| Edit | MONTHLY INCOME | Salary or Wages (monthly) | Bonuses, Commissions, Allowances, Fees, Overtime, Tips and similar payments (based on past 12-month average or time of employment if less than 1 year) | Income from sources such as self-employment, partnership, close corporations and independent contracts (gross receipts minus ordinary and necessary expenses required to produce income) | Severance Pay | Disability/Unemployment/Worker's Compensation | Recurring Income from Pension and Retirement Plans or Annuity Payments | Social Security Benefits | Other Public Benefits (do not include TANF or food stamps) | Spousal or Child Support from people not in this case | Interest and Dividends | Rental Income (gross receipts minus ordinary and necessary expenses required to produce income) | Reimbursed Expenses and In Kind payments to the extent they reduce personal living expenses | Fringe Benefits (if significantly reduce living expenses) | Income from Royalties, Trusts or Estates | Capital Gains or Gains derived from dealing in property (not including non-recurring gains) | Prizes/Lottery Winnings | Gifts (cash or liquid assets of which can be converted to cash) | Judgments from Personal Injury or other civil cases where cash is received on a recurring basis | Assets used for support of family | Other income of a recurring nature (specify source) | Gross Income (monthly) | Employer Paid Automobile Expenses | Employer Paid Insurance Expenses | Employer Paid Miscellaneous | Gross Income including Employer Benefits |
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| Edit | MONTHLY INCOME | Salary or Wages (monthly) | Bonuses, Commissions, Allowances, Fees, Overtime, Tips and similar payments (based on past 12-month average or time of employment if less than 1 year) | Income from sources such as self-employment, partnership, close corporations and independent contracts (gross receipts minus ordinary and necessary expenses required to produce income) | Severance Pay | Disability/Unemployment/Worker's Compensation | Recurring Income from Pension and Retirement Plans or Annuity Payments | Social Security Benefits | Other Public Benefits (do not include TANF or food stamps) | Spousal or Child Support from people not in this case | Interest and Dividends | Rental Income (gross receipts minus ordinary and necessary expenses required to produce income) | Reimbursed Expenses and In Kind payments to the extent they reduce personal living expenses | Fringe Benefits (if significantly reduce living expenses) | Income from Royalties, Trusts or Estates | Capital Gains or Gains derived from dealing in property (not including non-recurring gains) | Prizes/Lottery Winnings | Gifts (cash or liquid assets of which can be converted to cash) | Judgments from Personal Injury or other civil cases where cash is received on a recurring basis | Assets used for support of family | Other income of a recurring nature (specify source) | Gross Income (monthly) | Employer Paid Automobile Expenses | Employer Paid Insurance Expenses | Employer Paid Miscellaneous | Gross Income including Employer Benefits |
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