Please fill out all information to the best of your ability. All fields marked (required) must be filled out. Call your local center for help. Fill out information on all family living in the household. INCOME GUIDELINES 2021-2022--Must make less than the amount listed: (Household size 2, monthly $2,823, yearly $33,873) (Household size 3, monthly $3,550, yearly $42,605) (Household size 4, monthly $4,278, yearly $51,337) (Household size 5, monthly $5,005, yearly $60,069) (Household size 6, monthly $5,733, yearly $68,801) (Household size 7, monthly $6461, yearly $77,533) (Household size 8, monthly $7,188, yearly $86,265)
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