Court filing — William Kolbert v. Benworth Capital Partners LLC et al. (Dkt. 1-3, E.D.N.Y.)

Summary

Exhibit pages, Document 1-3 filed 01/07/25 in William Kolbert v. Benworth Capital Partners LLC et al., No. 1:25-cv-00117-FB-CHK, in the E.D.N.Y. The first page is a Social Security Administration Important Information cover letter to William Kolbert dated 09/25/2024. The next page is a U.S. Department of the Treasury, Bureau of the Fiscal Service notice dated 09/18/24 headed What Happened to My Payment?. It states that an original Social Security payment of $3177.10 dated 09/18/24 was applied in part to delinquent debt owed to the Small Business Administration, with $476.57 applied to a Non-Tax Federal Debt.

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Full text

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Page 1

Social Security Administration
Important Information

From: Social Security Administration

Date: 09/25/2024
Telephone No.: 1-800-772-1213

WILLIAM KOLBERT
4 DONALD DRIVE
SYOSSET NY 11791-5208

The enclosed form(s) has been sent to you based on your recent contact with Social Security's toll-free
telephone service. It is important that you complete the enclosed form(s) and mail/return it to the

address shown below.

SOCIAL SECURITY ADMINISTRATION
2ND FL

163 MINEOLA BLVD

MINEOLA NY 11501-4242

Office Hours : 09:00AM to 04:00PM

If you have any questions or need further assistance, please call our toll-free number (1-800-772-1213)
between 8:00 a.m. - 7:00 p.m., Monday through Friday, or contact your local Social Security Office at

866-758-1318.

Suspect Social Security Fraud?

If you suspect Social Security fraud, please visit http://oig.ssa.gov/r or call the Inspector General's
Fraud Hotline at 1-800-269-0271 (TTY 1-866-501-2101).

Social Security Administration
UNIT:317

https://sso.ba.ssa.gov/chip/Print?SOURCE=Cover+Letters&TARGET=SSA+Cover+Letter... 9/25/2024
Case 1:25-cv-00117-FB-CHK Document1-3 Filed 01/07/25 Page 3 of 3 PagelD #: 68

U.S. Department of the Treasury
Bureau of the Fiscal Service

P.O. Box 1686

Birmingham, AL 35201-1686

PLEASE RETAIN FOR YOUR RECORDS

09/18/24.

_- WILLIAM KOLBERT
M3 «15614 80TH ST #2
@ HOWARD BEACH, NY 11414-2503

What Happened to My Payment?

The U.S. Department of the Treasury, Bureau of the Fiscal Service (Fiscal Service), applied all or part of
your payment to delinquent debt that you owe. This action is authorized by federal law. Below is your
payment information:

Payment From: Social Security Administration
Payee Name: WILLIAM KOLBERT

Original Payment Amount: $3177.10 Payment Date: 09/18/24
« «| Payee TIN (Last Four): 7591 Payment Type: EFT --
"Beneficiary ‘TIN (Last Four): 7591 Claim Account Number:
POLS Bt ig Who Do I Owe?

We applied your payment to debt that you owe to the following agency:

Small Business Administration TOP Trace Number: {7334
409 3RD ST SW Account #: DOO]

WASHINGTON DC 20416 Applied To This Debt: $476.57 cota,
suet. bee Type of Debt: Non-Tax Federal Debt... i:
Please see additional pages for other debts, if any.
What Should I Do?

If you agree that you owe the debt, you do not need to do anything. Y our debt balance has been reduced. If
you believe that your payment was applied in error, you would like to resolve your debt, or you have
questions about your debt or outstanding balance, contact the agency listed under Who Do I Owe. Please
have this notice available when you contact the agency.

Only the agency listed under Who Do I Owe has information about your debt. Before sending a debt to
Fiscal Service, an agency must send notice to you at the address in its records. The notice explains the

amount and type of debt you owe, the rights available to you, and the agency’s intention to collect the debt
by applying eligible federal payments made to you.

For questions about your debt, please call the agency listed under Who Do I Owe. If you have questions

about the Treasury Offset aN cee please visit our website at www.fiscal treasury.gov/T OP. Please do not
contact the Social Security Administration regarding the reduction made in your federal payment as a result

of this offset.

FOR OFFICIAL USE ONLY: SL09/21


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