PLAN FOR ACHIEVING SELF SUPPORT
June 1, 1995
Name: Debra
SSN:
1. My work goal is: To Own & Operate my own Medical Transcription Small Business
2. I want my plan to begin: June 1, 1995
I expect to reach my goal by: June 1, 2000
Note: I believe that it will take 5 years for me to become successfully established in my own Medical Transcription Small Business. This PASS is outlining the first 18 month period of that goal (and only requesting approval for the first 18 months).
3. I will have the following expenses, during the first 18 months, in order to reach my goal:
ITEM RELATION, TO GOAL MONTHS, PAID COST PER MONTH, TOTAL
Advertising & Marketing Costs, including Small Business Plan Fees, start up accounting tax prep fees, & PASS account bank charges. Required for goal achievement. 6/1/95-12/1/96, $120.00/mo. $2,160.00/total.
Computer, software, desk, file cabinet, peripherals, & misc. paper and operation costs. Required for goal achievement. 6/1/95-12/1/96, $200.00/mo. $3,600.00/total.
Specialized Transcription Equipment Required Business expenses. 6/1/95-12/1/96, $40.00/mo. $720.00/total.
Work clothes. Required, see attachment # 1. 6/1/95-12/1/96, $50.00/mo. $900.00/total.
Medical Transcription & Small Business Management classes, tutoring, & consultation. Required for goal achievement. 6/1/95-12/1/96, $100.00/mo. $1800.00/total.
Transportation expenses, including $60.00 per month car insurance, $210.00 car payment, & $35.00 per month mileage. Required for goal achievement, see attachment #1. 6/1/95-12/1/96, $305.00/mo. $5490.00/total.
Medications and co-pays not covered by other health insurance. Required to maintain health, see attachment #1.
6/1/95-12/1/96, $30.00/mo. $540.00/total.
Meals Consumed during work hours (lunch only). Required for Goal, see attachment #1. 6/1/95-12/1/96, $80.00/mo. $1440.00/total.
Partial office space, utilities, & phone in my home for my consulting business & home office. Required for Goal Achievement, see attachment #1. 6/1/95-12/1/96, $497.00/mo. $8946.00/total.
TOTAL 18 months, $1422.00/mo. $25,596.00/total.
NOTE: The above expenses are shown evenly amortized over the first 18 months. I anticipate that the actual monthly expenses will not reflect the "even amortization" shown above but will vary based on the billing cycles and amounts associated with the specific expense. The final totals for each item are believed to be accurate estimates at this point.
4. I already have the following money or property that I will use to reach this goal:
None
5. I expect to receive the following income that I will use to reach the goal:
$2682.00 Wages from my Husband's Employment
$392.00 Social Security Disability Income
I will deposit $372.00 of my SSDI and $1030.00 of deemed income from my husband's wages, for a total of $1422.00 per month.
I will keep the money I set aside under my plan in the following bank account: A separate checking account will be set up upon approval of this PASS.
7. I am already working toward this goal.
8. Signature__________________________Date________
9. Individuals who helped me with this plan:
David G. Hammis
Project Coordinator, & Social Security Training Specialist
CTAT, Center for Technical Assistance & Training
916 4th Avenue
Greeley, Co 80631
303-352-5395