INCOME WORKSHEET - California Courts



INCOME WORKSHEET

Instructions: Write in the amount of money you received last month (_______________) for each type of income you earned/received:

a. Salary/Wages(from a job): $_____________

b. Overtime: $_____________

c. Commissions or bonuses: $_____________

d. Public assistance (TANF, SSI, GA/GR): $_____________

e. Spousal Support:(this marriage) $_____________

Spousal Support:(from a different marriage) $_____________

f. Pension/retirement: $_____________

g. Social Security Retirement: $_____________

h. Disability: Social Security: $_____________

State Disability: $_____________

Private Disability: $_____________

i. Unemployment: $_____________

j. Workers’ Compensation: $_____________

k. Other: $_____________

Investment Income:

a. Dividends/Interest: $_____________

b. Rental property income: $_____________

c. Trust Income: $_____________

Income from self-employment, after business expenses: $_____________

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