ࡱ> ilh bjbjLL *p.bc.bc[ 83drrr|~~~~~~$!rrrrrhhhrR|hr|hh %"Fh0" ^""rrhrrrrrhrrrrrrr"rrrrrrrrr : Name:   Family MemberSubtotal (add a-d)a.b.c.d.e.Wages, salaries, tips Taxable interestDividend incomeTaxable refunds/ credits/offsets of state/ local income taxesAlimony receivedBusiness income (or loss)Capital gain (pr loss)Other gains (or losses)Taxable amount of IRA distributionsTaxable amount of pensions and annuitiesRental real estate, royalties, partnerships, trusts, etc.Unemployment compensationTaxable amount of Social Security benefitsOther incomeSubtotal (lines 1-15)  IRA deductionMedical savings account deductionMoving expensesOne-half of self-employment taxSelf-employed health insurance deductionKeogh and self-employed SEP and SIMPLE plansPenalty on early withdrawal of savingsPaid alimonySubtotal (lines 17-24)Subtract line 24 from line 16. This is Adjusted Gross Income Data Privacy Ramsey County warrants compliance with applicable data privacy laws and regulations including the Minnesota Government Data Practices Act which sets policies on information that can be obtained, stored and/or released in connection with public programs. Income information on individuals or households collected and maintained by the subrecipient agency to determine eligibility may be disclosed to the county or to the U.S. Department of Housing and Urban Development. I understand that Ramsey County Energy Efficiency Rehab Program receives funds from Ramsey County that require income verification. I agree that the information I provide may be reviewed by Ramsey County and/or the U.S. Department of Housing and Urban Development or their agents. I agree that the income information provided by me may be verified by Ramsey County. 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