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HOUSEHOLD AND INCOME FORM PART 1. ALL HOUSEHOLD MEMBERS Name of all people living in your household (First, Middle Initial, Last) School the child attends, or indicate NA if household member is not
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The household and income form is a document used to report information about the members of a household and their income.
All individuals who are part of a household and have income are required to file the household and income form.
To fill out the household and income form, you must provide information about each member of the household, including their income sources.
The purpose of the household and income form is to assess the financial situation of the household and determine eligibility for certain benefits or assistance programs.
Information such as names of household members, sources of income, and amounts earned must be reported on the household and income form.
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