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(o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims <br />Commission or the Court of Claims. <br />3. Income Computation <br />Please provide the following information for all adult household members (18 years of age or older) who will <br />use the home as their permanent residence. Additionally, please provide the following information for all <br />household members who have a regular income, regardless of their age. <br />Name Name of Employer Position/Title Years on Employer's Phone # <br />This lob <br />Family Member <br />Base Monthly <br />Employment <br />Overtime <br />Bonuses <br />Commissions <br />Dividends/Interest <br />Other Income <br />Other Income <br />Please describe "Other Income" as identified in the table above. <br />Name Source of income Monthly Amount <br />