Benefit Calculation

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A.  Gross monthly earned income (if none, go to Step D) (Varying income)
B.  Calculate 20% of A     (A x .2) = B
C.  Subtract B from A
 
D.  Add all other income (SSI, AFDC, SSA, Unemployment) (Varying income)
E.  Subtract deduction of $144, $147 (household = 4), $172 (HH = 5) $197 (HH = 6)
F.  SUM
  
 
G.  For ELDERLY or DISABLED subtract monthly medical bills in excess of $35
       [Total medical expenses] ________ - $35 = ______
HSubtract monthly dependent care costs (kids or adults)
 
 
I.					Income Subtotal
JSubtract excess shelter costs [maximum of deduction of $446/month
                  except elderly or disabled applicants, who have no max]
      1.  Give shelter costs (includes rent, mortgage, &/or utilities)    $ _____
      2.  Figure shelter standard ( = 1/2 of I)                                   $ _____
           Subtract 2 from 1.  
      If 2 is larger than 1, then no deduction.                                   = _____
 
KSUM                                           		NET INCOME
 
KStamp amount = Max Stamp Allotment ($0 income) - [Net income (K) x .3]
 
    -
    =
 
    +
    -
    =
  
    
  
    -
  
    -
 
    =
 
 
 
 
 
    -
 
 
 
 
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$_____
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A
B
C
 
D
E
F
  
 
  
G
  
H
 
 
 
 
 
 
J
 
K

Utility Allowance:
Max net income:
Max gross income:
1 = $266                   2 = $292                                                 3-4 = $321        5+ = $350
1 = $867                   2 = $1167                 3 = $1467                4 = $1767         5 = $2067
1 = $1127                 2 = $1517                 3 = $1907                4 = $2297         5 = $2687
       [MAX GROSS LIMIT DOES NOT APPLY TO ELDERLY OR DISABLED]