Disbursement Checklist Page 3

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Household Income Calculation:
TYPE OF INCOME
BORROWER
CO-BORROWER
OTHER
Base Pay
Overtime/Bonus
Commission
Tips
Dividends/Int.
Self Employment
(incl. deprec.)
Pension/S.S.
VA Benefits
Unemployment
Alimony/Child Support
Car Allowance
Other
TOTAL
:
TOTAL HOUSEHOLD INCOME
HOUSEHOLD SIZE FROM PAGE 1:
:
MAXIMUM HOUSEHOLD INCOME
HOUSEHOLD SIZE
MAXIMUM INCOME
1
$40,050.
2
$45,800.
3
$51,500.
4
$57,200.
5
$61,800.
6
$66,400.
7
$70,950.
8
$75,550.

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