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Spouse’s Net Monthly Receipts/Farm Self-employment- No action required. Gross Receipts - Enter the spouse’s total receipts for non-farm goods and services.īusiness Expenses- Enter the spouse’s non-farm business expenses on the lines provided. (This field autopopulates by subtracting the total business expenses from the gross receipts.) Spouse’s Net Monthly Receipts/Non-Farm - No action required. (This field autopopulates by adding the entries for employee wages/salary and commission/tips/etc.)Įmployee wages or salary- Enter the spouse’s monthly wages or salary.Ĭommission, tips, piece-rate payments, cash bonuses - Enter the spouse’s monthly commissions, tips, etc. Spouse’s Gross Monthly Work Income- No action required. (This field autopopulates by adding the other income entries.) Individual’s Other Income- Enter any other income the individual gets on the lines provided. (This field autopopulates by adding the benefit entries.) Individual’s Benefits- Enter the individual’s benefits on the lines provided. (This field autopopulates by adding the farm business expense entries.) Total Business Expenses- No action required. (This field autopopulates by adding the entries for farm goods and services.)īusiness Expenses - Enter the individual’s farm business expenses on the lines provided. Total Gross Receipts- No action required. Gross Receipts - Enter the individual’s total receipts for farm goods and services on the lines provided. (This field autopopulates by subtracting the total business expenses from the total gross receipts.) Individual’s Net Monthly Receipts/Farm Self-employment - No action required. (This field autopopulates by adding the non-farm business expense entries.) Total Business Expenses - No action required. Gross Receipts - Enter the individual’s total receipts for non-farm goods and services.īusiness Expenses- Enter the individual’s non-farm business expenses on the lines provided. Individual’s Net Monthly Receipts – Non-Farm- No action required. (This field autopopulates by adding the entries for employee wages/salary and commission/tips/etc.)Įmployee wages or salary- Enter the individual’s monthly wages or salary.Ĭommission, tips, piece-rate payments, cash bonuses - Enter the individual’s monthly commissions, tips, etc. Individual’s Gross Monthly Work Income - No action required. Co-payment Due - Fill in the review period.