Eligibility Assessment: Part 4

Household Size
The total number of members living in your household, including yourself. If it is 9 or more, enter 9.
 
 
 
Please enter a number to specify the number of people in the household.
Adjusted Gross Household Income:
Your adjusted gross household income is the total income for yourself, your spouse, and dependents in the household. This can be found on your most recent IRS form 1040, on line 11.
Enter numerical values only (monthly or annual income). Special characters like $ or , are not accepted.
 
Please enter your gross household income.
Please select monthly/annual income.
SUBMIT
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