Boulevard Village

Copy of your drivers license or photo ID.

Copy of your social security card.

Letter from the Social Security office OR a print out from the Social Security office showing the amount of SSA or SSI you are NOW receiving.

Your most current bank statement. 

One savings account statement (last one received). 

CDs and/or annuities showing present amount AND interest rate/dividends now receiving.

Income tax copy, if filed. 

Pensions - Letter from place of pensions or copy of statement you receive

Health insurance letter reflecting your premium. (Supplement insurance plan, drug plan, cancer plan, dental plan, eye care plan, etc.)

One year print out from pharmacy for prescriptions that you pay yourself. 

Receipts for eye glasses, hearing aids, and dental work. 

Any other assets, income, medical you are aware of. Remember, ALL income and assets must be reported whether listed above or not. Not everything is listed this is only a help to assist in gathering information. 

Statement of inquiry of your express card showing your deposit of your social security. If your social security is paid to you by this method, if applicable.