How much money has your household earned (gross income) for the past six months (total)?  
    How much rental income have you received the past six months (total)?  
    How much retirement income has your household received the past six months (total)?  
    How much other money has your household received the last six months (total)?  
    Total of all income received last 6 months    
    This annualizes out to:    
    How many people in your household? (include yourself, use minors living with you, and spouse, if any)  
           
       
           
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