Calculation Of Ssi Payment Spreadsheet Template - Individual With Earned Income Only
Download a blank fillable Calculation Of Ssi Payment Spreadsheet Template - Individual With Earned Income Only in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Calculation Of Ssi Payment Spreadsheet Template - Individual With Earned Income Only with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1CALCULATION OF SSI PAYMENT AMOUNT
INDIVIDUAL WITH EARNED INCOME ONLY
For Month: ____________________ Year: ___________________
1. _____________ EARNED GROSS INCOME
2. __--__________ STUDENT EARNED INCOME EXCLUSION
3. _____-$85____ GENERAL AND EARNED INCOME EXCULSION
4. __--__________ DEDUCT IMPAIRMENT-RELATED WORK EXPENSES
5. _____________ AMOUNT
6. _______/2____ DIVIDE AMOUNT BY 2
7. _____________ COUNTABLE EARNED INCOME
8. _____________ COUNTABLE EARNED INCOME (LINE #7)
9. __--__________ DEDUCT PLAN FOR ACHIEVING SELF-SUPPORT
OR BLIND WORK EXPENSES
10. _____________ ADJUSTED TOTAL COUNTABLE INCOME
11. _____________ FEDERAL BENEFIT RATE
12. _--___________ ADJUSTED TOTAL COUNTABLE INCOME (LINE #10)
13. _____________ ADJUSTED SSI PAYMENT
14. _____________ EARNED GROSS INCOME (LINE # 1)
15. _+___________ ADJUSTED SSI PAYMENT (LINE # 13)
16. _____________ TOTAL GROSS MONTHLY INCOME
17. _--___________ DEDUCT COST OF ALL WORK INCENTIVE (S) CLAIMED
(TOTAL OF LINES # 4 AND #9)
18. _____________ TOTAL ADJUSTED CROSS MONTHLY INCOME
Developed by Mike Walling.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal