| Source |
Amount |
| Your take-home pay from your job |
$ |
| Financial help from family |
$ |
| Tips or bonuses |
$ |
| Child support |
$ |
| Unemployment |
$ |
| Social Security or Supplemental Security Disability Income |
$ |
| Public assistance |
$ |
| Food stamps |
$ |
| Interest from savings or other accounts |
| |
$ |
| |
$ |
| |
$ |
| TOTAL INCOME |
$ |
