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small (250x250 max)
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Maximum Food Benefit Allotments and Standards for Income and Deductions Maximum gross income standards (without elderly/disabled members). For a household of: 1 person 2 persons 3 persons 4 persons 5 persons 6 persons 7 persons 8 persons $1,211 $1,640 $2,069 $2,498 $2,927 $3,356 $3,785 $4,214 Maximum net income standards (use for all households except categorically eligible households -pure TANF and/or SSI households). For a household of: 1 person 2 persons 3 persons 4 persons 5 persons 6 persons 7 persons 8 persons $931 $1,261 $1,591 $1,921 $2,251 $2,581 $2,911 $3,241 Maximum net income standards (use for categorically eligible households -pure TANF and/or SSI households). For a household of: 1 person 2 persons 3 persons 4 persons 5 persons 6 persons 7 persons 8 persons $1,536 $2,081 $2,625 $3,170 $3,714 $4,259 $4,803 $5,348 Maximum benefit allotments. For a household of: 1 person 2 persons 3 persons 4 persons 5 persons 6 persons 7 persons 8 persons $200 $367 $526 $668 $793 $952 $1,052 $1,202 Maximum income standards and food benefit allotment for households greater than eight. 1. Maximum gross income standards for households without elderly/disabled members or categorically eligible households -pure TANF and/or SSI households. For each person over eight, add $429 to the maximum gross income ($4,214) for eight persons. Appendix C-3 (08AX003E) revised 10-1-2012 may continue on next page, page 1 of 37 2. Maximum net income standards for all households except categorically eligible households -pure TANF and/or SSI households. For each person over eight, add $330 to the maximum net income ($3,241) for eight persons. 3. Maximum net income standards for categorically eligible households pure TANF and/or SSI households. For each person over eight add $545 to the maximum net income ($5,348) for eight persons. 4. Food benefit allotment. Determine maximum allotment for the household size by adding $150 for each person over eight to the maximum allotment ($1,202) for eight persons. Multiply the household's net food benefit income by 30%, round cents up to the next dollar, and subtract answer from the maximum food benefit allotment. If that amount is less than $16 and the net income is below the maximum, the food benefit is $16 for a household size of one or two. (Table PSCALC33) Monthly allotments of $1, $3, or $5 are issued in amounts of $2, $4, or $6 respectively. When proration of initial month benefits result in less than $10, no issuance is made. If the monthly allotment is zero, the household is denied, unless it is a categorically eligible household. Standards for deductions and utilities. 1. Earned income deduction 20% 2. Standard deduction Household size Amount (Each household receives this deduction.) 1 -3 $149 4 $160 5 $187 6 + $214 3. Maximum shelter cost deduction without elderly/disabled $469 4. Utility standard • Standard utility allowance (SUA) $341 • Basic utility allowance (BUA) $293 • Telephone standard $ 45 5. Homeless household estimated shelter expense $143 Table showing 165% of the poverty level. Household size Amount 1 $1,536 2 $2,081 3 $2,625 4 $3,170 5 $3,714 6 $4,259 7 $4,803 8 $5,348 Appendix C-3 (08AX003E) revised 10-1-2012 may continue on next page, page 2 of 37 Add $545 for each additional person Vehicle exclusion amount. $5,000 equity Appendix C-3 (08AX003E) revised 10-1-2012 may continue on next page, page 3 of 37 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 $0 -0 $200 $367 $526 $668 $793 $952 $1,052 $1,202 1 -3 $199 $366 $525 $667 $792 $951 $1,051 $1,201 4 -6 $198 $365 $524 $666 $791 $950 $1,050 $1,200 7 -10 $197 $364 $523 $665 $790 $949 $1,049 $1,199 11 -13 $196 $363 $522 $664 $789 $948 $1,048 $1,198 14 -16 $195 $362 $521 $663 $788 $947 $1,047 $1,197 17 -20 $194 $361 $520 $662 $787 $946 $1,046 $1,196 21 -23 $193 $360 $519 $661 $786 $945 $1,045 $1,195 24 -26 $192 $359 $518 $660 $785 $944 $1,044 $1,194 27 -30 $191 $358 $517 $659 $784 $943 $1,043 $1,193 31 -33 $190 $357 $516 $658 $783 $942 $1,042 $1,192 34 -36 $189 $356 $515 $657 $782 $941 $1,041 $1,191 37 -40 $188 $355 $514 $656 $781 $940 $1,040 $1,190 41 -43 $187 $354 $513 $655 $780 $939 $1,039 $1,189 44 -46 $186 $353 $512 $654 $779 $938 $1,038 $1,188 47 -50 $185 $352 $511 $653 $778 $937 $1,037 $1,187 51 -53 $184 $351 $510 $652 $777 $936 $1,036 $1,186 54 -56 $183 $350 $509 $651 $776 $935 $1,035 $1,185 57 -60 $182 $349 $508 $650 $775 $934 $1,034 $1,184 61 -63 $181 $348 $507 $649 $774 $933 $1,033 $1,183 64 -66 $180 $347 $506 $648 $773 $932 $1,032 $1,182 67 -70 $179 $346 $505 $647 $772 $931 $1,031 $1,181 71 -73 $178 $345 $504 $646 $771 $930 $1,030 $1,180 74 -76 $177 $344 $503 $645 $770 $929 $1,029 $1,179 77 -80 $176 $343 $502 $644 $769 $928 $1,028 $1,178 81 -83 $175 $342 $501 $643 $768 $927 $1,027 $1,177 84 -86 $174 $341 $500 $642 $767 $926 $1,026 $1,176 87 -90 $173 $340 $499 $641 $766 $925 $1,025 $1,175 91 -93 $172 $339 $498 $640 $765 $924 $1,024 $1,174 94 -96 $171 $338 $497 $639 $764 $923 $1,023 $1,173 97 -100 $170 $337 $496 $638 $763 $922 $1,022 $1,172 101 -103 $169 $336 $495 $637 $762 $921 $1,021 $1,171 104 -106 $168 $335 $494 $636 $761 $920 $1,020 $1,170 107 -110 $167 $334 $493 $635 $760 $919 $1,019 $1,169 111 -113 $166 $333 $492 $634 $759 $918 $1,018 $1,168 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 3 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 114 -116 $165 $332 $491 $633 $758 $917 $1,017 $1,167 117 -120 $164 $331 $490 $632 $757 $916 $1,016 $1,166 121 -123 $163 $330 $489 $631 $756 $915 $1,015 $1,165 124 -126 $162 $329 $488 $630 $755 $914 $1,014 $1,164 127 -130 $161 $328 $487 $629 $754 $913 $1,013 $1,163 131 -133 $160 $327 $486 $628 $753 $912 $1,012 $1,162 134 -136 $159 $326 $485 $627 $752 $911 $1,011 $1,161 137 -140 $158 $325 $484 $626 $751 $910 $1,010 $1,160 141 -143 $157 $324 $483 $625 $750 $909 $1,009 $1,159 144 -146 $156 $323 $482 $624 $749 $908 $1,008 $1,158 147 -150 $155 $322 $481 $623 $748 $907 $1,007 $1,157 151 -153 $154 $321 $480 $622 $747 $906 $1,006 $1,156 154 -156 $153 $320 $479 $621 $746 $905 $1,005 $1,155 157 -160 $152 $319 $478 $620 $745 $904 $1,004 $1,154 161 -163 $151 $318 $477 $619 $744 $903 $1,003 $1,153 164 -166 $150 $317 $476 $618 $743 $902 $1,002 $1,152 167 -170 $149 $316 $475 $617 $742 $901 $1,001 $1,151 171 -173 $148 $315 $474 $616 $741 $900 $1,000 $1,150 174 -176 $147 $314 $473 $615 $740 $899 $999 $1,149 177 -180 $146 $313 $472 $614 $739 $898 $998 $1,148 181 -183 $145 $312 $471 $613 $738 $897 $997 $1,147 184 -186 $144 $311 $470 $612 $737 $896 $996 $1,146 187 -190 $143 $310 $469 $611 $736 $895 $995 $1,145 191 -193 $142 $309 $468 $610 $735 $894 $994 $1,144 194 -196 $141 $308 $467 $609 $734 $893 $993 $1,143 197 -200 $140 $307 $466 $608 $733 $892 $992 $1,142 201 -203 $139 $306 $465 $607 $732 $891 $991 $1,141 204 -206 $138 $305 $464 $606 $731 $890 $990 $1,140 207 -210 $137 $304 $463 $605 $730 $889 $989 $1,139 211 -213 $136 $303 $462 $604 $729 $888 $988 $1,138 214 -216 $135 $302 $461 $603 $728 $887 $987 $1,137 217 -220 $134 $301 $460 $602 $727 $886 $986 $1,136 221 -223 $133 $300 $459 $601 $726 $885 $985 $1,135 224 -226 $132 $299 $458 $600 $725 $884 $984 $1,134 227 -230 $131 $298 $457 $599 $724 $883 $983 $1,133 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 4 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 231 -233 $130 $297 $456 $598 $723 $882 $982 $1,132 234 -236 $129 $296 $455 $597 $722 $881 $981 $1,131 237 -240 $128 $295 $454 $596 $721 $880 $980 $1,130 241 -243 $127 $294 $453 $595 $720 $879 $979 $1,129 244 -246 $126 $293 $452 $594 $719 $878 $978 $1,128 247 -250 $125 $292 $451 $593 $718 $877 $977 $1,127 251 -253 $124 $291 $450 $592 $717 $876 $976 $1,126 254 -256 $123 $290 $449 $591 $716 $875 $975 $1,125 257 -260 $122 $289 $448 $590 $715 $874 $974 $1,124 261 -263 $121 $288 $447 $589 $714 $873 $973 $1,123 264 -266 $120 $287 $446 $588 $713 $872 $972 $1,122 267 -270 $119 $286 $445 $587 $712 $871 $971 $1,121 271 -273 $118 $285 $444 $586 $711 $870 $970 $1,120 274 -276 $117 $284 $443 $585 $710 $869 $969 $1,119 277 -280 $116 $283 $442 $584 $709 $868 $968 $1,118 281 -283 $115 $282 $441 $583 $708 $867 $967 $1,117 284 -286 $114 $281 $440 $582 $707 $866 $966 $1,116 287 -290 $113 $280 $439 $581 $706 $865 $965 $1,115 291 -293 $112 $279 $438 $580 $705 $864 $964 $1,114 294 -296 $111 $278 $437 $579 $704 $863 $963 $1,113 297 -300 $110 $277 $436 $578 $703 $862 $962 $1,112 301 -303 $109 $276 $435 $577 $702 $861 $961 $1,111 304 -306 $108 $275 $434 $576 $701 $860 $960 $1,110 307 -310 $107 $274 $433 $575 $700 $859 $959 $1,109 311 -313 $106 $273 $432 $574 $699 $858 $958 $1,108 314 -316 $105 $272 $431 $573 $698 $857 $957 $1,107 317 -320 $104 $271 $430 $572 $697 $856 $956 $1,106 321 -323 $103 $270 $429 $571 $696 $855 $955 $1,105 324 -326 $102 $269 $428 $570 $695 $854 $954 $1,104 327 -330 $101 $268 $427 $569 $694 $853 $953 $1,103 331 -333 $100 $267 $426 $568 $693 $852 $952 $1,102 334 -336 $99 $266 $425 $567 $692 $851 $951 $1,101 337 -340 $98 $265 $424 $566 $691 $850 $950 $1,100 341 -343 $97 $264 $423 $565 $690 $849 $949 $1,099 344 -346 $96 $263 $422 $564 $689 $848 $948 $1,098 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 5 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 347 -350 $95 $262 $421 $563 $688 $847 $947 $1,097 351 -353 $94 $261 $420 $562 $687 $846 $946 $1,096 354 -356 $93 $260 $419 $561 $686 $845 $945 $1,095 357 -360 $92 $259 $418 $560 $685 $844 $944 $1,094 361 -363 $91 $258 $417 $559 $684 $843 $943 $1,093 364 -366 $90 $257 $416 $558 $683 $842 $942 $1,092 367 -370 $89 $256 $415 $557 $682 $841 $941 $1,091 371 -373 $88 $255 $414 $556 $681 $840 $940 $1,090 374 -376 $87 $254 $413 $555 $680 $839 $939 $1,089 377 -380 $86 $253 $412 $554 $679 $838 $938 $1,088 381 -383 $85 $252 $411 $553 $678 $837 $937 $1,087 384 -386 $84 $251 $410 $552 $677 $836 $936 $1,086 387 -390 $83 $250 $409 $551 $676 $835 $935 $1,085 391 -393 $82 $249 $408 $550 $675 $834 $934 $1,084 394 -396 $81 $248 $407 $549 $674 $833 $933 $1,083 397 -400 $80 $247 $406 $548 $673 $832 $932 $1,082 401 -403 $79 $246 $405 $547 $672 $831 $931 $1,081 404 -406 $78 $245 $404 $546 $671 $830 $930 $1,080 407 -410 $77 $244 $403 $545 $670 $829 $929 $1,079 411 -413 $76 $243 $402 $544 $669 $828 $928 $1,078 414 -416 $75 $242 $401 $543 $668 $827 $927 $1,077 417 -420 $74 $241 $400 $542 $667 $826 $926 $1,076 421 -423 $73 $240 $399 $541 $666 $825 $925 $1,075 424 -426 $72 $239 $398 $540 $665 $824 $924 $1,074 427 -430 $71 $238 $397 $539 $664 $823 $923 $1,073 431 -433 $70 $237 $396 $538 $663 $822 $922 $1,072 434 -436 $69 $236 $395 $537 $662 $821 $921 $1,071 437 -440 $68 $235 $394 $536 $661 $820 $920 $1,070 441 -443 $67 $234 $393 $535 $660 $819 $919 $1,069 444 -446 $66 $233 $392 $534 $659 $818 $918 $1,068 447 -450 $65 $232 $391 $533 $658 $817 $917 $1,067 451 -453 $64 $231 $390 $532 $657 $816 $916 $1,066 454 -456 $63 $230 $389 $531 $656 $815 $915 $1,065 457 -460 $62 $229 $388 $530 $655 $814 $914 $1,064 461 -463 $61 $228 $387 $529 $654 $813 $913 $1,063 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 6 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 464 -466 $60 $227 $386 $528 $653 $812 $912 $1,062 467 -470 $59 $226 $385 $527 $652 $811 $911 $1,061 471 -473 $58 $225 $384 $526 $651 $810 $910 $1,060 474 -476 $57 $224 $383 $525 $650 $809 $909 $1,059 477 -480 $56 $223 $382 $524 $649 $808 $908 $1,058 481 -483 $55 $222 $381 $523 $648 $807 $907 $1,057 484 -486 $54 $221 $380 $522 $647 $806 $906 $1,056 487 -490 $53 $220 $379 $521 $646 $805 $905 $1,055 491 -493 $52 $219 $378 $520 $645 $804 $904 $1,054 494 -496 $51 $218 $377 $519 $644 $803 $903 $1,053 497 -500 $50 $217 $376 $518 $643 $802 $902 $1,052 501 -503 $49 $216 $375 $517 $642 $801 $901 $1,051 504 -506 $48 $215 $374 $516 $641 $800 $900 $1,050 507 -510 $47 $214 $373 $515 $640 $799 $899 $1,049 511 -513 $46 $213 $372 $514 $639 $798 $898 $1,048 514 -516 $45 $212 $371 $513 $638 $797 $897 $1,047 517 -520 $44 $211 $370 $512 $637 $796 $896 $1,046 521 -523 $43 $210 $369 $511 $636 $795 $895 $1,045 524 -526 $42 $209 $368 $510 $635 $794 $894 $1,044 527 -530 $41 $208 $367 $509 $634 $793 $893 $1,043 531 -533 $40 $207 $366 $508 $633 $792 $892 $1,042 534 -536 $39 $206 $365 $507 $632 $791 $891 $1,041 537 -540 $38 $205 $364 $506 $631 $790 $890 $1,040 541 -543 $37 $204 $363 $505 $630 $789 $889 $1,039 544 -546 $36 $203 $362 $504 $629 $788 $888 $1,038 547 -550 $35 $202 $361 $503 $628 $787 $887 $1,037 551 -553 $34 $201 $360 $502 $627 $786 $886 $1,036 554 -556 $33 $200 $359 $501 $626 $785 $885 $1,035 557 -560 $32 $199 $358 $500 $625 $784 $884 $1,034 561 -563 $31 $198 $357 $499 $624 $783 $883 $1,033 564 -566 $30 $197 $356 $498 $623 $782 $882 $1,032 567 -570 $29 $196 $355 $497 $622 $781 $881 $1,031 571 -573 $28 $195 $354 $496 $621 $780 $880 $1,030 574 -576 $27 $194 $353 $495 $620 $779 $879 $1,029 577 -580 $26 $193 $352 $494 $619 $778 $878 $1,028 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 7 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 581 -583 $25 $192 $351 $493 $618 $777 $877 $1,027 584 -586 $24 $191 $350 $492 $617 $776 $876 $1,026 587 -590 $23 $190 $349 $491 $616 $775 $875 $1,025 591 -593 $22 $189 $348 $490 $615 $774 $874 $1,024 594 -596 $21 $188 $347 $489 $614 $773 $873 $1,023 597 -600 $20 $187 $346 $488 $613 $772 $872 $1,022 601 -603 $19 $186 $345 $487 $612 $771 $871 $1,021 604 -606 $18 $185 $344 $486 $611 $770 $870 $1,020 607 -610 $17 $184 $343 $485 $610 $769 $869 $1,019 611 -613 $16 $183 $342 $484 $609 $768 $868 $1,018 614 -616 $16 $182 $341 $483 $608 $767 $867 $1,017 617 -620 $16 $181 $340 $482 $607 $766 $866 $1,016 621 -623 $16 $180 $339 $481 $606 $765 $865 $1,015 624 -626 $16 $179 $338 $480 $605 $764 $864 $1,014 627 -630 $16 $178 $337 $479 $604 $763 $863 $1,013 631 -633 $16 $177 $336 $478 $603 $762 $862 $1,012 634 -636 $16 $176 $335 $477 $602 $761 $861 $1,011 637 -640 $16 $175 $334 $476 $601 $760 $860 $1,010 641 -643 $16 $174 $333 $475 $600 $759 $859 $1,009 644 -646 $16 $173 $332 $474 $599 $758 $858 $1,008 647 -650 $16 $172 $331 $473 $598 $757 $857 $1,007 651 -653 $16 $171 $330 $472 $597 $756 $856 $1,006 654 -656 $16 $170 $329 $471 $596 $755 $855 $1,005 657 -660 $16 $169 $328 $470 $595 $754 $854 $1,004 661 -663 $16 $168 $327 $469 $594 $753 $853 $1,003 664 -666 $16 $167 $326 $468 $593 $752 $852 $1,002 667 -670 $16 $166 $325 $467 $592 $751 $851 $1,001 671 -673 $16 $165 $324 $466 $591 $750 $850 $1,000 674 -676 $16 $164 $323 $465 $590 $749 $849 $999 677 -680 $16 $163 $322 $464 $589 $748 $848 $998 681 -683 $16 $162 $321 $463 $588 $747 $847 $997 684 -686 $16 $161 $320 $462 $587 $746 $846 $996 687 -690 $16 $160 $319 $461 $586 $745 $845 $995 691 -693 $16 $159 $318 $460 $585 $744 $844 $994 694 -696 $16 $158 $317 $459 $584 $743 $843 $993 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 8 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 697 -700 $16 $157 $316 $458 $583 $742 $842 $992 701 -703 $16 $156 $315 $457 $582 $741 $841 $991 704 -706 $16 $155 $314 $456 $581 $740 $840 $990 707 -710 $16 $154 $313 $455 $580 $739 $839 $989 711 -713 $16 $153 $312 $454 $579 $738 $838 $988 714 -716 $16 $152 $311 $453 $578 $737 $837 $987 717 -720 $16 $151 $310 $452 $577 $736 $836 $986 721 -723 $16 $150 $309 $451 $576 $735 $835 $985 724 -726 $16 $149 $308 $450 $575 $734 $834 $984 727 -730 $16 $148 $307 $449 $574 $733 $833 $983 731 -733 $16 $147 $306 $448 $573 $732 $832 $982 734 -736 $16 $146 $305 $447 $572 $731 $831 $981 737 -740 $16 $145 $304 $446 $571 $730 $830 $980 741 -743 $16 $144 $303 $445 $570 $729 $829 $979 744 -746 $16 $143 $302 $444 $569 $728 $828 $978 747 -750 $16 $142 $301 $443 $568 $727 $827 $977 751 -753 $16 $141 $300 $442 $567 $726 $826 $976 754 -756 $16 $140 $299 $441 $566 $725 $825 $975 757 -760 $16 $139 $298 $440 $565 $724 $824 $974 761 -763 $16 $138 $297 $439 $564 $723 $823 $973 764 -766 $16 $137 $296 $438 $563 $722 $822 $972 767 -770 $16 $136 $295 $437 $562 $721 $821 $971 771 -773 $16 $135 $294 $436 $561 $720 $820 $970 774 -776 $16 $134 $293 $435 $560 $719 $819 $969 777 -780 $16 $133 $292 $434 $559 $718 $818 $968 781 -783 $16 $132 $291 $433 $558 $717 $817 $967 784 -786 $16 $131 $290 $432 $557 $716 $816 $966 787 -790 $16 $130 $289 $431 $556 $715 $815 $965 791 -793 $16 $129 $288 $430 $555 $714 $814 $964 794 -796 $16 $128 $287 $429 $554 $713 $813 $963 797 -800 $16 $127 $286 $428 $553 $712 $812 $962 801 -803 $16 $126 $285 $427 $552 $711 $811 $961 804 -806 $16 $125 $284 $426 $551 $710 $810 $960 807 -810 $16 $124 $283 $425 $550 $709 $809 $959 811 -813 $16 $123 $282 $424 $549 $708 $808 $958 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 9 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 814 -816 $16 $122 $281 $423 $548 $707 $807 $957 817 -820 $16 $121 $280 $422 $547 $706 $806 $956 821 -823 $16 $120 $279 $421 $546 $705 $805 $955 824 -826 $16 $119 $278 $420 $545 $704 $804 $954 827 -830 $16 $118 $277 $419 $544 $703 $803 $953 831 -833 $16 $117 $276 $418 $543 $702 $802 $952 834 -836 $16 $116 $275 $417 $542 $701 $801 $951 837 -840 $16 $115 $274 $416 $541 $700 $800 $950 841 -843 $16 $114 $273 $415 $540 $699 $799 $949 844 -846 $16 $113 $272 $414 $539 $698 $798 $948 847 -850 $16 $112 $271 $413 $538 $697 $797 $947 851 -853 $16 $111 $270 $412 $537 $696 $796 $946 854 -856 $16 $110 $269 $411 $536 $695 $795 $945 857 -860 $16 $109 $268 $410 $535 $694 $794 $944 861 -863 $16 $108 $267 $409 $534 $693 $793 $943 864 -866 $16 $107 $266 $408 $533 $692 $792 $942 867 -870 $16 $106 $265 $407 $532 $691 $791 $941 871 -873 $16 $105 $264 $406 $531 $690 $790 $940 874 -876 $16 $104 $263 $405 $530 $689 $789 $939 877 -880 $16 $103 $262 $404 $529 $688 $788 $938 881 -883 $16 $102 $261 $403 $528 $687 $787 $937 884 -886 $16 $101 $260 $402 $527 $686 $786 $936 887 -890 $16 $100 $259 $401 $526 $685 $785 $935 891 -893 $16 $99 $258 $400 $525 $684 $784 $934 894 -896 $16 $98 $257 $399 $524 $683 $783 $933 897 -900 $16 $97 $256 $398 $523 $682 $782 $932 901 -903 $16 $96 $255 $397 $522 $681 $781 $931 904 -906 $16 $95 $254 $396 $521 $680 $780 $930 907 -910 $16 $94 $253 $395 $520 $679 $779 $929 911 -913 $16 $93 $252 $394 $519 $678 $778 $928 914 -916 $16 $92 $251 $393 $518 $677 $777 $927 917 -920 $16 $91 $250 $392 $517 $676 $776 $926 921 -923 $16 $90 $249 $391 $516 $675 $775 $925 924 -926 $16 $89 $248 $390 $515 $674 $774 $924 927 -930 $16 $88 $247 $389 $514 $673 $773 $923 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 10 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 11 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 931 -933 $16 $87 $246 $388 $513 $672 $772 $922 934 -936 $16 $86 $245 $387 $512 $671 $771 $921 937 -940 $16 $85 $244 $386 $511 $670 $770 $920 941 -943 $16 $84 $243 $385 $510 $669 $769 $919 944 -946 $16 $83 $242 $384 $509 $668 $768 $918 947 -950 $16 $82 $241 $383 $508 $667 $767 $917 951 -953 $16 $81 $240 $382 $507 $666 $766 $916 954 -956 $16 $80 $239 $381 $506 $665 $765 $915 957 -960 $16 $79 $238 $380 $505 $664 $764 $914 961 -963 $16 $78 $237 $379 $504 $663 $763 $913 964 -966 $16 $77 $236 $378 $503 $662 $762 $912 967 -970 $16 $76 $235 $377 $502 $661 $761 $911 971 -973 $16 $75 $234 $376 $501 $660 $760 $910 974 -976 $16 $74 $233 $375 $500 $659 $759 $909 977 -980 $16 $73 $232 $374 $499 $658 $758 $908 981 -983 $16 $72 $231 $373 $498 $657 $757 $907 984 -986 $16 $71 $230 $372 $497 $656 $756 $906 987 -990 $16 $70 $229 $371 $496 $655 $755 $905 991 -993 $16 $69 $228 $370 $495 $654 $754 $904 994 -996 $16 $68 $227 $369 $494 $653 $753 $903 997 -1000 $16 $67 $226 $368 $493 $652 $752 $902 1001 -1003 $16 $66 $225 $367 $492 $651 $751 $901 1004 -1006 $16 $65 $224 $366 $491 $650 $750 $900 1007 -1010 $16 $64 $223 $365 $490 $649 $749 $899 1011 -1013 $16 $63 $222 $364 $489 $648 $748 $898 1014 -1016 $16 $62 $221 $363 $488 $647 $747 $897 1017 -1020 $16 $61 $220 $362 $487 $646 $746 $896 1021 -1023 $16 $60 $219 $361 $486 $645 $745 $895 1024 -1026 $16 $59 $218 $360 $485 $644 $744 $894 1027 -1030 $16 $58 $217 $359 $484 $643 $743 $893 1031 -1033 $16 $57 $216 $358 $483 $642 $742 $892 1034 -1036 $16 $56 $215 $357 $482 $641 $741 $891 1037 -1040 $16 $55 $214 $356 $481 $640 $740 $890 1041 -1043 $16 $54 $213 $355 $480 $639 $739 $889 1044 -1046 $16 $53 $212 $354 $479 $638 $738 $888 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1047 -1050 $16 $52 $211 $353 $478 $637 $737 $887 1051 -1053 $16 $51 $210 $352 $477 $636 $736 $886 1054 -1056 $16 $50 $209 $351 $476 $635 $735 $885 1057 -1060 $16 $49 $208 $350 $475 $634 $734 $884 1061 -1063 $16 $48 $207 $349 $474 $633 $733 $883 1064 -1066 $16 $47 $206 $348 $473 $632 $732 $882 1067 -1070 $16 $46 $205 $347 $472 $631 $731 $881 1071 -1073 $16 $45 $204 $346 $471 $630 $730 $880 1074 -1076 $16 $44 $203 $345 $470 $629 $729 $879 1077 -1080 $16 $43 $202 $344 $469 $628 $728 $878 1081 -1083 $16 $42 $201 $343 $468 $627 $727 $877 1084 -1086 $16 $41 $200 $342 $467 $626 $726 $876 1087 -1090 $16 $40 $199 $341 $466 $625 $725 $875 1091 -1093 $16 $39 $198 $340 $465 $624 $724 $874 1094 -1096 $16 $38 $197 $339 $464 $623 $723 $873 1097 -1100 $16 $37 $196 $338 $463 $622 $722 $872 1101 -1103 $16 $36 $195 $337 $462 $621 $721 $871 1104 -1106 $16 $35 $194 $336 $461 $620 $720 $870 1107 -1110 $16 $34 $193 $335 $460 $619 $719 $869 1111 -1113 $16 $33 $192 $334 $459 $618 $718 $868 1114 -1116 $16 $32 $191 $333 $458 $617 $717 $867 1117 -1120 $16 $31 $190 $332 $457 $616 $716 $866 1121 -1123 $16 $30 $189 $331 $456 $615 $715 $865 1124 -1126 $16 $29 $188 $330 $455 $614 $714 $864 1127 -1130 $16 $28 $187 $329 $454 $613 $713 $863 1131 -1133 $16 $27 $186 $328 $453 $612 $712 $862 1134 -1136 $16 $26 $185 $327 $452 $611 $711 $861 1137 -1140 $16 $25 $184 $326 $451 $610 $710 $860 1141 -1143 $16 $24 $183 $325 $450 $609 $709 $859 1144 -1146 $16 $23 $182 $324 $449 $608 $708 $858 1147 -1150 $16 $22 $181 $323 $448 $607 $707 $857 1151 -1153 $16 $21 $180 $322 $447 $606 $706 $856 1154 -1156 $16 $20 $179 $321 $446 $605 $705 $855 1157 -1160 $16 $19 $178 $320 $445 $604 $704 $854 1161 -1163 $16 $18 $177 $319 $444 $603 $703 $853 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 12 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1164 -1166 $16 $17 $176 $318 $443 $602 $702 $852 1167 -1170 $16 $16 $175 $317 $442 $601 $701 $851 1171 -1173 $16 $16 $174 $316 $441 $600 $700 $850 1174 -1176 $16 $16 $173 $315 $440 $599 $699 $849 1177 -1180 $16 $16 $172 $314 $439 $598 $698 $848 1181 -1183 $16 $16 $171 $313 $438 $597 $697 $847 1184 -1186 $16 $16 $170 $312 $437 $596 $696 $846 1187 -1190 $16 $16 $169 $311 $436 $595 $695 $845 1191 -1193 $16 $16 $168 $310 $435 $594 $694 $844 1194 -1196 $16 $16 $167 $309 $434 $593 $693 $843 1197 -1200 $16 $16 $166 $308 $433 $592 $692 $842 1201 -1203 $16 $16 $165 $307 $432 $591 $691 $841 1204 -1206 $16 $16 $164 $306 $431 $590 $690 $840 1207 -1210 $16 $16 $163 $305 $430 $589 $689 $839 1211 -1213 $16 $16 $162 $304 $429 $588 $688 $838 1214 -1216 $16 $16 $161 $303 $428 $587 $687 $837 1217 -1220 $16 $16 $160 $302 $427 $586 $686 $836 1221 -1223 $16 $16 $159 $301 $426 $585 $685 $835 1224 -1226 $16 $16 $158 $300 $425 $584 $684 $834 1227 -1230 $16 $16 $157 $299 $424 $583 $683 $833 1231 -1233 $16 $16 $156 $298 $423 $582 $682 $832 1234 -1236 $16 $16 $155 $297 $422 $581 $681 $831 1237 -1240 $16 $16 $154 $296 $421 $580 $680 $830 1241 -1243 $16 $16 $153 $295 $420 $579 $679 $829 1244 -1246 $16 $16 $152 $294 $419 $578 $678 $828 1247 -1250 $16 $16 $151 $293 $418 $577 $677 $827 1251 -1253 $16 $16 $150 $292 $417 $576 $676 $826 1254 -1256 $16 $16 $149 $291 $416 $575 $675 $825 1257 -1260 $16 $16 $148 $290 $415 $574 $674 $824 1261 -1263 $16 $16 $147 $289 $414 $573 $673 $823 1264 -1266 $16 $16 $146 $288 $413 $572 $672 $822 1267 -1270 $16 $16 $145 $287 $412 $571 $671 $821 1271 -1273 $16 $16 $144 $286 $411 $570 $670 $820 1274 -1276 $16 $16 $143 $285 $410 $569 $669 $819 1277 -1280 $16 $16 $142 $284 $409 $568 $668 $818 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 13 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1281 -1283 $16 $16 $141 $283 $408 $567 $667 $817 1284 -1286 $16 $16 $140 $282 $407 $566 $666 $816 1287 -1290 $16 $16 $139 $281 $406 $565 $665 $815 1291 -1293 $16 $16 $138 $280 $405 $564 $664 $814 1294 -1296 $16 $16 $137 $279 $404 $563 $663 $813 1297 -1300 $16 $16 $136 $278 $403 $562 $662 $812 1301 -1303 $16 $16 $135 $277 $402 $561 $661 $811 1304 -1306 $16 $16 $134 $276 $401 $560 $660 $810 1307 -1310 $16 $16 $133 $275 $400 $559 $659 $809 1311 -1313 $16 $16 $132 $274 $399 $558 $658 $808 1314 -1316 $16 $16 $131 $273 $398 $557 $657 $807 1317 -1320 $16 $16 $130 $272 $397 $556 $656 $806 1321 -1323 $16 $16 $129 $271 $396 $555 $655 $805 1324 -1326 $16 $16 $128 $270 $395 $554 $654 $804 1327 -1330 $16 $16 $127 $269 $394 $553 $653 $803 1331 -1333 $16 $16 $126 $268 $393 $552 $652 $802 1334 -1336 $16 $16 $125 $267 $392 $551 $651 $801 1337 -1340 $16 $16 $124 $266 $391 $550 $650 $800 1341 -1343 $16 $16 $123 $265 $390 $549 $649 $799 1344 -1346 $16 $16 $122 $264 $389 $548 $648 $798 1347 -1350 $16 $16 $121 $263 $388 $547 $647 $797 1351 -1353 $16 $16 $120 $262 $387 $546 $646 $796 1354 -1356 $16 $16 $119 $261 $386 $545 $645 $795 1357 -1360 $16 $16 $118 $260 $385 $544 $644 $794 1361 -1363 $16 $16 $117 $259 $384 $543 $643 $793 1364 -1366 $16 $16 $116 $258 $383 $542 $642 $792 1367 -1370 $16 $16 $115 $257 $382 $541 $641 $791 1371 -1373 $16 $16 $114 $256 $381 $540 $640 $790 1374 -1376 $16 $16 $113 $255 $380 $539 $639 $789 1377 -1380 $16 $16 $112 $254 $379 $538 $638 $788 1381 -1383 $16 $16 $111 $253 $378 $537 $637 $787 1384 -1386 $16 $16 $110 $252 $377 $536 $636 $786 1387 -1390 $16 $16 $109 $251 $376 $535 $635 $785 1391 -1393 $16 $16 $108 $250 $375 $534 $634 $784 1394 -1396 $16 $16 $107 $249 $374 $533 $633 $783 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 14 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1397 -1400 $16 $16 $106 $248 $373 $532 $632 $782 1401 -1403 $16 $16 $105 $247 $372 $531 $631 $781 1404 -1406 $16 $16 $104 $246 $371 $530 $630 $780 1407 -1410 $16 $16 $103 $245 $370 $529 $629 $779 1411 -1413 $16 $16 $102 $244 $369 $528 $628 $778 1414 -1416 $16 $16 $101 $243 $368 $527 $627 $777 1417 -1420 $16 $16 $100 $242 $367 $526 $626 $776 1421 -1423 $16 $16 $99 $241 $366 $525 $625 $775 1424 -1426 $16 $16 $98 $240 $365 $524 $624 $774 1427 -1430 $16 $16 $97 $239 $364 $523 $623 $773 1431 -1433 $16 $16 $96 $238 $363 $522 $622 $772 1434 -1436 $16 $16 $95 $237 $362 $521 $621 $771 1437 -1440 $16 $16 $94 $236 $361 $520 $620 $770 1441 -1443 $16 $16 $93 $235 $360 $519 $619 $769 1444 -1446 $16 $16 $92 $234 $359 $518 $618 $768 1447 -1450 $16 $16 $91 $233 $358 $517 $617 $767 1451 -1453 $16 $16 $90 $232 $357 $516 $616 $766 1454 -1456 $16 $16 $89 $231 $356 $515 $615 $765 1457 -1460 $16 $16 $88 $230 $355 $514 $614 $764 1461 -1463 $16 $16 $87 $229 $354 $513 $613 $763 1464 -1466 $16 $16 $86 $228 $353 $512 $612 $762 1467 -1470 $16 $16 $85 $227 $352 $511 $611 $761 1471 -1473 $16 $16 $84 $226 $351 $510 $610 $760 1474 -1476 $16 $16 $83 $225 $350 $509 $609 $759 1477 -1480 $16 $16 $82 $224 $349 $508 $608 $758 1481 -1483 $16 $16 $81 $223 $348 $507 $607 $757 1484 -1486 $16 $16 $80 $222 $347 $506 $606 $756 1487 -1490 $16 $16 $79 $221 $346 $505 $605 $755 1491 -1493 $16 $16 $78 $220 $345 $504 $604 $754 1494 -1496 $16 $16 $77 $219 $344 $503 $603 $753 1497 -1500 $16 $16 $76 $218 $343 $502 $602 $752 1501 -1503 $16 $16 $75 $217 $342 $501 $601 $751 1504 -1506 $16 $16 $74 $216 $341 $500 $600 $750 1507 -1510 $16 $16 $73 $215 $340 $499 $599 $749 1511 -1513 $16 $16 $72 $214 $339 $498 $598 $748 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 15 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1514 -1516 $16 $16 $71 $213 $338 $497 $597 $747 1517 -1520 $16 $16 $70 $212 $337 $496 $596 $746 1521 -1523 $16 $16 $69 $211 $336 $495 $595 $745 1524 -1526 $16 $16 $68 $210 $335 $494 $594 $744 1527 -1530 $16 $16 $67 $209 $334 $493 $593 $743 1531 -1533 $16 $16 $66 $208 $333 $492 $592 $742 1534 -1536 $16 $16 $65 $207 $332 $491 $591 $741 1537 -1540 $16 $64 $206 $331 $490 $590 $740 1541 -1543 $16 $63 $205 $330 $489 $589 $739 1544 -1546 $16 $62 $204 $329 $488 $588 $738 1547 -1550 $16 $61 $203 $328 $487 $587 $737 1551 -1553 $16 $60 $202 $327 $486 $586 $736 1554 -1556 $16 $59 $201 $326 $485 $585 $735 1557 -1560 $16 $58 $200 $325 $484 $584 $734 1561 -1563 $16 $57 $199 $324 $483 $583 $733 1564 -1566 $16 $56 $198 $323 $482 $582 $732 1567 -1570 $16 $55 $197 $322 $481 $581 $731 1571 -1573 $16 $54 $196 $321 $480 $580 $730 1574 -1576 $16 $53 $195 $320 $479 $579 $729 1577 -1580 $16 $52 $194 $319 $478 $578 $728 1581 -1583 $16 $51 $193 $318 $477 $577 $727 1584 -1586 $16 $50 $192 $317 $476 $576 $726 1587 -1590 $16 $49 $191 $316 $475 $575 $725 1591 -1593 $16 $48 $190 $315 $474 $574 $724 1594 -1596 $16 $47 $189 $314 $473 $573 $723 1597 -1600 $16 $46 $188 $313 $472 $572 $722 1601 -1603 $16 $45 $187 $312 $471 $571 $721 1604 -1606 $16 $44 $186 $311 $470 $570 $720 1607 -1610 $16 $43 $185 $310 $469 $569 $719 1611 -1613 $16 $42 $184 $309 $468 $568 $718 1614 -1616 $16 $41 $183 $308 $467 $567 $717 1617 -1620 $16 $40 $182 $307 $466 $566 $716 1621 -1623 $16 $39 $181 $306 $465 $565 $715 1624 -1626 $16 $38 $180 $305 $464 $564 $714 1627 -1630 $16 $37 $179 $304 $463 $563 $713 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 16 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 17 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1631 -1633 $16 $36 $178 $303 $462 $562 $712 1634 -1636 $16 $35 $177 $302 $461 $561 $711 1637 -1640 $16 $34 $176 $301 $460 $560 $710 1641 -1643 $16 $33 $175 $300 $459 $559 $709 1644 -1646 $16 $32 $174 $299 $458 $558 $708 1647 -1650 $16 $31 $173 $298 $457 $557 $707 1651 -1653 $16 $30 $172 $297 $456 $556 $706 1654 -1656 $16 $29 $171 $296 $455 $555 $705 1657 -1660 $16 $28 $170 $295 $454 $554 $704 1661 -1663 $16 $27 $169 $294 $453 $553 $703 1664 -1666 $16 $26 $168 $293 $452 $552 $702 1667 -1670 $16 $25 $167 $292 $451 $551 $701 1671 -1673 $16 $24 $166 $291 $450 $550 $700 1674 -1676 $16 $23 $165 $290 $449 $549 $699 1677 -1680 $16 $22 $164 $289 $448 $548 $698 1681 -1683 $16 $21 $163 $288 $447 $547 $697 1684 -1686 $16 $20 $162 $287 $446 $546 $696 1687 -1690 $16 $19 $161 $286 $445 $545 $695 1691 -1693 $16 $18 $160 $285 $444 $544 $694 1694 -1696 $16 $17 $159 $284 $443 $543 $693 1697 -1700 $16 $16 $158 $283 $442 $542 $692 1701 -1703 $16 $15 $157 $282 $441 $541 $691 1704 -1706 $16 $14 $156 $281 $440 $540 $690 1707 -1710 $16 $13 $155 $280 $439 $539 $689 1711 -1713 $16 $12 $154 $279 $438 $538 $688 1714 -1716 $16 $11 $153 $278 $437 $537 $687 1717 -1720 $16 $10 $152 $277 $436 $536 $686 1721 -1723 $16 $9 $151 $276 $435 $535 $685 1724 -1726 $16 $8 $150 $275 $434 $534 $684 1727 -1730 $16 $7 $149 $274 $433 $533 $683 1731 -1733 $16 $6 $148 $273 $432 $532 $682 1734 -1736 $16 $6 $147 $272 $431 $531 $681 1737 -1740 $16 $4 $146 $271 $430 $530 $680 1741 -1743 $16 $4 $145 $270 $429 $529 $679 1744 -1746 $16 $2 $144 $269 $428 $528 $678 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 18 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1747 -1750 $16 $2 $143 $268 $427 $527 $677 1751 -1753 $16 $142 $267 $426 $526 $676 1754 -1756 $16 $141 $266 $425 $525 $675 1757 -1760 $16 $140 $265 $424 $524 $674 1761 -1763 $16 $139 $264 $423 $523 $673 1764 -1766 $16 $138 $263 $422 $522 $672 1767 -1770 $16 $137 $262 $421 $521 $671 1771 -1773 $16 $136 $261 $420 $520 $670 1774 -1776 $16 $135 $260 $419 $519 $669 1777 -1780 $16 $134 $259 $418 $518 $668 1781 -1783 $16 $133 $258 $417 $517 $667 1784 -1786 $16 $132 $257 $416 $516 $666 1787 -1790 $16 $131 $256 $415 $515 $665 1791 -1793 $16 $130 $255 $414 $514 $664 1794 -1796 $16 $129 $254 $413 $513 $663 1797 -1800 $16 $128 $253 $412 $512 $662 1801 -1803 $16 $127 $252 $411 $511 $661 1804 -1806 $16 $126 $251 $410 $510 $660 1807 -1810 $16 $125 $250 $409 $509 $659 1811 -1813 $16 $124 $249 $408 $508 $658 1814 -1816 $16 $123 $248 $407 $507 $657 1817 -1820 $16 $122 $247 $406 $506 $656 1821 -1823 $16 $121 $246 $405 $505 $655 1824 -1826 $16 $120 $245 $404 $504 $654 1827 -1830 $16 $119 $244 $403 $503 $653 1831 -1833 $16 $118 $243 $402 $502 $652 1834 -1836 $16 $117 $242 $401 $501 $651 1837 -1840 $16 $116 $241 $400 $500 $650 1841 -1843 $16 $115 $240 $399 $499 $649 1844 -1846 $16 $114 $239 $398 $498 $648 1847 -1850 $16 $113 $238 $397 $497 $647 1851 -1853 $16 $112 $237 $396 $496 $646 1854 -1856 $16 $111 $236 $395 $495 $645 1857 -1860 $16 $110 $235 $394 $494 $644 1861 -1863 $16 $109 $234 $393 $493 $643 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 19 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1864 -1866 $16 $108 $233 $392 $492 $642 1867 -1870 $16 $107 $232 $391 $491 $641 1871 -1873 $16 $106 $231 $390 $490 $640 1874 -1876 $16 $105 $230 $389 $489 $639 1877 -1880 $16 $104 $229 $388 $488 $638 1881 -1883 $16 $103 $228 $387 $487 $637 1884 -1886 $16 $102 $227 $386 $486 $636 1887 -1890 $16 $101 $226 $385 $485 $635 1891 -1893 $16 $100 $225 $384 $484 $634 1894 -1896 $16 $99 $224 $383 $483 $633 1897 -1900 $16 $98 $223 $382 $482 $632 1901 -1903 $16 $97 $222 $381 $481 $631 1904 -1906 $16 $96 $221 $380 $480 $630 1907 -1910 $16 $95 $220 $379 $479 $629 1911 -1913 $16 $94 $219 $378 $478 $628 1914 -1916 $16 $93 $218 $377 $477 $627 1917 -1920 $16 $92 $217 $376 $476 $626 1921 -1923 $16 $91 $216 $375 $475 $625 1924 -1926 $16 $90 $215 $374 $474 $624 1927 -1930 $16 $89 $214 $373 $473 $623 1931 -1933 $16 $88 $213 $372 $472 $622 1934 -1936 $16 $87 $212 $371 $471 $621 1937 -1940 $16 $86 $211 $370 $470 $620 1941 -1943 $16 $85 $210 $369 $469 $619 1944 -1946 $16 $84 $209 $368 $468 $618 1947 -1950 $16 $83 $208 $367 $467 $617 1951 -1953 $16 $82 $207 $366 $466 $616 1954 -1956 $16 $81 $206 $365 $465 $615 1957 -1960 $16 $80 $205 $364 $464 $614 1961 -1963 $16 $79 $204 $363 $463 $613 1964 -1966 $16 $78 $203 $362 $462 $612 1967 -1970 $16 $77 $202 $361 $461 $611 1971 -1973 $16 $76 $201 $360 $460 $610 1974 -1976 $16 $75 $200 $359 $459 $609 1977 -1980 $16 $74 $199 $358 $458 $608 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1981 -1983 $16 $73 $198 $357 $457 $607 1984 -1986 $16 $72 $197 $356 $456 $606 1987 -1990 $16 $71 $196 $355 $455 $605 1991 -1993 $16 $70 $195 $354 $454 $604 1994 -1996 $16 $69 $194 $353 $453 $603 1997 -2000 $16 $68 $193 $352 $452 $602 2001 -2003 $16 $67 $192 $351 $451 $601 2004 -2006 $16 $66 $191 $350 $450 $600 2007 -2010 $16 $65 $190 $349 $449 $599 2011 -2013 $16 $64 $189 $348 $448 $598 2014 -2016 $16 $63 $188 $347 $447 $597 2017 -2020 $16 $62 $187 $346 $446 $596 2021 -2023 $16 $61 $186 $345 $445 $595 2024 -2026 $16 $60 $185 $344 $444 $594 2027 -2030 $16 $59 $184 $343 $443 $593 2031 -2033 $16 $58 $183 $342 $442 $592 2034 -2036 $16 $57 $182 $341 $441 $591 2037 -2040 $16 $56 $181 $340 $440 $590 2041 -2043 $16 $55 $180 $339 $439 $589 2044 -2046 $16 $54 $179 $338 $438 $588 2047 -2050 $16 $53 $178 $337 $437 $587 2051 -2053 $16 $52 $177 $336 $436 $586 2054 -2056 $16 $51 $176 $335 $435 $585 2057 -2060 $16 $50 $175 $334 $434 $584 2061 -2063 $16 $49 $174 $333 $433 $583 2064 -2066 $16 $48 $173 $332 $432 $582 2067 -2070 $16 $47 $172 $331 $431 $581 2071 -2073 $16 $46 $171 $330 $430 $580 2074 -2076 $16 $45 $170 $329 $429 $579 2077 -2080 $16 $44 $169 $328 $428 $578 2081 -2083 $16 $43 $168 $327 $427 $577 2084 -2086 $42 $167 $326 $426 $576 2087 -2090 $41 $166 $325 $425 $575 2091 -2093 $40 $165 $324 $424 $574 2094 -2096 $39 $164 $323 $423 $573 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 20 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2097 -2100 $38 $163 $322 $422 $572 2101 -2103 $37 $162 $321 $421 $571 2104 -2106 $36 $161 $320 $420 $570 2107 -2110 $35 $160 $319 $419 $569 2111 -2113 $34 $159 $318 $418 $568 2114 -2116 $33 $158 $317 $417 $567 2117 -2120 $32 $157 $316 $416 $566 2121 -2123 $31 $156 $315 $415 $565 2124 -2126 $30 $155 $314 $414 $564 2127 -2130 $29 $154 $313 $413 $563 2131 -2133 $28 $153 $312 $412 $562 2134 -2136 $27 $152 $311 $411 $561 2137 -2140 $26 $151 $310 $410 $560 2141 -2143 $25 $150 $309 $409 $559 2144 -2146 $24 $149 $308 $408 $558 2147 -2150 $23 $148 $307 $407 $557 2151 -2153 $22 $147 $306 $406 $556 2154 -2156 $21 $146 $305 $405 $555 2157 -2160 $20 $145 $304 $404 $554 2161 -2163 $19 $144 $303 $403 $553 2164 -2166 $18 $143 $302 $402 $552 2167 -2170 $17 $142 $301 $401 $551 2171 -2173 $16 $141 $300 $400 $550 2174 -2176 $15 $140 $299 $399 $549 2177 -2180 $14 $139 $298 $398 $548 2181 -2183 $13 $138 $297 $397 $547 2184 -2186 $12 $137 $296 $396 $546 2187 -2190 $11 $136 $295 $395 $545 2191 -2193 $10 $135 $294 $394 $544 2194 -2196 $9 $134 $293 $393 $543 2197 -2200 $8 $133 $292 $392 $542 2201 -2203 $7 $132 $291 $391 $541 2204 -2206 $6 $131 $290 $390 $540 2207 -2210 $6 $130 $289 $389 $539 2211 -2213 $4 $129 $288 $388 $538 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 21 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2214 -2216 $4 $128 $287 $387 $537 2217 -2220 $2 $127 $286 $386 $536 2221 -2223 $2 $126 $285 $385 $535 2224 -2226 $125 $284 $384 $534 2227 -2230 $124 $283 $383 $533 2231 -2233 $123 $282 $382 $532 2234 -2236 $122 $281 $381 $531 2237 -2240 $121 $280 $380 $530 2241 -2243 $120 $279 $379 $529 2244 -2246 $119 $278 $378 $528 2247 -2250 $118 $277 $377 $527 2251 -2253 $117 $276 $376 $526 2254 -2256 $116 $275 $375 $525 2257 -2260 $115 $274 $374 $524 2261 -2263 $114 $273 $373 $523 2264 -2266 $113 $272 $372 $522 2267 -2270 $112 $271 $371 $521 2271 -2273 $111 $270 $370 $520 2274 -2276 $110 $269 $369 $519 2277 -2280 $109 $268 $368 $518 2281 -2283 $108 $267 $367 $517 2284 -2286 $107 $266 $366 $516 2287 -2290 $106 $265 $365 $515 2291 -2293 $105 $264 $364 $514 2294 -2296 $104 $263 $363 $513 2297 -2300 $103 $262 $362 $512 2301 -2303 $102 $261 $361 $511 2304 -2306 $101 $260 $360 $510 2307 -2310 $100 $259 $359 $509 2311 -2313 $99 $258 $358 $508 2314 -2316 $98 $257 $357 $507 2317 -2320 $97 $256 $356 $506 2321 -2323 $96 $255 $355 $505 2324 -2326 $95 $254 $354 $504 2327 -2330 $94 $253 $353 $503 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 22 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2331 -2333 $93 $252 $352 $502 2334 -2336 $92 $251 $351 $501 2337 -2340 $91 $250 $350 $500 2341 -2343 $90 $249 $349 $499 2344 -2346 $89 $248 $348 $498 2347 -2350 $88 $247 $347 $497 2351 -2353 $87 $246 $346 $496 2354 -2356 $86 $245 $345 $495 2357 -2360 $85 $244 $344 $494 2361 -2363 $84 $243 $343 $493 2364 -2366 $83 $242 $342 $492 2367 -2370 $82 $241 $341 $491 2371 -2373 $81 $240 $340 $490 2374 -2376 $80 $239 $339 $489 2377 -2380 $79 $238 $338 $488 2381 -2383 $78 $237 $337 $487 2384 -2386 $77 $236 $336 $486 2387 -2390 $76 $235 $335 $485 2391 -2393 $75 $234 $334 $484 2394 -2396 $74 $233 $333 $483 2397 -2400 $73 $232 $332 $482 2401 -2403 $72 $231 $331 $481 2404 -2406 $71 $230 $330 $480 2407 -2410 $70 $229 $329 $479 2411 -2413 $69 $228 $328 $478 2414 -2416 $68 $227 $327 $477 2417 -2420 $67 $226 $326 $476 2421 -2423 $66 $225 $325 $475 2424 -2426 $65 $224 $324 $474 2427 -2430 $64 $223 $323 $473 2431 -2433 $63 $222 $322 $472 2434 -2436 $62 $221 $321 $471 2437 -2440 $61 $220 $320 $470 2441 -2443 $60 $219 $319 $469 2444 -2446 $59 $218 $318 $468 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 23 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2447 -2450 $58 $217 $317 $467 2451 -2453 $57 $216 $316 $466 2454 -2456 $56 $215 $315 $465 2457 -2460 $55 $214 $314 $464 2461 -2463 $54 $213 $313 $463 2464 -2466 $53 $212 $312 $462 2467 -2470 $52 $211 $311 $461 2471 -2473 $51 $210 $310 $460 2474 -2476 $50 $209 $309 $459 2477 -2480 $49 $208 $308 $458 2481 -2483 $48 $207 $307 $457 2484 -2486 $47 $206 $306 $456 2487 -2490 $46 $205 $305 $455 2491 -2493 $45 $204 $304 $454 2494 -2496 $44 $203 $303 $453 2497 -2500 $43 $202 $302 $452 2501 -2503 $42 $201 $301 $451 2504 -2506 $41 $200 $300 $450 2507 -2510 $40 $199 $299 $449 2511 -2513 $39 $198 $298 $448 2514 -2516 $38 $197 $297 $447 2517 -2520 $37 $196 $296 $446 2521 -2523 $36 $195 $295 $445 2524 -2526 $35 $194 $294 $444 2527 -2530 $34 $193 $293 $443 2531 -2533 $33 $192 $292 $442 2534 -2536 $32 $191 $291 $441 2537 -2540 $31 $190 $290 $440 2541 -2543 $30 $189 $289 $439 2544 -2546 $29 $188 $288 $438 2547 -2550 $28 $187 $287 $437 2551 -2553 $27 $186 $286 $436 2554 -2556 $26 $185 $285 $435 2557 -2560 $25 $184 $284 $434 2561 -2563 $24 $183 $283 $433 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 24 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2564 -2566 $23 $182 $282 $432 2567 -2570 $22 $181 $281 $431 2571 -2573 $21 $180 $280 $430 2574 -2576 $20 $179 $279 $429 2577 -2580 $19 $178 $278 $428 2581 -2583 $18 $177 $277 $427 2584 -2586 $17 $176 $276 $426 2587 -2590 $16 $175 $275 $425 2591 -2593 $15 $174 $274 $424 2594 -2596 $14 $173 $273 $423 2597 -2600 $13 $172 $272 $422 2601 -2603 $12 $171 $271 $421 2604 -2606 $11 $170 $270 $420 2607 -2610 $10 $169 $269 $419 2611 -2613 $9 $168 $268 $418 2614 -2616 $8 $167 $267 $417 2617 -2620 $7 $166 $266 $416 2621 -2623 $6 $165 $265 $415 2624 -2626 $6 $164 $264 $414 2627 -2630 $4 $163 $263 $413 2631 -2633 $4 $162 $262 $412 2634 -2636 $2 $161 $261 $411 2637 -2640 $2 $160 $260 $410 2641 -2643 $159 $259 $409 2644 -2646 $158 $258 $408 2647 -2650 $157 $257 $407 2651 -2653 $156 $256 $406 2654 -2656 $155 $255 $405 2657 -2660 $154 $254 $404 2661 -2663 $153 $253 $403 2664 -2666 $152 $252 $402 2667 -2670 $151 $251 $401 2671 -2673 $150 $250 $400 2674 -2676 $149 $249 $399 2677 -2680 $148 $248 $398 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 25 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2681 -2683 $147 $247 $397 2684 -2686 $146 $246 $396 2687 -2690 $145 $245 $395 2691 -2693 $144 $244 $394 2694 -2696 $143 $243 $393 2697 -2700 $142 $242 $392 2701 -2703 $141 $241 $391 2704 -2706 $140 $240 $390 2707 -2710 $139 $239 $389 2711 -2713 $138 $238 $388 2714 -2716 $137 $237 $387 2717 -2720 $136 $236 $386 2721 -2723 $135 $235 $385 2724 -2726 $134 $234 $384 2727 -2730 $133 $233 $383 2731 -2733 $132 $232 $382 2734 -2736 $131 $231 $381 2737 -2740 $130 $230 $380 2741 -2743 $129 $229 $379 2744 -2746 $128 $228 $378 2747 -2750 $127 $227 $377 2751 -2753 $126 $226 $376 2754 -2756 $125 $225 $375 2757 -2760 $124 $224 $374 2761 -2763 $123 $223 $373 2764 -2766 $122 $222 $372 2767 -2770 $121 $221 $371 2771 -2773 $120 $220 $370 2774 -2776 $119 $219 $369 2777 -2780 $118 $218 $368 2781 -2783 $117 $217 $367 2784 -2786 $116 $216 $366 2787 -2790 $115 $215 $365 2791 -2793 $114 $214 $364 2794 -2796 $113 $213 $363 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 26 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2797 -2800 $112 $212 $362 2801 -2803 $111 $211 $361 2804 -2806 $110 $210 $360 2807 -2810 $109 $209 $359 2811 -2813 $108 $208 $358 2814 -2816 $107 $207 $357 2817 -2820 $106 $206 $356 2821 -2823 $105 $205 $355 2824 -2826 $104 $204 $354 2827 -2830 $103 $203 $353 2831 -2833 $102 $202 $352 2834 -2836 $101 $201 $351 2837 -2840 $100 $200 $350 2841 -2843 $99 $199 $349 2844 -2846 $98 $198 $348 2847 -2850 $97 $197 $347 2851 -2853 $96 $196 $346 2854 -2856 $95 $195 $345 2857 -2860 $94 $194 $344 2861 -2863 $93 $193 $343 2864 -2866 $92 $192 $342 2867 -2870 $91 $191 $341 2871 -2873 $90 $190 $340 2874 -2876 $89 $189 $339 2877 -2880 $88 $188 $338 2881 -2883 $87 $187 $337 2884 -2886 $86 $186 $336 2887 -2890 $85 $185 $335 2891 -2893 $84 $184 $334 2894 -2896 $83 $183 $333 2897 -2900 $82 $182 $332 2901 -2903 $81 $181 $331 2904 -2906 $80 $180 $330 2907 -2910 $79 $179 $329 2911 -2913 $78 $178 $328 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 27 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 28 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2914 -2916 $77 $177 $327 2917 -2920 $76 $176 $326 2921 -2923 $75 $175 $325 2924 -2926 $74 $174 $324 2927 -2930 $73 $173 $323 2931 -2933 $72 $172 $322 2934 -2936 $71 $171 $321 2937 -2940 $70 $170 $320 2941 -2943 $69 $169 $319 2944 -2946 $68 $168 $318 2947 -2950 $67 $167 $317 2951 -2953 $66 $166 $316 2954 -2956 $65 $165 $315 2957 -2960 $64 $164 $314 2961 -2963 $63 $163 $313 2964 -2966 $62 $162 $312 2967 -2970 $61 $161 $311 2971 -2973 $60 $160 $310 2974 -2976 $59 $159 $309 2977 -2980 $58 $158 $308 2981 -2983 $57 $157 $307 2984 -2986 $56 $156 $306 2987 -2990 $55 $155 $305 2991 -2993 $54 $154 $304 2994 -2996 $53 $153 $303 2997 -3000 $52 $152 $302 3001 -3003 $51 $151 $301 3004 -3006 $50 $150 $300 3007 -3010 $49 $149 $299 3011 -3013 $48 $148 $298 3014 -3016 $47 $147 $297 3017 -3020 $46 $146 $296 3021 -3023 $45 $145 $295 3024 -3026 $44 $144 $294 3027 -3030 $43 $143 $293 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 3031 -3033 $42 $142 $292 3034 -3036 $41 $141 $291 3037 -3040 $40 $140 $290 3041 -3043 $39 $139 $289 3044 -3046 $38 $138 $288 3047 -3050 $37 $137 $287 3051 -3053 $36 $136 $286 3054 -3056 $35 $135 $285 3057 -3060 $34 $134 $284 3061 -3063 $33 $133 $283 3064 -3066 $32 $132 $282 3067 -3070 $31 $131 $281 3071 -3073 $30 $130 $280 3074 -3076 $29 $129 $279 3077 -3080 $28 $128 $278 3081 -3083 $27 $127 $277 3084 -3086 $26 $126 $276 3087 -3090 $25 $125 $275 3091 -3093 $24 $124 $274 3094 -3096 $23 $123 $273 3097 -3100 $22 $122 $272 3101 -3103 $21 $121 $271 3104 -3106 $20 $120 $270 3107 -3110 $19 $119 $269 3111 -3113 $18 $118 $268 3114 -3116 $17 $117 $267 3117 -3120 $16 $116 $266 3121 -3123 $15 $115 $265 3124 -3126 $14 $114 $264 3127 -3130 $13 $113 $263 3131 -3133 $12 $112 $262 3134 -3136 $11 $111 $261 3137 -3140 $10 $110 $260 3141 -3143 $9 $109 $259 3144 -3146 $8 $108 $258 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 29 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 30 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 3147 -3150 $7 $107 $257 3151 -3153 $6 $106 $256 3154 -3156 $6 $105 $255 3157 -3160 $4 $104 $254 3161 -3163 $4 $103 $253 3164 -3166 $2 $102 $252 3167 -3170 $2 $101 $251 3171 -3173 $100 $250 3174 -3176 $99 $249 3177 -3180 $98 $248 3181 -3183 $97 $247 3184 -3186 $96 $246 3187 -3190 $95 $245 3191 -3193 $94 $244 3194 -3196 $93 $243 3197 -3200 $92 $242 3201 -3203 $91 $241 3204 -3206 $90 $240 3207 -3210 $89 $239 3211 -3213 $88 $238 3214 -3216 $87 $237 3217 -3220 $86 $236 3221 -3223 $85 $235 3224 -3226 $84 $234 3227 -3230 $83 $233 3231 -3233 $82 $232 3234 -3236 $81 $231 3237 -3240 $80 $230 3241 -3243 $79 $229 3244 -3246 $78 $228 3247 -3250 $77 $227 3251 -3253 $76 $226 3254 -3256 $75 $225 3257 -3260 $74 $224 3261 -3263 $73 $223 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 31 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 3264 -3266 $72 $222 3267 -3270 $71 $221 3271 -3273 $70 $220 3274 -3276 $69 $219 3277 -3280 $68 $218 3281 -3283 $67 $217 3284 -3286 $66 $216 3287 -3290 $65 $215 3291 -3293 $64 $214 3294 -3296 $63 $213 3297 -3300 $62 $212 3301 -3303 $61 $211 3304 -3306 $60 $210 3307 -3310 $59 $209 3311 -3313 $58 $208 3314 -3316 $57 $207 3317 -3320 $56 $206 3321 -3323 $55 $205 3324 -3326 $54 $204 3327 -3330 $53 $203 3331 -3333 $52 $202 3334 -3336 $51 $201 3337 -3340 $50 $200 3341 -3343 $49 $199 3344 -3346 $48 $198 3347 -3350 $47 $197 3351 -3353 $46 $196 3354 -3356 $45 $195 3357 -3360 $44 $194 3361 -3363 $43 $193 3364 -3366 $42 $192 3367 -3370 $41 $191 3371 -3373 $40 $190 3374 -3376 $39 $189 3377 -3380 $38 $188 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 32 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 3381 -3383 $37 $187 3384 -3386 $36 $186 3387 -3390 $35 $185 3391 -3393 $34 $184 3394 -3396 $33 $183 3397 -3400 $32 $182 3401 -3403 $31 $181 3404 -3406 $30 $180 3407 -3410 $29 $179 3411 -3413 $28 $178 3414 -3416 $27 $177 3417 -3420 $26 $176 3421 -3423 $25 $175 3424 -3426 $24 $174 3427 -3430 $23 $173 3431 -3433 $22 $172 3434 -3436 $21 $171 3437 -3440 $20 $170 3441 -3443 $19 $169 3444 -3446 $18 $168 3447 -3450 $17 $167 3451 -3453 $16 $166 3454 -3456 $15 $165 3457 -3460 $14 $164 3461 -3463 $13 $163 3464 -3466 $12 $162 3467 -3470 $11 $161 3471 -3473 $10 $160 3474 -3476 $9 $159 3477 -3480 $8 $158 3481 -3483 $7 $157 3484 -3486 $6 $156 3487 -3490 $6 $155 3491 -3493 $4 $154 3494 -3496 $4 $153 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 3497 -3500 $2 $152 3501 -3503 $2 $151 3504 -3506 $150 3507 -3510 $149 3511 -3513 $148 3514 -3516 $147 3517 -3520 $146 3521 -3523 $145 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 33
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Agency | Human Services, Oklahoma Department of |
Agency Code | '830' |
Form Title | Maximum Food Benefit Allotments and Standards for Income and Deductions |
Frequency | Irregular |
Full Text | Maximum Food Benefit Allotments and Standards for Income and Deductions Maximum gross income standards (without elderly/disabled members). For a household of: 1 person 2 persons 3 persons 4 persons 5 persons 6 persons 7 persons 8 persons $1,211 $1,640 $2,069 $2,498 $2,927 $3,356 $3,785 $4,214 Maximum net income standards (use for all households except categorically eligible households -pure TANF and/or SSI households). For a household of: 1 person 2 persons 3 persons 4 persons 5 persons 6 persons 7 persons 8 persons $931 $1,261 $1,591 $1,921 $2,251 $2,581 $2,911 $3,241 Maximum net income standards (use for categorically eligible households -pure TANF and/or SSI households). For a household of: 1 person 2 persons 3 persons 4 persons 5 persons 6 persons 7 persons 8 persons $1,536 $2,081 $2,625 $3,170 $3,714 $4,259 $4,803 $5,348 Maximum benefit allotments. For a household of: 1 person 2 persons 3 persons 4 persons 5 persons 6 persons 7 persons 8 persons $200 $367 $526 $668 $793 $952 $1,052 $1,202 Maximum income standards and food benefit allotment for households greater than eight. 1. Maximum gross income standards for households without elderly/disabled members or categorically eligible households -pure TANF and/or SSI households. For each person over eight, add $429 to the maximum gross income ($4,214) for eight persons. Appendix C-3 (08AX003E) revised 10-1-2012 may continue on next page, page 1 of 37 2. Maximum net income standards for all households except categorically eligible households -pure TANF and/or SSI households. For each person over eight, add $330 to the maximum net income ($3,241) for eight persons. 3. Maximum net income standards for categorically eligible households pure TANF and/or SSI households. For each person over eight add $545 to the maximum net income ($5,348) for eight persons. 4. Food benefit allotment. Determine maximum allotment for the household size by adding $150 for each person over eight to the maximum allotment ($1,202) for eight persons. Multiply the household's net food benefit income by 30%, round cents up to the next dollar, and subtract answer from the maximum food benefit allotment. If that amount is less than $16 and the net income is below the maximum, the food benefit is $16 for a household size of one or two. (Table PSCALC33) Monthly allotments of $1, $3, or $5 are issued in amounts of $2, $4, or $6 respectively. When proration of initial month benefits result in less than $10, no issuance is made. If the monthly allotment is zero, the household is denied, unless it is a categorically eligible household. Standards for deductions and utilities. 1. Earned income deduction 20% 2. Standard deduction Household size Amount (Each household receives this deduction.) 1 -3 $149 4 $160 5 $187 6 + $214 3. Maximum shelter cost deduction without elderly/disabled $469 4. Utility standard • Standard utility allowance (SUA) $341 • Basic utility allowance (BUA) $293 • Telephone standard $ 45 5. Homeless household estimated shelter expense $143 Table showing 165% of the poverty level. Household size Amount 1 $1,536 2 $2,081 3 $2,625 4 $3,170 5 $3,714 6 $4,259 7 $4,803 8 $5,348 Appendix C-3 (08AX003E) revised 10-1-2012 may continue on next page, page 2 of 37 Add $545 for each additional person Vehicle exclusion amount. $5,000 equity Appendix C-3 (08AX003E) revised 10-1-2012 may continue on next page, page 3 of 37 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 $0 -0 $200 $367 $526 $668 $793 $952 $1,052 $1,202 1 -3 $199 $366 $525 $667 $792 $951 $1,051 $1,201 4 -6 $198 $365 $524 $666 $791 $950 $1,050 $1,200 7 -10 $197 $364 $523 $665 $790 $949 $1,049 $1,199 11 -13 $196 $363 $522 $664 $789 $948 $1,048 $1,198 14 -16 $195 $362 $521 $663 $788 $947 $1,047 $1,197 17 -20 $194 $361 $520 $662 $787 $946 $1,046 $1,196 21 -23 $193 $360 $519 $661 $786 $945 $1,045 $1,195 24 -26 $192 $359 $518 $660 $785 $944 $1,044 $1,194 27 -30 $191 $358 $517 $659 $784 $943 $1,043 $1,193 31 -33 $190 $357 $516 $658 $783 $942 $1,042 $1,192 34 -36 $189 $356 $515 $657 $782 $941 $1,041 $1,191 37 -40 $188 $355 $514 $656 $781 $940 $1,040 $1,190 41 -43 $187 $354 $513 $655 $780 $939 $1,039 $1,189 44 -46 $186 $353 $512 $654 $779 $938 $1,038 $1,188 47 -50 $185 $352 $511 $653 $778 $937 $1,037 $1,187 51 -53 $184 $351 $510 $652 $777 $936 $1,036 $1,186 54 -56 $183 $350 $509 $651 $776 $935 $1,035 $1,185 57 -60 $182 $349 $508 $650 $775 $934 $1,034 $1,184 61 -63 $181 $348 $507 $649 $774 $933 $1,033 $1,183 64 -66 $180 $347 $506 $648 $773 $932 $1,032 $1,182 67 -70 $179 $346 $505 $647 $772 $931 $1,031 $1,181 71 -73 $178 $345 $504 $646 $771 $930 $1,030 $1,180 74 -76 $177 $344 $503 $645 $770 $929 $1,029 $1,179 77 -80 $176 $343 $502 $644 $769 $928 $1,028 $1,178 81 -83 $175 $342 $501 $643 $768 $927 $1,027 $1,177 84 -86 $174 $341 $500 $642 $767 $926 $1,026 $1,176 87 -90 $173 $340 $499 $641 $766 $925 $1,025 $1,175 91 -93 $172 $339 $498 $640 $765 $924 $1,024 $1,174 94 -96 $171 $338 $497 $639 $764 $923 $1,023 $1,173 97 -100 $170 $337 $496 $638 $763 $922 $1,022 $1,172 101 -103 $169 $336 $495 $637 $762 $921 $1,021 $1,171 104 -106 $168 $335 $494 $636 $761 $920 $1,020 $1,170 107 -110 $167 $334 $493 $635 $760 $919 $1,019 $1,169 111 -113 $166 $333 $492 $634 $759 $918 $1,018 $1,168 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 3 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 114 -116 $165 $332 $491 $633 $758 $917 $1,017 $1,167 117 -120 $164 $331 $490 $632 $757 $916 $1,016 $1,166 121 -123 $163 $330 $489 $631 $756 $915 $1,015 $1,165 124 -126 $162 $329 $488 $630 $755 $914 $1,014 $1,164 127 -130 $161 $328 $487 $629 $754 $913 $1,013 $1,163 131 -133 $160 $327 $486 $628 $753 $912 $1,012 $1,162 134 -136 $159 $326 $485 $627 $752 $911 $1,011 $1,161 137 -140 $158 $325 $484 $626 $751 $910 $1,010 $1,160 141 -143 $157 $324 $483 $625 $750 $909 $1,009 $1,159 144 -146 $156 $323 $482 $624 $749 $908 $1,008 $1,158 147 -150 $155 $322 $481 $623 $748 $907 $1,007 $1,157 151 -153 $154 $321 $480 $622 $747 $906 $1,006 $1,156 154 -156 $153 $320 $479 $621 $746 $905 $1,005 $1,155 157 -160 $152 $319 $478 $620 $745 $904 $1,004 $1,154 161 -163 $151 $318 $477 $619 $744 $903 $1,003 $1,153 164 -166 $150 $317 $476 $618 $743 $902 $1,002 $1,152 167 -170 $149 $316 $475 $617 $742 $901 $1,001 $1,151 171 -173 $148 $315 $474 $616 $741 $900 $1,000 $1,150 174 -176 $147 $314 $473 $615 $740 $899 $999 $1,149 177 -180 $146 $313 $472 $614 $739 $898 $998 $1,148 181 -183 $145 $312 $471 $613 $738 $897 $997 $1,147 184 -186 $144 $311 $470 $612 $737 $896 $996 $1,146 187 -190 $143 $310 $469 $611 $736 $895 $995 $1,145 191 -193 $142 $309 $468 $610 $735 $894 $994 $1,144 194 -196 $141 $308 $467 $609 $734 $893 $993 $1,143 197 -200 $140 $307 $466 $608 $733 $892 $992 $1,142 201 -203 $139 $306 $465 $607 $732 $891 $991 $1,141 204 -206 $138 $305 $464 $606 $731 $890 $990 $1,140 207 -210 $137 $304 $463 $605 $730 $889 $989 $1,139 211 -213 $136 $303 $462 $604 $729 $888 $988 $1,138 214 -216 $135 $302 $461 $603 $728 $887 $987 $1,137 217 -220 $134 $301 $460 $602 $727 $886 $986 $1,136 221 -223 $133 $300 $459 $601 $726 $885 $985 $1,135 224 -226 $132 $299 $458 $600 $725 $884 $984 $1,134 227 -230 $131 $298 $457 $599 $724 $883 $983 $1,133 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 4 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 231 -233 $130 $297 $456 $598 $723 $882 $982 $1,132 234 -236 $129 $296 $455 $597 $722 $881 $981 $1,131 237 -240 $128 $295 $454 $596 $721 $880 $980 $1,130 241 -243 $127 $294 $453 $595 $720 $879 $979 $1,129 244 -246 $126 $293 $452 $594 $719 $878 $978 $1,128 247 -250 $125 $292 $451 $593 $718 $877 $977 $1,127 251 -253 $124 $291 $450 $592 $717 $876 $976 $1,126 254 -256 $123 $290 $449 $591 $716 $875 $975 $1,125 257 -260 $122 $289 $448 $590 $715 $874 $974 $1,124 261 -263 $121 $288 $447 $589 $714 $873 $973 $1,123 264 -266 $120 $287 $446 $588 $713 $872 $972 $1,122 267 -270 $119 $286 $445 $587 $712 $871 $971 $1,121 271 -273 $118 $285 $444 $586 $711 $870 $970 $1,120 274 -276 $117 $284 $443 $585 $710 $869 $969 $1,119 277 -280 $116 $283 $442 $584 $709 $868 $968 $1,118 281 -283 $115 $282 $441 $583 $708 $867 $967 $1,117 284 -286 $114 $281 $440 $582 $707 $866 $966 $1,116 287 -290 $113 $280 $439 $581 $706 $865 $965 $1,115 291 -293 $112 $279 $438 $580 $705 $864 $964 $1,114 294 -296 $111 $278 $437 $579 $704 $863 $963 $1,113 297 -300 $110 $277 $436 $578 $703 $862 $962 $1,112 301 -303 $109 $276 $435 $577 $702 $861 $961 $1,111 304 -306 $108 $275 $434 $576 $701 $860 $960 $1,110 307 -310 $107 $274 $433 $575 $700 $859 $959 $1,109 311 -313 $106 $273 $432 $574 $699 $858 $958 $1,108 314 -316 $105 $272 $431 $573 $698 $857 $957 $1,107 317 -320 $104 $271 $430 $572 $697 $856 $956 $1,106 321 -323 $103 $270 $429 $571 $696 $855 $955 $1,105 324 -326 $102 $269 $428 $570 $695 $854 $954 $1,104 327 -330 $101 $268 $427 $569 $694 $853 $953 $1,103 331 -333 $100 $267 $426 $568 $693 $852 $952 $1,102 334 -336 $99 $266 $425 $567 $692 $851 $951 $1,101 337 -340 $98 $265 $424 $566 $691 $850 $950 $1,100 341 -343 $97 $264 $423 $565 $690 $849 $949 $1,099 344 -346 $96 $263 $422 $564 $689 $848 $948 $1,098 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 5 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 347 -350 $95 $262 $421 $563 $688 $847 $947 $1,097 351 -353 $94 $261 $420 $562 $687 $846 $946 $1,096 354 -356 $93 $260 $419 $561 $686 $845 $945 $1,095 357 -360 $92 $259 $418 $560 $685 $844 $944 $1,094 361 -363 $91 $258 $417 $559 $684 $843 $943 $1,093 364 -366 $90 $257 $416 $558 $683 $842 $942 $1,092 367 -370 $89 $256 $415 $557 $682 $841 $941 $1,091 371 -373 $88 $255 $414 $556 $681 $840 $940 $1,090 374 -376 $87 $254 $413 $555 $680 $839 $939 $1,089 377 -380 $86 $253 $412 $554 $679 $838 $938 $1,088 381 -383 $85 $252 $411 $553 $678 $837 $937 $1,087 384 -386 $84 $251 $410 $552 $677 $836 $936 $1,086 387 -390 $83 $250 $409 $551 $676 $835 $935 $1,085 391 -393 $82 $249 $408 $550 $675 $834 $934 $1,084 394 -396 $81 $248 $407 $549 $674 $833 $933 $1,083 397 -400 $80 $247 $406 $548 $673 $832 $932 $1,082 401 -403 $79 $246 $405 $547 $672 $831 $931 $1,081 404 -406 $78 $245 $404 $546 $671 $830 $930 $1,080 407 -410 $77 $244 $403 $545 $670 $829 $929 $1,079 411 -413 $76 $243 $402 $544 $669 $828 $928 $1,078 414 -416 $75 $242 $401 $543 $668 $827 $927 $1,077 417 -420 $74 $241 $400 $542 $667 $826 $926 $1,076 421 -423 $73 $240 $399 $541 $666 $825 $925 $1,075 424 -426 $72 $239 $398 $540 $665 $824 $924 $1,074 427 -430 $71 $238 $397 $539 $664 $823 $923 $1,073 431 -433 $70 $237 $396 $538 $663 $822 $922 $1,072 434 -436 $69 $236 $395 $537 $662 $821 $921 $1,071 437 -440 $68 $235 $394 $536 $661 $820 $920 $1,070 441 -443 $67 $234 $393 $535 $660 $819 $919 $1,069 444 -446 $66 $233 $392 $534 $659 $818 $918 $1,068 447 -450 $65 $232 $391 $533 $658 $817 $917 $1,067 451 -453 $64 $231 $390 $532 $657 $816 $916 $1,066 454 -456 $63 $230 $389 $531 $656 $815 $915 $1,065 457 -460 $62 $229 $388 $530 $655 $814 $914 $1,064 461 -463 $61 $228 $387 $529 $654 $813 $913 $1,063 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 6 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 464 -466 $60 $227 $386 $528 $653 $812 $912 $1,062 467 -470 $59 $226 $385 $527 $652 $811 $911 $1,061 471 -473 $58 $225 $384 $526 $651 $810 $910 $1,060 474 -476 $57 $224 $383 $525 $650 $809 $909 $1,059 477 -480 $56 $223 $382 $524 $649 $808 $908 $1,058 481 -483 $55 $222 $381 $523 $648 $807 $907 $1,057 484 -486 $54 $221 $380 $522 $647 $806 $906 $1,056 487 -490 $53 $220 $379 $521 $646 $805 $905 $1,055 491 -493 $52 $219 $378 $520 $645 $804 $904 $1,054 494 -496 $51 $218 $377 $519 $644 $803 $903 $1,053 497 -500 $50 $217 $376 $518 $643 $802 $902 $1,052 501 -503 $49 $216 $375 $517 $642 $801 $901 $1,051 504 -506 $48 $215 $374 $516 $641 $800 $900 $1,050 507 -510 $47 $214 $373 $515 $640 $799 $899 $1,049 511 -513 $46 $213 $372 $514 $639 $798 $898 $1,048 514 -516 $45 $212 $371 $513 $638 $797 $897 $1,047 517 -520 $44 $211 $370 $512 $637 $796 $896 $1,046 521 -523 $43 $210 $369 $511 $636 $795 $895 $1,045 524 -526 $42 $209 $368 $510 $635 $794 $894 $1,044 527 -530 $41 $208 $367 $509 $634 $793 $893 $1,043 531 -533 $40 $207 $366 $508 $633 $792 $892 $1,042 534 -536 $39 $206 $365 $507 $632 $791 $891 $1,041 537 -540 $38 $205 $364 $506 $631 $790 $890 $1,040 541 -543 $37 $204 $363 $505 $630 $789 $889 $1,039 544 -546 $36 $203 $362 $504 $629 $788 $888 $1,038 547 -550 $35 $202 $361 $503 $628 $787 $887 $1,037 551 -553 $34 $201 $360 $502 $627 $786 $886 $1,036 554 -556 $33 $200 $359 $501 $626 $785 $885 $1,035 557 -560 $32 $199 $358 $500 $625 $784 $884 $1,034 561 -563 $31 $198 $357 $499 $624 $783 $883 $1,033 564 -566 $30 $197 $356 $498 $623 $782 $882 $1,032 567 -570 $29 $196 $355 $497 $622 $781 $881 $1,031 571 -573 $28 $195 $354 $496 $621 $780 $880 $1,030 574 -576 $27 $194 $353 $495 $620 $779 $879 $1,029 577 -580 $26 $193 $352 $494 $619 $778 $878 $1,028 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 7 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 581 -583 $25 $192 $351 $493 $618 $777 $877 $1,027 584 -586 $24 $191 $350 $492 $617 $776 $876 $1,026 587 -590 $23 $190 $349 $491 $616 $775 $875 $1,025 591 -593 $22 $189 $348 $490 $615 $774 $874 $1,024 594 -596 $21 $188 $347 $489 $614 $773 $873 $1,023 597 -600 $20 $187 $346 $488 $613 $772 $872 $1,022 601 -603 $19 $186 $345 $487 $612 $771 $871 $1,021 604 -606 $18 $185 $344 $486 $611 $770 $870 $1,020 607 -610 $17 $184 $343 $485 $610 $769 $869 $1,019 611 -613 $16 $183 $342 $484 $609 $768 $868 $1,018 614 -616 $16 $182 $341 $483 $608 $767 $867 $1,017 617 -620 $16 $181 $340 $482 $607 $766 $866 $1,016 621 -623 $16 $180 $339 $481 $606 $765 $865 $1,015 624 -626 $16 $179 $338 $480 $605 $764 $864 $1,014 627 -630 $16 $178 $337 $479 $604 $763 $863 $1,013 631 -633 $16 $177 $336 $478 $603 $762 $862 $1,012 634 -636 $16 $176 $335 $477 $602 $761 $861 $1,011 637 -640 $16 $175 $334 $476 $601 $760 $860 $1,010 641 -643 $16 $174 $333 $475 $600 $759 $859 $1,009 644 -646 $16 $173 $332 $474 $599 $758 $858 $1,008 647 -650 $16 $172 $331 $473 $598 $757 $857 $1,007 651 -653 $16 $171 $330 $472 $597 $756 $856 $1,006 654 -656 $16 $170 $329 $471 $596 $755 $855 $1,005 657 -660 $16 $169 $328 $470 $595 $754 $854 $1,004 661 -663 $16 $168 $327 $469 $594 $753 $853 $1,003 664 -666 $16 $167 $326 $468 $593 $752 $852 $1,002 667 -670 $16 $166 $325 $467 $592 $751 $851 $1,001 671 -673 $16 $165 $324 $466 $591 $750 $850 $1,000 674 -676 $16 $164 $323 $465 $590 $749 $849 $999 677 -680 $16 $163 $322 $464 $589 $748 $848 $998 681 -683 $16 $162 $321 $463 $588 $747 $847 $997 684 -686 $16 $161 $320 $462 $587 $746 $846 $996 687 -690 $16 $160 $319 $461 $586 $745 $845 $995 691 -693 $16 $159 $318 $460 $585 $744 $844 $994 694 -696 $16 $158 $317 $459 $584 $743 $843 $993 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 8 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 697 -700 $16 $157 $316 $458 $583 $742 $842 $992 701 -703 $16 $156 $315 $457 $582 $741 $841 $991 704 -706 $16 $155 $314 $456 $581 $740 $840 $990 707 -710 $16 $154 $313 $455 $580 $739 $839 $989 711 -713 $16 $153 $312 $454 $579 $738 $838 $988 714 -716 $16 $152 $311 $453 $578 $737 $837 $987 717 -720 $16 $151 $310 $452 $577 $736 $836 $986 721 -723 $16 $150 $309 $451 $576 $735 $835 $985 724 -726 $16 $149 $308 $450 $575 $734 $834 $984 727 -730 $16 $148 $307 $449 $574 $733 $833 $983 731 -733 $16 $147 $306 $448 $573 $732 $832 $982 734 -736 $16 $146 $305 $447 $572 $731 $831 $981 737 -740 $16 $145 $304 $446 $571 $730 $830 $980 741 -743 $16 $144 $303 $445 $570 $729 $829 $979 744 -746 $16 $143 $302 $444 $569 $728 $828 $978 747 -750 $16 $142 $301 $443 $568 $727 $827 $977 751 -753 $16 $141 $300 $442 $567 $726 $826 $976 754 -756 $16 $140 $299 $441 $566 $725 $825 $975 757 -760 $16 $139 $298 $440 $565 $724 $824 $974 761 -763 $16 $138 $297 $439 $564 $723 $823 $973 764 -766 $16 $137 $296 $438 $563 $722 $822 $972 767 -770 $16 $136 $295 $437 $562 $721 $821 $971 771 -773 $16 $135 $294 $436 $561 $720 $820 $970 774 -776 $16 $134 $293 $435 $560 $719 $819 $969 777 -780 $16 $133 $292 $434 $559 $718 $818 $968 781 -783 $16 $132 $291 $433 $558 $717 $817 $967 784 -786 $16 $131 $290 $432 $557 $716 $816 $966 787 -790 $16 $130 $289 $431 $556 $715 $815 $965 791 -793 $16 $129 $288 $430 $555 $714 $814 $964 794 -796 $16 $128 $287 $429 $554 $713 $813 $963 797 -800 $16 $127 $286 $428 $553 $712 $812 $962 801 -803 $16 $126 $285 $427 $552 $711 $811 $961 804 -806 $16 $125 $284 $426 $551 $710 $810 $960 807 -810 $16 $124 $283 $425 $550 $709 $809 $959 811 -813 $16 $123 $282 $424 $549 $708 $808 $958 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 9 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 814 -816 $16 $122 $281 $423 $548 $707 $807 $957 817 -820 $16 $121 $280 $422 $547 $706 $806 $956 821 -823 $16 $120 $279 $421 $546 $705 $805 $955 824 -826 $16 $119 $278 $420 $545 $704 $804 $954 827 -830 $16 $118 $277 $419 $544 $703 $803 $953 831 -833 $16 $117 $276 $418 $543 $702 $802 $952 834 -836 $16 $116 $275 $417 $542 $701 $801 $951 837 -840 $16 $115 $274 $416 $541 $700 $800 $950 841 -843 $16 $114 $273 $415 $540 $699 $799 $949 844 -846 $16 $113 $272 $414 $539 $698 $798 $948 847 -850 $16 $112 $271 $413 $538 $697 $797 $947 851 -853 $16 $111 $270 $412 $537 $696 $796 $946 854 -856 $16 $110 $269 $411 $536 $695 $795 $945 857 -860 $16 $109 $268 $410 $535 $694 $794 $944 861 -863 $16 $108 $267 $409 $534 $693 $793 $943 864 -866 $16 $107 $266 $408 $533 $692 $792 $942 867 -870 $16 $106 $265 $407 $532 $691 $791 $941 871 -873 $16 $105 $264 $406 $531 $690 $790 $940 874 -876 $16 $104 $263 $405 $530 $689 $789 $939 877 -880 $16 $103 $262 $404 $529 $688 $788 $938 881 -883 $16 $102 $261 $403 $528 $687 $787 $937 884 -886 $16 $101 $260 $402 $527 $686 $786 $936 887 -890 $16 $100 $259 $401 $526 $685 $785 $935 891 -893 $16 $99 $258 $400 $525 $684 $784 $934 894 -896 $16 $98 $257 $399 $524 $683 $783 $933 897 -900 $16 $97 $256 $398 $523 $682 $782 $932 901 -903 $16 $96 $255 $397 $522 $681 $781 $931 904 -906 $16 $95 $254 $396 $521 $680 $780 $930 907 -910 $16 $94 $253 $395 $520 $679 $779 $929 911 -913 $16 $93 $252 $394 $519 $678 $778 $928 914 -916 $16 $92 $251 $393 $518 $677 $777 $927 917 -920 $16 $91 $250 $392 $517 $676 $776 $926 921 -923 $16 $90 $249 $391 $516 $675 $775 $925 924 -926 $16 $89 $248 $390 $515 $674 $774 $924 927 -930 $16 $88 $247 $389 $514 $673 $773 $923 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 10 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 11 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 931 -933 $16 $87 $246 $388 $513 $672 $772 $922 934 -936 $16 $86 $245 $387 $512 $671 $771 $921 937 -940 $16 $85 $244 $386 $511 $670 $770 $920 941 -943 $16 $84 $243 $385 $510 $669 $769 $919 944 -946 $16 $83 $242 $384 $509 $668 $768 $918 947 -950 $16 $82 $241 $383 $508 $667 $767 $917 951 -953 $16 $81 $240 $382 $507 $666 $766 $916 954 -956 $16 $80 $239 $381 $506 $665 $765 $915 957 -960 $16 $79 $238 $380 $505 $664 $764 $914 961 -963 $16 $78 $237 $379 $504 $663 $763 $913 964 -966 $16 $77 $236 $378 $503 $662 $762 $912 967 -970 $16 $76 $235 $377 $502 $661 $761 $911 971 -973 $16 $75 $234 $376 $501 $660 $760 $910 974 -976 $16 $74 $233 $375 $500 $659 $759 $909 977 -980 $16 $73 $232 $374 $499 $658 $758 $908 981 -983 $16 $72 $231 $373 $498 $657 $757 $907 984 -986 $16 $71 $230 $372 $497 $656 $756 $906 987 -990 $16 $70 $229 $371 $496 $655 $755 $905 991 -993 $16 $69 $228 $370 $495 $654 $754 $904 994 -996 $16 $68 $227 $369 $494 $653 $753 $903 997 -1000 $16 $67 $226 $368 $493 $652 $752 $902 1001 -1003 $16 $66 $225 $367 $492 $651 $751 $901 1004 -1006 $16 $65 $224 $366 $491 $650 $750 $900 1007 -1010 $16 $64 $223 $365 $490 $649 $749 $899 1011 -1013 $16 $63 $222 $364 $489 $648 $748 $898 1014 -1016 $16 $62 $221 $363 $488 $647 $747 $897 1017 -1020 $16 $61 $220 $362 $487 $646 $746 $896 1021 -1023 $16 $60 $219 $361 $486 $645 $745 $895 1024 -1026 $16 $59 $218 $360 $485 $644 $744 $894 1027 -1030 $16 $58 $217 $359 $484 $643 $743 $893 1031 -1033 $16 $57 $216 $358 $483 $642 $742 $892 1034 -1036 $16 $56 $215 $357 $482 $641 $741 $891 1037 -1040 $16 $55 $214 $356 $481 $640 $740 $890 1041 -1043 $16 $54 $213 $355 $480 $639 $739 $889 1044 -1046 $16 $53 $212 $354 $479 $638 $738 $888 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1047 -1050 $16 $52 $211 $353 $478 $637 $737 $887 1051 -1053 $16 $51 $210 $352 $477 $636 $736 $886 1054 -1056 $16 $50 $209 $351 $476 $635 $735 $885 1057 -1060 $16 $49 $208 $350 $475 $634 $734 $884 1061 -1063 $16 $48 $207 $349 $474 $633 $733 $883 1064 -1066 $16 $47 $206 $348 $473 $632 $732 $882 1067 -1070 $16 $46 $205 $347 $472 $631 $731 $881 1071 -1073 $16 $45 $204 $346 $471 $630 $730 $880 1074 -1076 $16 $44 $203 $345 $470 $629 $729 $879 1077 -1080 $16 $43 $202 $344 $469 $628 $728 $878 1081 -1083 $16 $42 $201 $343 $468 $627 $727 $877 1084 -1086 $16 $41 $200 $342 $467 $626 $726 $876 1087 -1090 $16 $40 $199 $341 $466 $625 $725 $875 1091 -1093 $16 $39 $198 $340 $465 $624 $724 $874 1094 -1096 $16 $38 $197 $339 $464 $623 $723 $873 1097 -1100 $16 $37 $196 $338 $463 $622 $722 $872 1101 -1103 $16 $36 $195 $337 $462 $621 $721 $871 1104 -1106 $16 $35 $194 $336 $461 $620 $720 $870 1107 -1110 $16 $34 $193 $335 $460 $619 $719 $869 1111 -1113 $16 $33 $192 $334 $459 $618 $718 $868 1114 -1116 $16 $32 $191 $333 $458 $617 $717 $867 1117 -1120 $16 $31 $190 $332 $457 $616 $716 $866 1121 -1123 $16 $30 $189 $331 $456 $615 $715 $865 1124 -1126 $16 $29 $188 $330 $455 $614 $714 $864 1127 -1130 $16 $28 $187 $329 $454 $613 $713 $863 1131 -1133 $16 $27 $186 $328 $453 $612 $712 $862 1134 -1136 $16 $26 $185 $327 $452 $611 $711 $861 1137 -1140 $16 $25 $184 $326 $451 $610 $710 $860 1141 -1143 $16 $24 $183 $325 $450 $609 $709 $859 1144 -1146 $16 $23 $182 $324 $449 $608 $708 $858 1147 -1150 $16 $22 $181 $323 $448 $607 $707 $857 1151 -1153 $16 $21 $180 $322 $447 $606 $706 $856 1154 -1156 $16 $20 $179 $321 $446 $605 $705 $855 1157 -1160 $16 $19 $178 $320 $445 $604 $704 $854 1161 -1163 $16 $18 $177 $319 $444 $603 $703 $853 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 12 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1164 -1166 $16 $17 $176 $318 $443 $602 $702 $852 1167 -1170 $16 $16 $175 $317 $442 $601 $701 $851 1171 -1173 $16 $16 $174 $316 $441 $600 $700 $850 1174 -1176 $16 $16 $173 $315 $440 $599 $699 $849 1177 -1180 $16 $16 $172 $314 $439 $598 $698 $848 1181 -1183 $16 $16 $171 $313 $438 $597 $697 $847 1184 -1186 $16 $16 $170 $312 $437 $596 $696 $846 1187 -1190 $16 $16 $169 $311 $436 $595 $695 $845 1191 -1193 $16 $16 $168 $310 $435 $594 $694 $844 1194 -1196 $16 $16 $167 $309 $434 $593 $693 $843 1197 -1200 $16 $16 $166 $308 $433 $592 $692 $842 1201 -1203 $16 $16 $165 $307 $432 $591 $691 $841 1204 -1206 $16 $16 $164 $306 $431 $590 $690 $840 1207 -1210 $16 $16 $163 $305 $430 $589 $689 $839 1211 -1213 $16 $16 $162 $304 $429 $588 $688 $838 1214 -1216 $16 $16 $161 $303 $428 $587 $687 $837 1217 -1220 $16 $16 $160 $302 $427 $586 $686 $836 1221 -1223 $16 $16 $159 $301 $426 $585 $685 $835 1224 -1226 $16 $16 $158 $300 $425 $584 $684 $834 1227 -1230 $16 $16 $157 $299 $424 $583 $683 $833 1231 -1233 $16 $16 $156 $298 $423 $582 $682 $832 1234 -1236 $16 $16 $155 $297 $422 $581 $681 $831 1237 -1240 $16 $16 $154 $296 $421 $580 $680 $830 1241 -1243 $16 $16 $153 $295 $420 $579 $679 $829 1244 -1246 $16 $16 $152 $294 $419 $578 $678 $828 1247 -1250 $16 $16 $151 $293 $418 $577 $677 $827 1251 -1253 $16 $16 $150 $292 $417 $576 $676 $826 1254 -1256 $16 $16 $149 $291 $416 $575 $675 $825 1257 -1260 $16 $16 $148 $290 $415 $574 $674 $824 1261 -1263 $16 $16 $147 $289 $414 $573 $673 $823 1264 -1266 $16 $16 $146 $288 $413 $572 $672 $822 1267 -1270 $16 $16 $145 $287 $412 $571 $671 $821 1271 -1273 $16 $16 $144 $286 $411 $570 $670 $820 1274 -1276 $16 $16 $143 $285 $410 $569 $669 $819 1277 -1280 $16 $16 $142 $284 $409 $568 $668 $818 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 13 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1281 -1283 $16 $16 $141 $283 $408 $567 $667 $817 1284 -1286 $16 $16 $140 $282 $407 $566 $666 $816 1287 -1290 $16 $16 $139 $281 $406 $565 $665 $815 1291 -1293 $16 $16 $138 $280 $405 $564 $664 $814 1294 -1296 $16 $16 $137 $279 $404 $563 $663 $813 1297 -1300 $16 $16 $136 $278 $403 $562 $662 $812 1301 -1303 $16 $16 $135 $277 $402 $561 $661 $811 1304 -1306 $16 $16 $134 $276 $401 $560 $660 $810 1307 -1310 $16 $16 $133 $275 $400 $559 $659 $809 1311 -1313 $16 $16 $132 $274 $399 $558 $658 $808 1314 -1316 $16 $16 $131 $273 $398 $557 $657 $807 1317 -1320 $16 $16 $130 $272 $397 $556 $656 $806 1321 -1323 $16 $16 $129 $271 $396 $555 $655 $805 1324 -1326 $16 $16 $128 $270 $395 $554 $654 $804 1327 -1330 $16 $16 $127 $269 $394 $553 $653 $803 1331 -1333 $16 $16 $126 $268 $393 $552 $652 $802 1334 -1336 $16 $16 $125 $267 $392 $551 $651 $801 1337 -1340 $16 $16 $124 $266 $391 $550 $650 $800 1341 -1343 $16 $16 $123 $265 $390 $549 $649 $799 1344 -1346 $16 $16 $122 $264 $389 $548 $648 $798 1347 -1350 $16 $16 $121 $263 $388 $547 $647 $797 1351 -1353 $16 $16 $120 $262 $387 $546 $646 $796 1354 -1356 $16 $16 $119 $261 $386 $545 $645 $795 1357 -1360 $16 $16 $118 $260 $385 $544 $644 $794 1361 -1363 $16 $16 $117 $259 $384 $543 $643 $793 1364 -1366 $16 $16 $116 $258 $383 $542 $642 $792 1367 -1370 $16 $16 $115 $257 $382 $541 $641 $791 1371 -1373 $16 $16 $114 $256 $381 $540 $640 $790 1374 -1376 $16 $16 $113 $255 $380 $539 $639 $789 1377 -1380 $16 $16 $112 $254 $379 $538 $638 $788 1381 -1383 $16 $16 $111 $253 $378 $537 $637 $787 1384 -1386 $16 $16 $110 $252 $377 $536 $636 $786 1387 -1390 $16 $16 $109 $251 $376 $535 $635 $785 1391 -1393 $16 $16 $108 $250 $375 $534 $634 $784 1394 -1396 $16 $16 $107 $249 $374 $533 $633 $783 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 14 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1397 -1400 $16 $16 $106 $248 $373 $532 $632 $782 1401 -1403 $16 $16 $105 $247 $372 $531 $631 $781 1404 -1406 $16 $16 $104 $246 $371 $530 $630 $780 1407 -1410 $16 $16 $103 $245 $370 $529 $629 $779 1411 -1413 $16 $16 $102 $244 $369 $528 $628 $778 1414 -1416 $16 $16 $101 $243 $368 $527 $627 $777 1417 -1420 $16 $16 $100 $242 $367 $526 $626 $776 1421 -1423 $16 $16 $99 $241 $366 $525 $625 $775 1424 -1426 $16 $16 $98 $240 $365 $524 $624 $774 1427 -1430 $16 $16 $97 $239 $364 $523 $623 $773 1431 -1433 $16 $16 $96 $238 $363 $522 $622 $772 1434 -1436 $16 $16 $95 $237 $362 $521 $621 $771 1437 -1440 $16 $16 $94 $236 $361 $520 $620 $770 1441 -1443 $16 $16 $93 $235 $360 $519 $619 $769 1444 -1446 $16 $16 $92 $234 $359 $518 $618 $768 1447 -1450 $16 $16 $91 $233 $358 $517 $617 $767 1451 -1453 $16 $16 $90 $232 $357 $516 $616 $766 1454 -1456 $16 $16 $89 $231 $356 $515 $615 $765 1457 -1460 $16 $16 $88 $230 $355 $514 $614 $764 1461 -1463 $16 $16 $87 $229 $354 $513 $613 $763 1464 -1466 $16 $16 $86 $228 $353 $512 $612 $762 1467 -1470 $16 $16 $85 $227 $352 $511 $611 $761 1471 -1473 $16 $16 $84 $226 $351 $510 $610 $760 1474 -1476 $16 $16 $83 $225 $350 $509 $609 $759 1477 -1480 $16 $16 $82 $224 $349 $508 $608 $758 1481 -1483 $16 $16 $81 $223 $348 $507 $607 $757 1484 -1486 $16 $16 $80 $222 $347 $506 $606 $756 1487 -1490 $16 $16 $79 $221 $346 $505 $605 $755 1491 -1493 $16 $16 $78 $220 $345 $504 $604 $754 1494 -1496 $16 $16 $77 $219 $344 $503 $603 $753 1497 -1500 $16 $16 $76 $218 $343 $502 $602 $752 1501 -1503 $16 $16 $75 $217 $342 $501 $601 $751 1504 -1506 $16 $16 $74 $216 $341 $500 $600 $750 1507 -1510 $16 $16 $73 $215 $340 $499 $599 $749 1511 -1513 $16 $16 $72 $214 $339 $498 $598 $748 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 15 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1514 -1516 $16 $16 $71 $213 $338 $497 $597 $747 1517 -1520 $16 $16 $70 $212 $337 $496 $596 $746 1521 -1523 $16 $16 $69 $211 $336 $495 $595 $745 1524 -1526 $16 $16 $68 $210 $335 $494 $594 $744 1527 -1530 $16 $16 $67 $209 $334 $493 $593 $743 1531 -1533 $16 $16 $66 $208 $333 $492 $592 $742 1534 -1536 $16 $16 $65 $207 $332 $491 $591 $741 1537 -1540 $16 $64 $206 $331 $490 $590 $740 1541 -1543 $16 $63 $205 $330 $489 $589 $739 1544 -1546 $16 $62 $204 $329 $488 $588 $738 1547 -1550 $16 $61 $203 $328 $487 $587 $737 1551 -1553 $16 $60 $202 $327 $486 $586 $736 1554 -1556 $16 $59 $201 $326 $485 $585 $735 1557 -1560 $16 $58 $200 $325 $484 $584 $734 1561 -1563 $16 $57 $199 $324 $483 $583 $733 1564 -1566 $16 $56 $198 $323 $482 $582 $732 1567 -1570 $16 $55 $197 $322 $481 $581 $731 1571 -1573 $16 $54 $196 $321 $480 $580 $730 1574 -1576 $16 $53 $195 $320 $479 $579 $729 1577 -1580 $16 $52 $194 $319 $478 $578 $728 1581 -1583 $16 $51 $193 $318 $477 $577 $727 1584 -1586 $16 $50 $192 $317 $476 $576 $726 1587 -1590 $16 $49 $191 $316 $475 $575 $725 1591 -1593 $16 $48 $190 $315 $474 $574 $724 1594 -1596 $16 $47 $189 $314 $473 $573 $723 1597 -1600 $16 $46 $188 $313 $472 $572 $722 1601 -1603 $16 $45 $187 $312 $471 $571 $721 1604 -1606 $16 $44 $186 $311 $470 $570 $720 1607 -1610 $16 $43 $185 $310 $469 $569 $719 1611 -1613 $16 $42 $184 $309 $468 $568 $718 1614 -1616 $16 $41 $183 $308 $467 $567 $717 1617 -1620 $16 $40 $182 $307 $466 $566 $716 1621 -1623 $16 $39 $181 $306 $465 $565 $715 1624 -1626 $16 $38 $180 $305 $464 $564 $714 1627 -1630 $16 $37 $179 $304 $463 $563 $713 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 16 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 17 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1631 -1633 $16 $36 $178 $303 $462 $562 $712 1634 -1636 $16 $35 $177 $302 $461 $561 $711 1637 -1640 $16 $34 $176 $301 $460 $560 $710 1641 -1643 $16 $33 $175 $300 $459 $559 $709 1644 -1646 $16 $32 $174 $299 $458 $558 $708 1647 -1650 $16 $31 $173 $298 $457 $557 $707 1651 -1653 $16 $30 $172 $297 $456 $556 $706 1654 -1656 $16 $29 $171 $296 $455 $555 $705 1657 -1660 $16 $28 $170 $295 $454 $554 $704 1661 -1663 $16 $27 $169 $294 $453 $553 $703 1664 -1666 $16 $26 $168 $293 $452 $552 $702 1667 -1670 $16 $25 $167 $292 $451 $551 $701 1671 -1673 $16 $24 $166 $291 $450 $550 $700 1674 -1676 $16 $23 $165 $290 $449 $549 $699 1677 -1680 $16 $22 $164 $289 $448 $548 $698 1681 -1683 $16 $21 $163 $288 $447 $547 $697 1684 -1686 $16 $20 $162 $287 $446 $546 $696 1687 -1690 $16 $19 $161 $286 $445 $545 $695 1691 -1693 $16 $18 $160 $285 $444 $544 $694 1694 -1696 $16 $17 $159 $284 $443 $543 $693 1697 -1700 $16 $16 $158 $283 $442 $542 $692 1701 -1703 $16 $15 $157 $282 $441 $541 $691 1704 -1706 $16 $14 $156 $281 $440 $540 $690 1707 -1710 $16 $13 $155 $280 $439 $539 $689 1711 -1713 $16 $12 $154 $279 $438 $538 $688 1714 -1716 $16 $11 $153 $278 $437 $537 $687 1717 -1720 $16 $10 $152 $277 $436 $536 $686 1721 -1723 $16 $9 $151 $276 $435 $535 $685 1724 -1726 $16 $8 $150 $275 $434 $534 $684 1727 -1730 $16 $7 $149 $274 $433 $533 $683 1731 -1733 $16 $6 $148 $273 $432 $532 $682 1734 -1736 $16 $6 $147 $272 $431 $531 $681 1737 -1740 $16 $4 $146 $271 $430 $530 $680 1741 -1743 $16 $4 $145 $270 $429 $529 $679 1744 -1746 $16 $2 $144 $269 $428 $528 $678 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 18 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1747 -1750 $16 $2 $143 $268 $427 $527 $677 1751 -1753 $16 $142 $267 $426 $526 $676 1754 -1756 $16 $141 $266 $425 $525 $675 1757 -1760 $16 $140 $265 $424 $524 $674 1761 -1763 $16 $139 $264 $423 $523 $673 1764 -1766 $16 $138 $263 $422 $522 $672 1767 -1770 $16 $137 $262 $421 $521 $671 1771 -1773 $16 $136 $261 $420 $520 $670 1774 -1776 $16 $135 $260 $419 $519 $669 1777 -1780 $16 $134 $259 $418 $518 $668 1781 -1783 $16 $133 $258 $417 $517 $667 1784 -1786 $16 $132 $257 $416 $516 $666 1787 -1790 $16 $131 $256 $415 $515 $665 1791 -1793 $16 $130 $255 $414 $514 $664 1794 -1796 $16 $129 $254 $413 $513 $663 1797 -1800 $16 $128 $253 $412 $512 $662 1801 -1803 $16 $127 $252 $411 $511 $661 1804 -1806 $16 $126 $251 $410 $510 $660 1807 -1810 $16 $125 $250 $409 $509 $659 1811 -1813 $16 $124 $249 $408 $508 $658 1814 -1816 $16 $123 $248 $407 $507 $657 1817 -1820 $16 $122 $247 $406 $506 $656 1821 -1823 $16 $121 $246 $405 $505 $655 1824 -1826 $16 $120 $245 $404 $504 $654 1827 -1830 $16 $119 $244 $403 $503 $653 1831 -1833 $16 $118 $243 $402 $502 $652 1834 -1836 $16 $117 $242 $401 $501 $651 1837 -1840 $16 $116 $241 $400 $500 $650 1841 -1843 $16 $115 $240 $399 $499 $649 1844 -1846 $16 $114 $239 $398 $498 $648 1847 -1850 $16 $113 $238 $397 $497 $647 1851 -1853 $16 $112 $237 $396 $496 $646 1854 -1856 $16 $111 $236 $395 $495 $645 1857 -1860 $16 $110 $235 $394 $494 $644 1861 -1863 $16 $109 $234 $393 $493 $643 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 19 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1864 -1866 $16 $108 $233 $392 $492 $642 1867 -1870 $16 $107 $232 $391 $491 $641 1871 -1873 $16 $106 $231 $390 $490 $640 1874 -1876 $16 $105 $230 $389 $489 $639 1877 -1880 $16 $104 $229 $388 $488 $638 1881 -1883 $16 $103 $228 $387 $487 $637 1884 -1886 $16 $102 $227 $386 $486 $636 1887 -1890 $16 $101 $226 $385 $485 $635 1891 -1893 $16 $100 $225 $384 $484 $634 1894 -1896 $16 $99 $224 $383 $483 $633 1897 -1900 $16 $98 $223 $382 $482 $632 1901 -1903 $16 $97 $222 $381 $481 $631 1904 -1906 $16 $96 $221 $380 $480 $630 1907 -1910 $16 $95 $220 $379 $479 $629 1911 -1913 $16 $94 $219 $378 $478 $628 1914 -1916 $16 $93 $218 $377 $477 $627 1917 -1920 $16 $92 $217 $376 $476 $626 1921 -1923 $16 $91 $216 $375 $475 $625 1924 -1926 $16 $90 $215 $374 $474 $624 1927 -1930 $16 $89 $214 $373 $473 $623 1931 -1933 $16 $88 $213 $372 $472 $622 1934 -1936 $16 $87 $212 $371 $471 $621 1937 -1940 $16 $86 $211 $370 $470 $620 1941 -1943 $16 $85 $210 $369 $469 $619 1944 -1946 $16 $84 $209 $368 $468 $618 1947 -1950 $16 $83 $208 $367 $467 $617 1951 -1953 $16 $82 $207 $366 $466 $616 1954 -1956 $16 $81 $206 $365 $465 $615 1957 -1960 $16 $80 $205 $364 $464 $614 1961 -1963 $16 $79 $204 $363 $463 $613 1964 -1966 $16 $78 $203 $362 $462 $612 1967 -1970 $16 $77 $202 $361 $461 $611 1971 -1973 $16 $76 $201 $360 $460 $610 1974 -1976 $16 $75 $200 $359 $459 $609 1977 -1980 $16 $74 $199 $358 $458 $608 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 1981 -1983 $16 $73 $198 $357 $457 $607 1984 -1986 $16 $72 $197 $356 $456 $606 1987 -1990 $16 $71 $196 $355 $455 $605 1991 -1993 $16 $70 $195 $354 $454 $604 1994 -1996 $16 $69 $194 $353 $453 $603 1997 -2000 $16 $68 $193 $352 $452 $602 2001 -2003 $16 $67 $192 $351 $451 $601 2004 -2006 $16 $66 $191 $350 $450 $600 2007 -2010 $16 $65 $190 $349 $449 $599 2011 -2013 $16 $64 $189 $348 $448 $598 2014 -2016 $16 $63 $188 $347 $447 $597 2017 -2020 $16 $62 $187 $346 $446 $596 2021 -2023 $16 $61 $186 $345 $445 $595 2024 -2026 $16 $60 $185 $344 $444 $594 2027 -2030 $16 $59 $184 $343 $443 $593 2031 -2033 $16 $58 $183 $342 $442 $592 2034 -2036 $16 $57 $182 $341 $441 $591 2037 -2040 $16 $56 $181 $340 $440 $590 2041 -2043 $16 $55 $180 $339 $439 $589 2044 -2046 $16 $54 $179 $338 $438 $588 2047 -2050 $16 $53 $178 $337 $437 $587 2051 -2053 $16 $52 $177 $336 $436 $586 2054 -2056 $16 $51 $176 $335 $435 $585 2057 -2060 $16 $50 $175 $334 $434 $584 2061 -2063 $16 $49 $174 $333 $433 $583 2064 -2066 $16 $48 $173 $332 $432 $582 2067 -2070 $16 $47 $172 $331 $431 $581 2071 -2073 $16 $46 $171 $330 $430 $580 2074 -2076 $16 $45 $170 $329 $429 $579 2077 -2080 $16 $44 $169 $328 $428 $578 2081 -2083 $16 $43 $168 $327 $427 $577 2084 -2086 $42 $167 $326 $426 $576 2087 -2090 $41 $166 $325 $425 $575 2091 -2093 $40 $165 $324 $424 $574 2094 -2096 $39 $164 $323 $423 $573 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 20 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2097 -2100 $38 $163 $322 $422 $572 2101 -2103 $37 $162 $321 $421 $571 2104 -2106 $36 $161 $320 $420 $570 2107 -2110 $35 $160 $319 $419 $569 2111 -2113 $34 $159 $318 $418 $568 2114 -2116 $33 $158 $317 $417 $567 2117 -2120 $32 $157 $316 $416 $566 2121 -2123 $31 $156 $315 $415 $565 2124 -2126 $30 $155 $314 $414 $564 2127 -2130 $29 $154 $313 $413 $563 2131 -2133 $28 $153 $312 $412 $562 2134 -2136 $27 $152 $311 $411 $561 2137 -2140 $26 $151 $310 $410 $560 2141 -2143 $25 $150 $309 $409 $559 2144 -2146 $24 $149 $308 $408 $558 2147 -2150 $23 $148 $307 $407 $557 2151 -2153 $22 $147 $306 $406 $556 2154 -2156 $21 $146 $305 $405 $555 2157 -2160 $20 $145 $304 $404 $554 2161 -2163 $19 $144 $303 $403 $553 2164 -2166 $18 $143 $302 $402 $552 2167 -2170 $17 $142 $301 $401 $551 2171 -2173 $16 $141 $300 $400 $550 2174 -2176 $15 $140 $299 $399 $549 2177 -2180 $14 $139 $298 $398 $548 2181 -2183 $13 $138 $297 $397 $547 2184 -2186 $12 $137 $296 $396 $546 2187 -2190 $11 $136 $295 $395 $545 2191 -2193 $10 $135 $294 $394 $544 2194 -2196 $9 $134 $293 $393 $543 2197 -2200 $8 $133 $292 $392 $542 2201 -2203 $7 $132 $291 $391 $541 2204 -2206 $6 $131 $290 $390 $540 2207 -2210 $6 $130 $289 $389 $539 2211 -2213 $4 $129 $288 $388 $538 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 21 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2214 -2216 $4 $128 $287 $387 $537 2217 -2220 $2 $127 $286 $386 $536 2221 -2223 $2 $126 $285 $385 $535 2224 -2226 $125 $284 $384 $534 2227 -2230 $124 $283 $383 $533 2231 -2233 $123 $282 $382 $532 2234 -2236 $122 $281 $381 $531 2237 -2240 $121 $280 $380 $530 2241 -2243 $120 $279 $379 $529 2244 -2246 $119 $278 $378 $528 2247 -2250 $118 $277 $377 $527 2251 -2253 $117 $276 $376 $526 2254 -2256 $116 $275 $375 $525 2257 -2260 $115 $274 $374 $524 2261 -2263 $114 $273 $373 $523 2264 -2266 $113 $272 $372 $522 2267 -2270 $112 $271 $371 $521 2271 -2273 $111 $270 $370 $520 2274 -2276 $110 $269 $369 $519 2277 -2280 $109 $268 $368 $518 2281 -2283 $108 $267 $367 $517 2284 -2286 $107 $266 $366 $516 2287 -2290 $106 $265 $365 $515 2291 -2293 $105 $264 $364 $514 2294 -2296 $104 $263 $363 $513 2297 -2300 $103 $262 $362 $512 2301 -2303 $102 $261 $361 $511 2304 -2306 $101 $260 $360 $510 2307 -2310 $100 $259 $359 $509 2311 -2313 $99 $258 $358 $508 2314 -2316 $98 $257 $357 $507 2317 -2320 $97 $256 $356 $506 2321 -2323 $96 $255 $355 $505 2324 -2326 $95 $254 $354 $504 2327 -2330 $94 $253 $353 $503 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 22 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2331 -2333 $93 $252 $352 $502 2334 -2336 $92 $251 $351 $501 2337 -2340 $91 $250 $350 $500 2341 -2343 $90 $249 $349 $499 2344 -2346 $89 $248 $348 $498 2347 -2350 $88 $247 $347 $497 2351 -2353 $87 $246 $346 $496 2354 -2356 $86 $245 $345 $495 2357 -2360 $85 $244 $344 $494 2361 -2363 $84 $243 $343 $493 2364 -2366 $83 $242 $342 $492 2367 -2370 $82 $241 $341 $491 2371 -2373 $81 $240 $340 $490 2374 -2376 $80 $239 $339 $489 2377 -2380 $79 $238 $338 $488 2381 -2383 $78 $237 $337 $487 2384 -2386 $77 $236 $336 $486 2387 -2390 $76 $235 $335 $485 2391 -2393 $75 $234 $334 $484 2394 -2396 $74 $233 $333 $483 2397 -2400 $73 $232 $332 $482 2401 -2403 $72 $231 $331 $481 2404 -2406 $71 $230 $330 $480 2407 -2410 $70 $229 $329 $479 2411 -2413 $69 $228 $328 $478 2414 -2416 $68 $227 $327 $477 2417 -2420 $67 $226 $326 $476 2421 -2423 $66 $225 $325 $475 2424 -2426 $65 $224 $324 $474 2427 -2430 $64 $223 $323 $473 2431 -2433 $63 $222 $322 $472 2434 -2436 $62 $221 $321 $471 2437 -2440 $61 $220 $320 $470 2441 -2443 $60 $219 $319 $469 2444 -2446 $59 $218 $318 $468 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 23 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2447 -2450 $58 $217 $317 $467 2451 -2453 $57 $216 $316 $466 2454 -2456 $56 $215 $315 $465 2457 -2460 $55 $214 $314 $464 2461 -2463 $54 $213 $313 $463 2464 -2466 $53 $212 $312 $462 2467 -2470 $52 $211 $311 $461 2471 -2473 $51 $210 $310 $460 2474 -2476 $50 $209 $309 $459 2477 -2480 $49 $208 $308 $458 2481 -2483 $48 $207 $307 $457 2484 -2486 $47 $206 $306 $456 2487 -2490 $46 $205 $305 $455 2491 -2493 $45 $204 $304 $454 2494 -2496 $44 $203 $303 $453 2497 -2500 $43 $202 $302 $452 2501 -2503 $42 $201 $301 $451 2504 -2506 $41 $200 $300 $450 2507 -2510 $40 $199 $299 $449 2511 -2513 $39 $198 $298 $448 2514 -2516 $38 $197 $297 $447 2517 -2520 $37 $196 $296 $446 2521 -2523 $36 $195 $295 $445 2524 -2526 $35 $194 $294 $444 2527 -2530 $34 $193 $293 $443 2531 -2533 $33 $192 $292 $442 2534 -2536 $32 $191 $291 $441 2537 -2540 $31 $190 $290 $440 2541 -2543 $30 $189 $289 $439 2544 -2546 $29 $188 $288 $438 2547 -2550 $28 $187 $287 $437 2551 -2553 $27 $186 $286 $436 2554 -2556 $26 $185 $285 $435 2557 -2560 $25 $184 $284 $434 2561 -2563 $24 $183 $283 $433 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 24 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2564 -2566 $23 $182 $282 $432 2567 -2570 $22 $181 $281 $431 2571 -2573 $21 $180 $280 $430 2574 -2576 $20 $179 $279 $429 2577 -2580 $19 $178 $278 $428 2581 -2583 $18 $177 $277 $427 2584 -2586 $17 $176 $276 $426 2587 -2590 $16 $175 $275 $425 2591 -2593 $15 $174 $274 $424 2594 -2596 $14 $173 $273 $423 2597 -2600 $13 $172 $272 $422 2601 -2603 $12 $171 $271 $421 2604 -2606 $11 $170 $270 $420 2607 -2610 $10 $169 $269 $419 2611 -2613 $9 $168 $268 $418 2614 -2616 $8 $167 $267 $417 2617 -2620 $7 $166 $266 $416 2621 -2623 $6 $165 $265 $415 2624 -2626 $6 $164 $264 $414 2627 -2630 $4 $163 $263 $413 2631 -2633 $4 $162 $262 $412 2634 -2636 $2 $161 $261 $411 2637 -2640 $2 $160 $260 $410 2641 -2643 $159 $259 $409 2644 -2646 $158 $258 $408 2647 -2650 $157 $257 $407 2651 -2653 $156 $256 $406 2654 -2656 $155 $255 $405 2657 -2660 $154 $254 $404 2661 -2663 $153 $253 $403 2664 -2666 $152 $252 $402 2667 -2670 $151 $251 $401 2671 -2673 $150 $250 $400 2674 -2676 $149 $249 $399 2677 -2680 $148 $248 $398 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 25 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2681 -2683 $147 $247 $397 2684 -2686 $146 $246 $396 2687 -2690 $145 $245 $395 2691 -2693 $144 $244 $394 2694 -2696 $143 $243 $393 2697 -2700 $142 $242 $392 2701 -2703 $141 $241 $391 2704 -2706 $140 $240 $390 2707 -2710 $139 $239 $389 2711 -2713 $138 $238 $388 2714 -2716 $137 $237 $387 2717 -2720 $136 $236 $386 2721 -2723 $135 $235 $385 2724 -2726 $134 $234 $384 2727 -2730 $133 $233 $383 2731 -2733 $132 $232 $382 2734 -2736 $131 $231 $381 2737 -2740 $130 $230 $380 2741 -2743 $129 $229 $379 2744 -2746 $128 $228 $378 2747 -2750 $127 $227 $377 2751 -2753 $126 $226 $376 2754 -2756 $125 $225 $375 2757 -2760 $124 $224 $374 2761 -2763 $123 $223 $373 2764 -2766 $122 $222 $372 2767 -2770 $121 $221 $371 2771 -2773 $120 $220 $370 2774 -2776 $119 $219 $369 2777 -2780 $118 $218 $368 2781 -2783 $117 $217 $367 2784 -2786 $116 $216 $366 2787 -2790 $115 $215 $365 2791 -2793 $114 $214 $364 2794 -2796 $113 $213 $363 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 26 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2797 -2800 $112 $212 $362 2801 -2803 $111 $211 $361 2804 -2806 $110 $210 $360 2807 -2810 $109 $209 $359 2811 -2813 $108 $208 $358 2814 -2816 $107 $207 $357 2817 -2820 $106 $206 $356 2821 -2823 $105 $205 $355 2824 -2826 $104 $204 $354 2827 -2830 $103 $203 $353 2831 -2833 $102 $202 $352 2834 -2836 $101 $201 $351 2837 -2840 $100 $200 $350 2841 -2843 $99 $199 $349 2844 -2846 $98 $198 $348 2847 -2850 $97 $197 $347 2851 -2853 $96 $196 $346 2854 -2856 $95 $195 $345 2857 -2860 $94 $194 $344 2861 -2863 $93 $193 $343 2864 -2866 $92 $192 $342 2867 -2870 $91 $191 $341 2871 -2873 $90 $190 $340 2874 -2876 $89 $189 $339 2877 -2880 $88 $188 $338 2881 -2883 $87 $187 $337 2884 -2886 $86 $186 $336 2887 -2890 $85 $185 $335 2891 -2893 $84 $184 $334 2894 -2896 $83 $183 $333 2897 -2900 $82 $182 $332 2901 -2903 $81 $181 $331 2904 -2906 $80 $180 $330 2907 -2910 $79 $179 $329 2911 -2913 $78 $178 $328 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 27 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 28 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 2914 -2916 $77 $177 $327 2917 -2920 $76 $176 $326 2921 -2923 $75 $175 $325 2924 -2926 $74 $174 $324 2927 -2930 $73 $173 $323 2931 -2933 $72 $172 $322 2934 -2936 $71 $171 $321 2937 -2940 $70 $170 $320 2941 -2943 $69 $169 $319 2944 -2946 $68 $168 $318 2947 -2950 $67 $167 $317 2951 -2953 $66 $166 $316 2954 -2956 $65 $165 $315 2957 -2960 $64 $164 $314 2961 -2963 $63 $163 $313 2964 -2966 $62 $162 $312 2967 -2970 $61 $161 $311 2971 -2973 $60 $160 $310 2974 -2976 $59 $159 $309 2977 -2980 $58 $158 $308 2981 -2983 $57 $157 $307 2984 -2986 $56 $156 $306 2987 -2990 $55 $155 $305 2991 -2993 $54 $154 $304 2994 -2996 $53 $153 $303 2997 -3000 $52 $152 $302 3001 -3003 $51 $151 $301 3004 -3006 $50 $150 $300 3007 -3010 $49 $149 $299 3011 -3013 $48 $148 $298 3014 -3016 $47 $147 $297 3017 -3020 $46 $146 $296 3021 -3023 $45 $145 $295 3024 -3026 $44 $144 $294 3027 -3030 $43 $143 $293 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 3031 -3033 $42 $142 $292 3034 -3036 $41 $141 $291 3037 -3040 $40 $140 $290 3041 -3043 $39 $139 $289 3044 -3046 $38 $138 $288 3047 -3050 $37 $137 $287 3051 -3053 $36 $136 $286 3054 -3056 $35 $135 $285 3057 -3060 $34 $134 $284 3061 -3063 $33 $133 $283 3064 -3066 $32 $132 $282 3067 -3070 $31 $131 $281 3071 -3073 $30 $130 $280 3074 -3076 $29 $129 $279 3077 -3080 $28 $128 $278 3081 -3083 $27 $127 $277 3084 -3086 $26 $126 $276 3087 -3090 $25 $125 $275 3091 -3093 $24 $124 $274 3094 -3096 $23 $123 $273 3097 -3100 $22 $122 $272 3101 -3103 $21 $121 $271 3104 -3106 $20 $120 $270 3107 -3110 $19 $119 $269 3111 -3113 $18 $118 $268 3114 -3116 $17 $117 $267 3117 -3120 $16 $116 $266 3121 -3123 $15 $115 $265 3124 -3126 $14 $114 $264 3127 -3130 $13 $113 $263 3131 -3133 $12 $112 $262 3134 -3136 $11 $111 $261 3137 -3140 $10 $110 $260 3141 -3143 $9 $109 $259 3144 -3146 $8 $108 $258 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 29 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 30 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 3147 -3150 $7 $107 $257 3151 -3153 $6 $106 $256 3154 -3156 $6 $105 $255 3157 -3160 $4 $104 $254 3161 -3163 $4 $103 $253 3164 -3166 $2 $102 $252 3167 -3170 $2 $101 $251 3171 -3173 $100 $250 3174 -3176 $99 $249 3177 -3180 $98 $248 3181 -3183 $97 $247 3184 -3186 $96 $246 3187 -3190 $95 $245 3191 -3193 $94 $244 3194 -3196 $93 $243 3197 -3200 $92 $242 3201 -3203 $91 $241 3204 -3206 $90 $240 3207 -3210 $89 $239 3211 -3213 $88 $238 3214 -3216 $87 $237 3217 -3220 $86 $236 3221 -3223 $85 $235 3224 -3226 $84 $234 3227 -3230 $83 $233 3231 -3233 $82 $232 3234 -3236 $81 $231 3237 -3240 $80 $230 3241 -3243 $79 $229 3244 -3246 $78 $228 3247 -3250 $77 $227 3251 -3253 $76 $226 3254 -3256 $75 $225 3257 -3260 $74 $224 3261 -3263 $73 $223 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 31 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 3264 -3266 $72 $222 3267 -3270 $71 $221 3271 -3273 $70 $220 3274 -3276 $69 $219 3277 -3280 $68 $218 3281 -3283 $67 $217 3284 -3286 $66 $216 3287 -3290 $65 $215 3291 -3293 $64 $214 3294 -3296 $63 $213 3297 -3300 $62 $212 3301 -3303 $61 $211 3304 -3306 $60 $210 3307 -3310 $59 $209 3311 -3313 $58 $208 3314 -3316 $57 $207 3317 -3320 $56 $206 3321 -3323 $55 $205 3324 -3326 $54 $204 3327 -3330 $53 $203 3331 -3333 $52 $202 3334 -3336 $51 $201 3337 -3340 $50 $200 3341 -3343 $49 $199 3344 -3346 $48 $198 3347 -3350 $47 $197 3351 -3353 $46 $196 3354 -3356 $45 $195 3357 -3360 $44 $194 3361 -3363 $43 $193 3364 -3366 $42 $192 3367 -3370 $41 $191 3371 -3373 $40 $190 3374 -3376 $39 $189 3377 -3380 $38 $188 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 32 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 3381 -3383 $37 $187 3384 -3386 $36 $186 3387 -3390 $35 $185 3391 -3393 $34 $184 3394 -3396 $33 $183 3397 -3400 $32 $182 3401 -3403 $31 $181 3404 -3406 $30 $180 3407 -3410 $29 $179 3411 -3413 $28 $178 3414 -3416 $27 $177 3417 -3420 $26 $176 3421 -3423 $25 $175 3424 -3426 $24 $174 3427 -3430 $23 $173 3431 -3433 $22 $172 3434 -3436 $21 $171 3437 -3440 $20 $170 3441 -3443 $19 $169 3444 -3446 $18 $168 3447 -3450 $17 $167 3451 -3453 $16 $166 3454 -3456 $15 $165 3457 -3460 $14 $164 3461 -3463 $13 $163 3464 -3466 $12 $162 3467 -3470 $11 $161 3471 -3473 $10 $160 3474 -3476 $9 $159 3477 -3480 $8 $158 3481 -3483 $7 $157 3484 -3486 $6 $156 3487 -3490 $6 $155 3491 -3493 $4 $154 3494 -3496 $4 $153 with monthly net income of: Food benefit allotment by household size 1 Food benefit allotment by household size 2 Food benefit allotment by household size 3 Food benefit allotment by household size 4 Food benefit allotment by household size 5 Food benefit allotment by household size 6 Food benefit allotment by household size 7 Food benefit allotment by household size 8 3497 -3500 $2 $152 3501 -3503 $2 $151 3504 -3506 $150 3507 -3510 $149 3511 -3513 $148 3514 -3516 $147 3517 -3520 $146 3521 -3523 $145 Appendix C-3 (08AX003E) revised 10-1-2009 may continue on next page, 33 |
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