INCOME CALCULATION WORKSHEET
Borrower Household Member #2 Household Member # 3 Please describe income and/or debt
1. Monthly Employment Income calculaton method in the space below if you
Base Pay are using any calculation method beyond
Overtime straight paystub/total debts (for example,
Bonus grossing up non-taxable income or
Subtotal excluding certain debts, etc.)
2. Other Income
Net Rental Income
3. Self Employment Income
Schedule D, F, or E of Form 1040
4A. Total Monthly Household Income List NAMES and AGES of all household
Subtotal members below:
4B. Line 4A x 12 = Name Age
5. If the total income shown on line 4B exceeds the maximum income limit for the country, the applicant is not eligible for the
program offered by Gulf Coast Renaissance Corporation.
NOTE: THIS FORM MUST BE COMPLETED SHOWING ALL GROSS HOUSEHOLD INCOME AND SUBMITTED WITH THE COMPLIANCE PACKAGE.
INCOME FOR ALL HOUSEHOLD MEMBERS AGE 18 AND OLDER MUST BE INCLUDED ON THIS FORM.
ONLY THE FIRST $480 OF EARNED INCOME FOR FULL-TIME STUDENTS, AGE 18 AND OLDER, WILL BE COUNTED TOWARDS THE HOUSEHOLD INCOME.
DISCLAIMER: MORE THAN 3 WAGE EARNERS WILL BE CAPTURED ON AN ADDITIONAL PAGE.