO1 to NO4 (and the change extends into the current computational month) or EO1 to N04 and there is no conditional payment agreement.

NOTE: This language will be replaced soon in the system.

   (1)    may be eligible to receive Supplemental Security Income payments while disposing of excess countable resources under an agreement to do so if—total countable resources are not worth more than    (2)    and total countable liquid resources, such as cash, stocks and bonds, savings or checking accounts, do not exceed    (3)    . Our records show that    (4)    not qualify for these payments.

1. Choice 1 - You

   Choice 2 - She

   Choice 3 - He

   Choice 4 - You and your spouse

   Choice 5 - She and her spouse

   Choice 6 - He and his spouse

    

2. Choice 1 - $3,000

   Choice 2 - $4,500

    

3. $$$.¢¢

    

4. Choice 1 - you do

   Choice 2 - she does

   Choice 3 - he does

    

NOTE: New approved 1274 language. This will be implemented in the system during 1990. Use for manual notices in the meantime.

Although    (1)    resources would prevent    (2)    from receiving payments,    (3)    may still be able to receive SSI while    (4)    trying to sell    (5)    resources if all of the following are true.

• The value of cash, including savings, and other things    (6)    that can easily be changed into cash is less than    (7)    .

•    (8)    other things that cannot easily be changed into cash and these things make    (9)    resources too high. Examples of such things are a building or land on which    (10)    not live.

•    (11)    will sign a written agreement which allows    (12)    to receive SSI payments while    (13)    trying to sell the property that causes    (14)    resources to be over the limit.

•    (15)    to repay any SSI payments which    (16)    while trying to sell the property.

   

If you think all of these are true about    (17)    , and     (18)    to receive SSI payments, please contact the local Social Security office.

1. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

   Choice 4 - their

    

2. Choice 1 - you

   Choice 2 - her

   Choice 3 - him

    

3. Choice 1 - you

   Choice 2 - she

   Choice 3 - he

    

4. Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

   Choice 4 - you and your spouse are

   Choice 5 - they are

    

5. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

   Choice 4 - their

    

6. Choice 1 - you have

   Choice 2 - she has

   Choice 3 - he has

   Choice 4 - you and your spouse have

   Choice 5 - she and her spouse have

   Choice 6 - he and his spouse have

    

7. dollar amount (multiply 3 times the Federal Benefit Rate)

    

8. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

   Choice 4 - their

    

9. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

10. Choice 1 - you do

    Choice 2 - she does

    Choice 3 - he does

    Choice 4 - you and your spouse do

    Choice 5 - they do

     

11. Choice 1 - you

    Choice 2 - she

    Choice 3 - he

     

12. Choice 1 - you

    Choice 2 - her

    Choice 3 - him

     

13. Choice 1 - you are

    Choice 2 - she is

    Choice 3 - he is

    Choice 4 - you and your spouse are

    Choice 5 - they are

     

14. Choice 1 - your

    Choice 2 - her

    Choice 3 - his

    Choice 4 - their

     

15. Choice 1 - You agree

    Choice 2 - She agrees

    Choice 3 - He agrees

     

16. Choice 1 - you receive

    Choice 2 - she receives

    Choice 3 - he receives

     

17. Choice 1 - you

    Choice 2 - her

    Choice 3 - him

     

18. Choice 1 - you want

    Choice 2 - she wants

    Choice 3 - he wants

     

Situation Where Used

IC and PE: When a title II and/or title XVI retroactive payment is made. Used for retroactive title II/title XVI payments made after September 30, 1984, when anyone on the record receives an underpayment check. However, this paragraph will not be used when the title XVI payment is sent to a State or local government agency due to an IAR agreement (see paragraph 1065, NL 00804.125).

NOTE: OBSOLETE—(Replaced by 1497, January 1988.)

We    (1)          (2)          (3)    for    (4)    in    (5)    . We will not count the part of this money which was due for back payments as    (6)    resource for 6 months. If the money is not spent before    (7)    , we will count any money left over as part of    (8)    resources.     (9)          (10)   

1. Choice 1 - sent

   Choice 2 - are sending

    

2. Choice 1 - you

   Choice 2 - her

   Choice 3 - him

   Choice 4 - your spouse

   Choice 5 - her spouse

   Choice 6 - his spouse

   Choice 7 - you and your spouse

   Choice 8 - her and her spouse

   Choice 9 - him and his spouse

   Choice 10 - your parent

   Choice 11 - her parent

   Choice 12 - his parent

   Choice 13 - you and your parent

   Choice 14 - her and her parent

   Choice 15 - him and his parent

   Choice 16 - your parents

   Choice 17 - her parents

   Choice 18 - his parents

   Choice 19 - you and your parents

   Choice 20 - her and her parents

   Choice 21 - him and his parents

   Choice 22 - (Name of essential person)

   Choice 23 - you and (Name of essential person)

   Choice 24 - her and (Name of essential person)

   Choice 25 - him and (Name of essential person)

   Choice 26 - you, your spouse and (Name of essential person)

   Choice 27 - her, her spouse and (Name of essential person)

   Choice 28 - him, his spouse and (Name of essential person)

   Choice 29 - your spouse and (Name of essential person)

   Choice 30 - her spouse and (Name of essential person)

   Choice 31 - his spouse and (Name of essential person)

   Choice 32 - your parent and (Name of essential person)

   Choice 33 - her parent and (Name of essential person)

   Choice 34 - his parent and (Name of essential person)

   Choice 35 - you, your parent and (Name of essential person)

   Choice 36 - her, her parent and (Name of essential person)

   Choice 37 - him, his parent and (Name of essential person)

    

3. Choice 1 - a Social Security check

   Choice 2 - a Supplemental Security Income check

   Choice 3 - Social Security checks

   Choice 4 - Supplemental Security Income checks

   Choice 5 - Social Security and Supplemental Security Income checks

    

4. $$$.¢¢

    

5. (Month/Year)

    

6. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

7. (Month/Day/Year)

    

8. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

9. Choice 1 - 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. In 1985, you cannot get SSI if the resources we count have a value of more than $1,600.

   Choice 2 - 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. In 1985, she cannot get SSI if the resources we count have a value of more than $1,600.

   Choice 3 - 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. In 1985, he cannot get SSI if the resources we count have a value of more than $1,600.

   Choice 4 - 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. In 1985, you cannot get SSI if the resources we count have a value of more than $2,400.

   Choice 5 - 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. In 1985, she cannot get SSI if the resources we count have a value of more than $2,400.

   Choice 6 - 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. In 1985, he cannot get SSI if the resources we count have a value of more than $2,400.

   Choice 7 - 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. In 1986, you cannot get SSI if the resources we count have a value of more than $1,700.

   Choice 8 - 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. In 1986, she cannot get SSI if the resources we count have a value of more than $1,700.

   Choice 9 - 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. In 1986, he cannot get SSI if the resources we count have a value of more than $1,700.

   Choice 10 - 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. In 1986, you cannot get SSI if the resources we count have a value of more than $2,550.

   Choice 11 - 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. In 1986, she cannot get SSI if the resources we count have a value of more than $2,550.

   Choice 12 - 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. In 1986, he cannot get SSI if the resources we count have a value of more than $2,550.

   Choice 13 - 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. In 1987, you cannot get SSI if the resources we count have a value of more than $1,800.

   Choice 14 - 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. In 1987, she cannot get SSI if the resources we count have a value of more than $1,800.

   Choice 15 - 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. In 1987, he cannot get SSI if the resources we count have a value of more than $1,800.

   Choice 16 - 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. In 1987, you cannot get SSI if the resources we count have a value of more than $2,700.

   Choice 17 - 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. In 1987, she cannot get SSI if the resources we count have a value of more than $2,700.

   Choice 18 - 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. In 1987, he cannot get SSI if the resources we count have a value of more than $2,700.

   Choice 19 - 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. In 1988, you cannot get SSI if the resources we count have a value of more than $1,900.

   Choice 20 - 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. In 1988, she cannot get SSI if the resources we count have a value of more than $1,900.

   Choice 21 - 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. In 1988, he cannot get SSI if the resources we count have a value of more than $1,900.

   Choice 22 - 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. In 1988, you cannot get SSI if the resources we count have a value of more than $2,850.

   Choice 23 - 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. In 1988, she cannot get SSI if the resources we count have a value of more than $2,850.

   Choice 24 - 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. In 1988, he cannot get SSI if the resources we count have a value of more than $2,850.

   Choice 25 - 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. In 1989, you cannot get SSI if the resources we count have a value of more than $2,000.

   Choice 26 - 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. In 1989, she cannot get SSI if the resources we count have a value of more than $2,000.

   Choice 27 - 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. In 1989, he cannot get SSI if the resources we count have a value of more than $2,000.

   Choice 28 - 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. In 1989, you cannot get SSI if the resources we count have a value of more than $3,000.

   Choice 29 - 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. In 1989, she cannot get SSI if the resources we count have a value of more than $3,000.

   Choice 30 - 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. In 1989, he cannot get SSI if the resources we count have a value of more than $3,000.

   Choice 31 - Null

    

10. Choice 1- For 1986 the limit on resources is $1,700.

    Choice 2 - For 1986 the limit on resources is $2,550.

    Choice 3 - For 1987 the limit on resources is $1,800.

    Choice 4 - For 1987 the limit on resources is $2,700.

    Choice 5 - For 1988 the limit on resources is $1,900.

    Choice 6 - For 1988 the limit on resources is $2,850.

    Choice 7 - For 1989 the limit on resources is $2,000.

    Choice 8 - For 1989 the limit on resources is $3,000.

    Choice 9 - Null

     

1497. Situation Where Used:

Same as 1496, except that for title II and title XVI underpayments the 6-month exclusion was increased to 9 months for the period 10/1/87-9/30/89 and then reverted back to 6 months.

We (1) (2) (3) for (4) in (5) . We will not count the part of this money which was due for back payments as (6) resource for (7) months. If the money is not spent before (8) , we will count any money left over as part of (9) resources. (10) (11)

1. Choice 1 - sent

   Choice 2 - are sending

2. Choices under paragraph 1496 (2).

3. Choice 1 - Social Security check

   Choice 2 - a SSI check

   Choice 3 - Social Security checks

   Choice 4 - SSI checks

   Choice 5 - Social Security and SSI checks

4. $$$.¢¢

5. (Month/Year)

    

6. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

7. Choice 1 - 9

   Choice 2 - 6

8. (Month/Day/Year)

9. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

10. Choice 1- 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. In 1988, you cannot get SSI if the resources we count have a value of more than $1,900.

    Choice 2 - 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. In 1988, she cannot get SSI if the resources we count have a value of more than $1,900.

    Choice 3 - 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. In 1988, he cannot get SSI if the resources we count have a value of more than $1,900.

    Choice 4 - 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. In 1988, you cannot get SSI if the resources we count have a value of more than $2,850.

    Choice 5 - 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. In 1988, she cannot get SSI if the resources we count have a value of more than $2,850.

    Choice 6 - 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. In 1988, he cannot get SSI if the resources we count have a value of more than $2,850.

    Choice 7 - 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. In 1989, you cannot get SSI if the resources we count have a value of more than $2,000.

    Choice 8 - 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. In 1989, she cannot get SSI if the resources we count have a value of more than $2,000.

    Choice 9 - 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. In 1989, he cannot get SSI if the resources we count have a value of more than $2,000.

    Choice 10 - 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. In 1989, you cannot get SSI if the resources we count have a value of more than $3,000.

    Choice 11 - 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. In 1989, she cannot get SSI if the resources we count have a value of more than $3,000.

    Choice 12 - 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. In 1989, he cannot get SSI if the resources we count have a value of more than $3,000.

    Choice 13 - Null

11. Choice 1- For 1989, the limit on resources is $2,000.

    Choice 2 - For 1989, the limit on resources is $3,000.

    Choice 3 - Null

     

2282. Situation Where Used:

Claimant acquired excess resources and there is no conditional payment agreement.

NOTE : The notice language below is currently on the system but will be replaced in 1989. For manual notices, use the new language under paragraphs 1272 and 1274.

(1) (2) excess resources (3) (4) For any month in which (5) resources worth more than (6) (7) (8) not eligible (9) . In determining the amount of (10) resources, we consider only the value of certain real property or other things (11) may own, such as cash, stocks and bonds, savings or checking accounts, and certain kinds of life insurance.

1. Choice 1 - You

   Choice 2 - She

   Choice 3 - He

   Choice 4 - You and your spouse

   Choice 5 - She and her spouse

   Choice 6 - He and his spouse

   Choice 7 - You and your parent

   Choice 8 - She and her parent

   Choice 9 - He and his parent

   Choice 10 - You and your parents

   Choice 11 - She and her parents

   Choice 12 - He and his parents

   Choice 13 - You and (Name of essential person)

   Choice 14 - She and (Name of essential person)

   Choice 15 - He and (Name of essential person)

    

2. Choice 1 - have

   Choice 2 - has

   Choice 3 - had

    

3. Choice 1 - for (Month/Day/Year)

   Choice 2 - for (Month/Day/Year)through (Month/Day/Year)

   Choice 3 - for (Month/Day/Year) on

    

4. Choice 1 -,

   Choice 2 - and

   Choice 3 -.

    

5. Choice 1 - you have

   Choice 2 - she has

   Choice 3 - he has

    

6. Choice 1 - $1,500 before 1985

   Choice 2 - $2,250 before 1985

   Choice 3 - $1,600 for 1985

   Choice 4 - $2,400 for 1985

   Choice 5 - $1,700 for 1986

   Choice 6 - $2,550 for 1986

   Choice 7 - $1,800 for 1987

   Choice 8 - $2,700 for 1987

   Choice 9 - $1,900 for 1988

   Choice 10 - $2,850 for 1988

   Choice 11 - $2,000 for 1989

   Choice 12 - $3,000 for 1989

    

7. Choice 1 -,

   Choice 2 - and

   Choice 3 -.

    

8. Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

    

9. Choice 1 - to receive any Supplemental Security Income payment

   Choice 2 - under the Supplemental Security Income program

    

10. Choice 1 - your

    Choice 1 - her

    Choice 3 - his

     

11. Choice 1 - you

    Choice 2 - she

    Choice 3 - he

    Choice 4 - you and your spouse

    Choice 5 - she and her spouse

    Choice 6 - he and his spouse

    Choice 7 - you and your parent

    Choice 8 - she and her parent

    Choice 9 - he and his parent

    Choice 10 - you and your parents

    Choice 11 - she and her parents

    Choice 12 - he and his parents

    Choice 13 - you and (Name of essential person)

    Choice 14 - she and (Name of essential person)

    Choice 15 - he and (Name of essential person)

     

2283. Situation Where Used:

Payments were awarded based on a resource disposal agreement.

Recipient did not comply with agreement and is not eligible for payments.

(1) agreed to dispose of excess countable resources but our records show that (2) these excess resources. To be eligible (3) , (4) cannot have countable resources worth more than (5) (6) Since (7) did not dispose of (8) resources which exceed this value, (9) not eligible (10) for (11) on.

1. Choice 1 - We have been sending you payments because you

   Choice 2 - We have been sending you payments because she

   Choice 3 - We have been sending your payments because he

   Choice 4 - You have been eligible under the Supplemental Security Income program because you

   Choice 5 - She has been eligible under the Supplemental Security Income program because she

   Choice 6 - He has been eligible under the Supplemental Security Income program because he

   Choice 7 - We have been sending you payments because you and your spouse

   Choice 8 - We have been sending you payments because she and her spouse

   Choice 9 - We have been sending you payments because he and his spouse

   Choice 10 - You have been eligible under the Supplemental Security Income program because you and your spouse

   Choice 11 - She has been eligible under the Supplemental Security Income program because she and her spouse

   Choice 12 - He has been eligible under the Supplemental Security Income program because he and his spouse

    

2. Choice 1 - you still have

   Choice 2 - she still has

   Choice 3 - he still has

   Choice 4 - you and your spouse still have

   Choice 5 - she and her spouse still have

   Choice 6 - he and his spouse still have

   Choice 7 - you and your parent still have

   Choice 8 - she and her parent still have

   Choice 9 - he and his parent still have

   Choice 10 - you and your parents still have

   Choice 11 - she and her parents still have

   Choice 12 - he and his parents still have

   Choice 13 - you and (Name of Essential Person) still have

   Choice 14 - she and (Name of Essential Person) still have

   Choice 15 - he and (Name of Essential Person) still have

    

3. Choice 1 - for Supplemental Security Income payments

   Choice 2 - under the Supplemental Security Income program

    

4. Choice 1 - you

   Choice 2 - she

   Choice 3 - he

   Choice 4 - you and your spouse

   Choice 5 - she and her spouse

   Choice 6 - he and his spouse

    

5. Choice 1 - $$$.¢¢beginning (Month/Day/Year)

   Choice 2 - Null

    

6. Choice 1 - ,

   Choice 2 - and

   Choice 3 - .

    

7. Choice 1 - you

   Choice 2 - she

   Choice 3 - he

   Choice 4 - you and your spouse

   Choice 5 - she and her spouse

   Choice 6 - he and his spouse

    

8. Choice 1 - your

   Choice 2 - her

   Choice 3 - his

    

9. Choice 1 - you are

   Choice 2 - she is

   Choice 3 - he is

   Choice 4 - you and your spouse are

   Choice 5 - she and her spouse are

   Choice 6 - he and his spouse are

    

10. Choice 1- for Supplemental Security Income payments

    Choice 2 - under the Supplemental Security Income program

     

11. (Month/Year)

     

2284. Situation Where Used:

Excess resource(s) has been disposed of.

(1) did not have countable resources worth more than (2) (3)

1. Choice 1 - You

   Choice 2 - She

   Choice 3 - He

   Choice 4 - You and your spouse

   Choice 5 - She and her spouse

   Choice 6 - He and his spouse

   Choice 7 - You and your parent

   Choice 8 - She and her parent

   Choice 9 - He and his parent

   Choice 10 - You and your parents

   Choice 11 - She and her parents

   Choice 12 - He and his parents

   Choice 13 - You and (Name of essentail person)

   Choice 14 - She and (Name of essential person)

   Choice 15 - He and (Name of essential person)

    

2. Choice 1 - $$$.¢¢for (Month/Day/Year)

   Choice 2 - $$$.¢¢for (Month/Day/Year) through (Month/Day /Year)

   Choice 3 - $$$.¢¢for (Month/Day/Year) on

    

3. Choice 1 -,

   Choice 2 - and

   Choice 3 -.

    

2285. Situation Where Used:

Countable resources of an alien's sponsor exceed the maximum limit.

(1) cannot (2) if certain things (3) combined with certain things (4) are worth more than (5) (6) Because (7) combined ownership of these things (8) worth more than (9) (10) (11) (12)   not eligible under the Supplemental Security Income program (13) (14)

1. Choice 1 - You

   Choice 2 - She

   Choice 3 - He

    

2. Choice 1 - get Supplemental Security Income checks

   Choice 2 - be eligible under the Supplemental Security Income program

    

3. Choice 1 - you own

   Choice 2 - she owns

   Choice 3 - he owns

    

4. Choice 1 - your sponsor owns

   Choice 2 - her sponsor owns

   Choice 3 - his sponsor owns

   Choice 4 - your sponsor and the spouse of your sponsor own

   Choice 5 - her sponsor and the spouse of her sponsor own

   Choice 6 - his sponsor and the spouse of his sponsor own

    

5. Choice 1 - $$$.¢¢beginning (Month/Day/Year)

   Choice 2 - $$$.¢¢for (Month/Day/Year)

   Choice 3 - $$$.¢¢for (Month/Day/Year) through (Month/Day /Year)

   Choice 4 - $$$.¢¢for (Month/Day/Year) on

    

6. Choice 1 -,

   Choice 2 - and

   Choice 3 -.

    

7. Choice 1 - your

   Choice 2 - their

    

8. Choice 1 - are now

   Choice 2 - was

    

9. Choice 1 - $$$.¢¢for (Month/Day/Year)

   Choice 2 - $$$.¢¢for (Month/Day/Year)through (Month/Day /Year)

   Choice 3 - $$$.¢¢for (Month/Day/Year) on

    

10. Choice 1 -,

    Choice 2 - and

    Choice 3 -.

     

11. Choice 1 - you

    Choice 2 - she

    Choice 3 - he

     

12. Choice 1 - are

    Choice 2 - is

    Choice 3 - were

    Choice 4 - was

     

13. Choice 1 - for (Month/Day/Year)

    Choice 2 - for (Month/Day/Year) through (Month/Day/Year)

    Choice 3 - for (Month/Day/Year) on

     

14. Choice 1 -,

    Choice 2 - and

    Choice 3 -.

     

2286. Situation Where Used:

Reinstatement—resources of recipient and sponsor now within legal limit

Because certain things (1) own (2) worth (3) (4) (5) (6) eligible under the Supplemental Security Income program (7) (8)

1. Choice 1 - you and your sponsor

   Choice 2 - she and her sponsor

   Choice 3 - he and his sponsor

   Choice 4 - you, your sponsor, and the spouse of your sponsor

   Choice 5 - she, her sponsor, and the spouse of her sponsor

   Choice 6 - he, his sponsor, and the spouse of his sponsor

    

2. Choice 1 - are now

   Choice 2 - were

    

3. Choice 1 - $1,500 or less before 1985

   Choice 2 - $2,250 or less before 1985

   Choice 3 - $1,600 or less before 1985

   Choice 4 - $2,400 or less before 1985

   Choice 5 - $1,700 or less before 1986

   Choice 6 - $2,550 or less before 1986

   Choice 7 - $1,800 or less before 1987

   Choice 8 - $2,700 or less before 1987

   Choice 9 - $1,900 or less before 1988

   Choice 10 - $2,850 or less before 1988

   Choice 11 - $2,000 or less before 1989

   Choice 12 - $3,000 or less before 1989

    

4. Choice 1 -,

   Choice 2 - and

   Choice 3 -.

    

5. Choice 1 - you

   Choice 2 - she

   Choice 3 - he

    

6. Choice 1 - are

   Choice 2 - is

   Choice 3 - were

   Choice 4 - was

    

7. Choice 1 - for (Month/Day/Year)

   Choice 2 - for (Month/Day/Year) through (Month/Day/Year)

   Choice 3 - for (Month/Day/Year) on

    

8. Choice 1 -,

   Choice 2 - and

   Choice 3 -.