BASIC (04-14)

A. When Treasury notifies beneficiary or recipient

Treasury sends this notice when the request for a handwriting analysis is complete.

B. Completed handwriting analysis letter

Department of the Treasury

Bureau of Fiscal Service

Philadelphia Financial Center

13000 Townsend Rd

Philadelphia, PA 19154

QDB-824C-ABC August 31, 2013

Social Security Administration

WNPSC Attn: Mod 08

P.O. Box 2000

Richmond, CA 94802

We submitted the material below for examination and report. We are returning the enclosures transmitted with your reference herewith. We have not made any photographs. Your reference:

Account # XXX-XX-XXXXA

Questioned: The endorsement of John Doe’s name on check # 1234-56,789,101 dated 01-03-11.

Standard: Signatures in the name of John Doe on FMS-1133 dated 01-03-11.

Report: The author of the standard writing does not appear to be the author of the endorsement on the questioned check.

Philip L. Bean

Document Analyst

*THIS REPORT IS FOR INTERNAL USE ONLY AND IS NOT FOR RELEASE.*