clo not suft'cf fiurr'] rn] mental p!'rsonal knou.lcdge ofthe l'acts listed bclovo and declarc irrpairnrcnt.

hav under pr.'rtitlt\ o perlutli

l. l-inda .lordan morer I8 )cars old,

nrcnt run F.-Vcrili Slstcnl Lo vclity the cnrplovment eligibiliti lol B lacl ll Obanra (Obanra) rnd it tcvcttlcd a "Notice o1' \J islnalclr" bcr\ l Obarra's uame- [Tirtlr dare and Social Securirl Nrrrnber (SSN), conpar I to the intot.rnarion rhe Social SccuIity,{dnrirristrarion has orr lile-

I used thc .qol

I sa* C)barna s eiL'ctiIe Scr\ ice Regislr'.rtion (SSR) lornr \tich ,,ras a\,ailablc ()n t web at $ !\v,sss.sov and copied thc SSN Obalrra usc'd orr that fbrnr. I rl read lhc rcpods oflicclscd investigators Ne'il Sankcy'. Susan I):rrric'ls th.' opirior) (rl'rtifed scnior rlcpoltarion oltlcer 0l rhc clepanurerrt of I onrcland Securit; John Sarnpson, that rhc SSN Obamr rvas rrsing rvas liir lent lnd/or ncver issued {o him.
r 1008 arld Nlal 101 I.I sutrnritrcd screral rcqlresrs ro agencics rrrcl 4rlc rvith the legal rcsponsibility;rrr(l authority to iDvcstigate thc use ol' li documents ln<l electicrrr fi-aud. concernitrg ()barrra's biftl'l rccords:rnd SS l. {attachmenl ,\)

llct\\'een ( )cIo

li) date no onc ith thc lcgal responsibility all\ ol'nl\ tequ sl\
I read p:rrt

and rrurhority hirs rcspon(lcd to

oft

War,s ald N,l Representati\ l0l l. Slre .'r1'l:rrrrcd rh.rr ir SS\ in conjutlctlon !vt lr a proper itlcntity docunlertt delerntine r\ltclhcr a persetr is authorizcd to . l.aCanlirla said thrl tlre F.-Vr'rit\ syslcnl run bv lhe l.l(l\'!nnlnlent ls fice. Intcrnd-lTased slslem lhat lll()\\'s cr))plolcls t(l lil\ the enlplol lltent cligibilill crfrheircnrplolccs. lhc clectronicall) lnrnrigralion lbnn and Curtlol Act ol 1986 r'c(luired all cnrploycrs to r cril.r' tltc itlcn itl ancl cmpltrl'rrrent cligibilit! ofall ncrr, enrlTlovees tr'lardlcss olc rizcnship ol rratitrnal oligin.

bclbre the Corrrnrittcc on Sub Corrrnrittcc on Social Securirv in tlre Ilousc r)l' J:rrcd.\p|il ll r.
i .rrCarrlirr':r

le\lirnon) r)l M:lr iatrrrir

lconsicicrcd
Stiries

to be onc olthe enrployers ol-tlre PrcsidL'nt ol'thc LJnitcd

(h

July l('. ?0 l. I tried to srroll in thc E-Vcrit,\ S)'stcllr bd it rcquircd the enrpioler to en :r data f'rorn theit entployees I-9 Flnrplo-r ment Eligibilit_"" Verilicaliou F ru. I have treen unable 10 l()cate onc 1br Obar a.
On .,\ugust 17. {) I l. I \\,e[t back on the E-Veril'v \\'ebsite and sa\v that therc rvas a "Sell'-Se ,ice" lirnction tltat \vars tnole streatnlincd and easicr to use rr herr chccki an enrplorecs eligibilitl'. I c.nte|ed tbe nrme lJtrack H Otranra. bilLlr rc n ugust 4, i96l and sSN 042-6ti-4-l:5. fhisdarawas -l cntered cr-rrrccl 1. hc repolt I gor back lionl tltc SSA include-d a "Noricc of !lisnratch rri Social Seculitv r\dnrinistration (SSA) Rcconls". lartachnrenl B)

Signccl
L

J
ind
o[daD

o.

\-"- '.
I

So. l)a\rson 51. Scaulc WA 981 I 8 106.72i.647

In thc citv

of

,)u;. L\rL

.-l

Scattlc \\rashington

'

t uunt' ot '
I{

- itt' -\ K1"i-'

l)atctl thc

,n

(hy ol'

tot

'i.
I

Sign{(urc (}l-

c'

Notllr\'

'\

tLi.Lutl

Dalc

r :!(oflh \!rrirr \ rirn!r .

hlLt,r:

\'lrlli(.h,trci\ !(i\ \.Lrl rfll

\t( o

icr

hfli

,-".:-

Sel Ch
(SSA)Record
\ir-nt

r*(

-.-,4."-d";;,-.&*-J

Notice of Mis atch with Social Security Adminrstration

Bring this notice

For-SSA Fielci Office
obarDa []arack
[,1t)

ith you when you visit SSA.

laff: Oo not use ev-sran: see-potrl shru r ozsolootr

-l

t'tanr-irtre efrtoyee
99r..i'J291) Date of lvllsnrarcn
D42 t;A 4125

Name F,rsi Nane

Enrplcyee s Sccial Se rity NLimbe. (SSN) a31CY C.se Venficatron NLr el

2A 11?.29111

R..ason lor thrs Ncllce SSN does not ma h. lhe Socral Secrrr'ly Nunlo''r iSSNj errtel't rn Self Check is valrdbirt ihe fame and/or d te ()f bIth entersd do not match SSA records. SSN is invalid. Tlr Soc al SecLrntv Ntlrnber (SSN)

e te.ed rn Self Check is nol a valid

SSA unablo to co work bec;ruse llre S

rm U.S. Citizenship. Carinol confirr11 tlral tlre ernployoe rs elrqlbl,'' records do rrot show lhat lhe SSN Holder rs a U S {)lrzen
SSA fD!,nd n drsr:repancy ra the (-'cord

.' SSA record does ot verify. Other reason.

SSA unable to pr

ss data. SSA foLrrd a clrscreparlcy irl other data irl the record

attachment B

s l.r

loll

ll.(rt),\l\l