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(1) What was your total household income last year?
Note: If you were claimed as a dependent
by your parents for income tax purposes, base your answer on your
parents' household income. Otherwise, base your answer on your
own household income.
$12,360 or less
$25,051 to $29,280
$12,361 to $16,590
$29,281 to $33,510
$16,591 to $20,820
$33,511 to $37,740
$20,821 to $25,050
Over $37,740
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(2) How many individuals
are in your household?
Note: If you were claimed as a dependent
by your parents for income tax purposes, base your answer on your
parents' household size. Otherwise, base your answer on your
own household size.
1
5
2
6
3
7
4
8 or more
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