Food Stamp Budget Worksheet Budget Item Temporary ...
Food Stamp Budget Worksheet
Budget Item
Calculations for a ______ person household
Temporary Assistance Benefit
+
Unearned Income
=
+
Earned Income
=
Court Ordered Child Support
=
GROSS INCOME
Compare to the Gross Income Maximum (130% of FPL)
Farm Loss
=
Earned Income Deduction (Gross Earned Income x 20%)
=
TOTAL INCOME
Standard Deduction
Standard Deduction:
? 1-3 persons
? 4 persons
? 5 persons
? 6 or more persons
=
Medical Expense Deduction Calculate Excess Medical Deduction:
? No deduction when total allowable Medical Expenses are
less than $35
? Subtract $35 from the $200 Medical Expense Standard
when expenses are more than $35 but less than $200
? Subtract $35 from Total Actual Allowable Medical
Expenses if the expenses are more than $200
=
-
Dependent Care Expense
=
ADJUSTED INCOME
Excess Shelter Expense
Calculate potential Excess Shelter Expense using Mandatory
Utility Standards:
Adjusted Income
?
2
=
-
Total Allowable Shelter
Expenses
=
Excess Shelter Expense
Then follow one rule:
? No Excess Shelter Expense allowed when Total Allowable
Shelter Expenses are less than half the Adjusted Income
? If the household is not Elderly/Disabled, allow Excess
Shelter up to the maximum.
? If the household is Elderly/Disabled allow all of the Excess
Shelter Expense
=
NET INCOME
? Compare to Net Income Max (100% of FPL)
? Net Income and household size determine monthly benefit
? FAMIS rounds Net Income to the nearest dollar
The household size and net income are compared in order to determine the benefit using the Basis of Issuance Tables. FSD Income Maintenance Training and Development
06-28-2016
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