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# mr**JR US JBCQUELINE** **GLOSSQ QfflE** **FILED 08/28/2014** **IN THE** **DISTRICT COURT** **BEXAR, COUNTY** **STATC OF** **TEXAS' JAMES** **W. MYART.** **JR. PLAINTIFF,** **V. JACQUELINE** **GLOSSON AND** **EWtN NORMAN** **GLOSSON, DEFENDANTS** **IN THE** **DISTRICT COURT** **OF BEXAR,** **COUNTY STATE** **OF TEXAS, JAMES** **W. MYART,** **JR., Petitioner** **and JACQUELINE** **GLOSSON AND** **CW1N NORMAN** **GLOSSON, DEFENDANTS** **PAUPER'S AFFIDAVIT** **IN REQUE5TTHAT** **FILING AND** **OTHER FEES BE** **WAIVED Personally** **appeared before** **the undersigned** **officer, duly** **authorized by** **law to** **administer oaths** **in the** **State ol** **TEXAS, JAMES** **W. MYART, JR.,** **Petitioner in** **the above** **styled cose** **and on** **oath stales** **that: am** **the Petitioner** **in the** **above styled** **case and** **that owing** **to my** **poverty am** **unable to** **pay any** **costs the** **foregoing matter.** **My monthly** **income is** **S741.00 and** **pay S938.00** **per month** **rent tent** **and) iving** **expensed. anses^Qgjsj** **This Affidavit** **represent myaexpenses«aQgJ5Jncorporated** **herein as** **if fully** **set torch** **verbatim.-^- ^7** **KOfllNAZAHORA MY** **COMMISSION EXPIRES** **jr.--.- co** **■--r SOCIAL** **SECURITY ADMINISTRATION** **Date: July** **28, 2014** **Claim Number:** **XXX-XX-9315A XXX-XX-9315DI** **JAMES MYART** **323 PRESTON** **AVE SAN** **ANTONIO TX** **78210-2315 You** **asked us** **for information** **from your** **record. The** **information that** **you requested** **is shown** **below. If** **you want** **anyone else** **to have** **this information,** **you may** **send them** **this letter.** **Information About** **Supplemental Security** **Income Payments** **Beginning August** **2014, the** **current Supplemental** **Security Income** **payment is** **721.00 This** **payment amount** **may change** **from month** **to month** **if income** **or living** **situation changes.** **Supplemental Security** **Income Payments are** **paid the** **month they** **are due.** **(For**

### example,**Supplemental Security** **Income Payments** **for March** **are paid** **in March.)** **IP YOU** **HAVE ANY** **QUESTIONS**

### We**invite you** **to visit** **our web** **site at** **www.socialsecurity.gov on** **the Internet** **to find** **general information** **about Social** **Security. If** **you have** **any specific** **questions, you** **may call** **us toll-free** **at 1-800-772-1213,** **or call** **your local** **office at** **866-964-7432. We** **can answer** **most questions** **over the** **phone. If** **you are** **deaf or** **hard of hearing,** **you may** **call our** **TTY. number,** **.1-800-325-0778. You** **can also** **write or** **visit any** **Social Security** **office. The** **office that** **serves your** **area is** **located at:** **SOCIAL SECURITY** **3438 SOUTHCROSS** **SAN ANTONIO,** **TX 78223** **DOCUMENT SCANNED** **AS FILED** 

### If**you do** **call or** **visit an** **office, please** **have this** **letter with** **you. It** **will helD** **lis answer** **your Questions.** **Also, if** **you plan** **to visit** **an office,** **you may** 

### call**ahead to** **make an** **appointment. This** **will help** **us serve** **you more** **quickly when** **you arrive** **at the** **office. OFFICE** **MANAGER \'«** 

# Supplemental**Security Income** 

# Notice**From: Social** **Security Administration** 

# Date:**JUL2120H Claim** **Number: xxx-xx-9315** **James Willie** **Myart Jr.** **323 Preston** **Ave. San** **Antonio, TX** **78210 You** **must meet** **certain medical** **and nonmedical** **requirements to** **be entitled** **to disability** **benefits: ""-** **•• ••** **,..._ ...** **.. ..** 

### We**have found** **that you** **meet the** **medical requirements** **for disability** **benefits. An** **explanation of** **our findings** **follows. Please** **read it** **carefully. We** **used the** **following report(s)** **in deciding** **your claim:** 

### Shannon**Kelly. Consultative** **Examination, report** **received, 06/17/2014** **The Center** **for Health** **Care, reports** **received, 05/22/2014** **Leo K.** **Edwards Jr.,** **reports received,** **05/21/2014**

### Southeast**Baptist Hospital,** **reports received,** **05/13/2014**

### You**said that** **you became** **unable to** **work on** **August 21,** **2010 because** **of bipolar,** **high blood** **pressure, and** **diabetes.**

### While**you stopped** **work because** **of your** **condition, the** **medical evidence** **did not** **show your** **condition was** **severe enough** **to meet** **our requirements** **until your** **hospitalization on** **April 16.** **2014. Because** **of the** **severity of** **your condition** **at that time** **and medical** **experience with** **your type** **of condition,** **your impairment(s)** **met our** **requirements! as** **early as** **April 16,** **2014. We** **have not** **yet made** **decision about** **whether you** **meet the** **nonmedical requirements,** **but we** **will make** **that decision** **soon. Then** **we will** **send you** **second notice** **explaining our** **decision. AFTER** **YOU RECEIVE** **THIS SECOND** **NOTICE, YOU** 

### WILL**HAVE 60** **DAYS TO** **APPEAL THE** **DETERMINATION WE** **MADE ABOUT** **YOUR CLAIM** **FOR DISABILITY** **BENEFITS. IF** **YOU HAVE** **ANY QUESTIONS** **ABOUT YOUR** **DISABILITY CLAIM** **OR WISH** **TO APPEAL** **OUR FINDINGS,** **PLEASE DO** **NOT GET** **IN TOUCH** **WITH THE** **SOCIAL**

### SECURITY**OFFICE UNTIL** **YOU HAVE** **THE SECOND** **NOTICE. The** **people atthe** **Social Security** **office will** **be better** **able to** **answer your** **questions when** **they have** **the DOCUMENT** **SCANNED AS** **FILED .information** **from both** **notices. You** **can look** **us up** **online at** **www.ssa.gov. call** **our national** **1-800 number** **at 1-800-772-1213.** **If You** **Want Help** **With Your** **Appeal**

### You**can have** **friend, lawyer,** **or someone** **else help** **you. There** **are groups** **that can** **find you** **lawyer or** **give you** **free legal** **services if** **you qualify.** **There are** **also lawyers** **who do** **not charge** **unless you** **win your** **appeal. Your** **local Social** **Security office** **has list** **of groups** **that can** **help you** **with your** **appeal.**

### If**you get** **someone to** **help you,** **you should** **let us** **Know. If** **you hire** **someone, we** **must approve** **the fee** **before he** **or she** **can collect** **it. And** **if you** **hire lawyer,** **we will** 

### withhold**up to** **25 percent** **of any** **past due** **benefits to** **pay toward** **the fee.** 

### After**you have** **received your** **second notice,** **you can call** **or write** **any Social** **Security office** **to appeal** **our determination** **or to** **get answers** **to your** **questions. Most** **questions can** **be handled** **by telephone** **or mail.** **If you** **go to** **the Social** **Security office** **in person,** **please take** **both notices** **with you. Social** **Security Administration** **SSA-L1157-SI DOCUMENT** **SCANNED AS** **FILED Civil** **Action File** **No. ORDER** **OF THE** **COURT JAMES** **W. MYART,** **JR. PLAINTIFF,** **V. JACQUELINE** **GLOSSON AND** **EWIN NORMAN** **GLOSSON, DEFENDANTS** **IN THE** **DISTRICT COURT** **BEXAR, COUNTY** **STATE OF** **TEXAS This** **Court, having** **considered the** **Petitioner's request** **to proceed** **in forma** **pauperis, hereby** **grants the** **request. This** **.day of.** **Judge, DISTRICT** **COURT BEXAR** **COUNTY, TEXAS** **DOCUMENT SCANNED** **AS FILED**