PLAN FOR ACHIEVING SELF SUPPORT
May 1, 1995
Name: Delores
SSN:
1. My work goal is: Legal Secretary.
2. I want my plan to begin: May 1, 1995
I expect to reach my goal by: May 1, 1998
Note: I believe that it will take 3 years for me to complete my A.A.S. degree & become a Legal Secretary. This PASS is only 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
Car Payment. Required, see enclosure #1. 5/1/95-11/1/96, $435.00/mo. $7,830.00/total.
Car Insurance. Required by law. 5/1/95-11/1/96, $45.00/mo. $810.00/total.
Initial Car Repairs & License Plates. Required, see enclosure #1. 5/1/95-11/1/96, $30.00/mo. $540.00/total.
Computer, Software, Printer & supplies. Required, see enclosure #2. 5/1/95-11/1/96, $220.00/mo. $3,960.00/total.
Tuition, Books, & Fees. Required, see enclosure #3. 5/1/95-11/1/96, $210.00/mo. $3,780.00/total.
Computer Tutor. Required, see enclosure #4. 5/1/95-11/1/96, $30.00/mo. $540.00/total.
Initial Clothing for School & Work. Required, see enclosure #5. 5/1/95-11/1/96, $50.00/mo. $900.00/total.
Glasses & Dental Medical Costs. Required, see enclosure #6. 5/1/95-11/1/96, $30.00/mo. $540.00/total.
TOTAL 18 months, $1050.00/mos. $18,900.00/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:
$524.00 SSDI per month
$1600.00 Approximate Deemed Income from my Husband's wages per month.
I will deposit $504.00 of my SSDI and $546.00 of my husband's deemed income each month in my PASS account.
6. I will keep the money I set aside under my plan in the following bank account:
Bank One
2600 11th Avenue
Greeley, CO 80632
Phone: 970-356-1234
Account #
(Note: Deposited $100.00 on April 19, 1995 to open account)
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
Note: See PASS enclosures on Page Three of this PASS....
PASS Enclosures
Enclosure #1: Car Payment, Initial Car Repairs & License Plates.
I drive my own car because sometimes I will have other appointments to go to and need to get there on time. Also, always have some pain in my lower back and leg and need to get home right away to rest and use Tens Unit.
Enclosure #2: Computer Printer, Software, & Supplies.
This is an important part of the equipment needed for me to attend college in my chosen field and to study and work at home. Working as a legal secretary requires computer knowledge and access. By owning a computer I will increase and enhance my learning opportunities and future work opportunities. In colleges today, computers are required due to features such as spell and grammar & math checkers built into business software, etc...Instructors do not tolerate spelling, etc.. errors due to computer technology. Employers expect skills and knowledge in computers. Not being able to access a computer daily during my education and eventual work would decrease my learning and successful completion of my goals.
Enclosure #3: Tuition, Books & Fees.
This is an estimate of the required tuition, books, and fees for an A.A.S. Degree at Aims Community College.
Enclosure #4: Computer Tutor.
I will need this person to show and teach me to use the computer and therefore might not have to spend additional time and money in classes to learn. This way I can work on the other classes to achieve my goal.
Enclosure #5: Initial Clothing for School & Work.
Savings for clothing needed to dress for office work, initial interviews, and related events during my schooling leading to employment.
Enclosure #6: Glasses & Dental Medical Costs.
This is required for expenses not covered by Medical Insurances yet necessary for my health, vision, and appearance. Poor eye or dental care would decrease my chances of reaching my goal.
Comparison of Current Income & Expenses
to Income & Expenses with a $1050.00 per month PASS
I. Current Income & Expenses:
Income:
SSDI $524.00
Child Support $50.00
Husband's Wages: $1600.00
TOTAL $2174.00
Current Expenses (Only those to be included in PASS or will be covered by Medicaid):
Car Payment $435.00
Car Insurance $45.00
Repairs & Plates $30.00
Clothing $50.00
Vision & Dental $30.00
Medical Supplies $40.00
TOTAL $630.00
Discretionary Income after Expenses: ($2174.00-$630.00) = $1544.00
II. Income & Expenses with a $1050.00 per month PASS
Income:
SSI $458.00
SSDI $524.00
Child Support $50.00
Husband's Wages: $1600.00
TOTAL $2632.00
Expenses:
PASS $1050.00
Discretionary Income after Expenses: ($2632.00-$1050.00) = $1582.00
Final Comparison for Months when Income Varies due to shift work and/or 3 pay periods
July 1995
Without a PASS
Taxable Gross Income Predicted for July 1995: $2150.00
SSDI: $524.00
Child Support: $50.00
TOTAL $2724.00
Expenses Without a PASS: $630.00
Discretionary Income after Expenses: ($2724.00-$630.00) = $2094.00
July 1995
With a PASS of $1050.00 per month
Taxable Gross Income Predicted for July 1995: $2150.00
SSI: $280.00
SSDI: $524.00
Child Support: $50.00
TOTAL $3004.00
Expenses, PASS: $1050.00
Discretionary Income after Expenses: ($3004.00-$1050.00) = $1954.00
September 1995
Without a PASS
Taxable Gross Income Predicted for Sep. 1995: $2415.00
SSDI: $524.00
Child Support: $50.00
TOTAL $2989.00
Expenses Without a PASS: $630.00
Discretionary Income after Expenses: ($2989.00-$630.00) = $2359.00
September 1995
With a PASS of $1050.00 per month
Taxable Gross Income Predicted for Sep 1995: $2415.00
SSI: $148.00
SSDI: $524.00
Child Support: $50.00
TOTAL $3137.00
Expenses, PASS: $1050.00
Discretionary Income after Expenses: ($3137.00-$1050.00) = $2087.00