SSI Budget Worksheet
SSI Budget Worksheet (for people who receive SSI and income from working) Name: _____ Date: _____ Monthly Gross Earned Income (Weekly Gross Income x 4.3) Subtract Exclusion - $85.00 Adjusted Gross Earned Income. Divide by 2. COUNTABLE EARNED INCOME. Base SSI Rate. Subtract COUNTABLE EARNED INCOME ... ................
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