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Nter the current monthly income before deductions for each type i.e., social security, veterans. If the amount changes from month to month, then calculate (or estimate) the average monthly income for the past 12 months for each line. On each line, enter $0 if none. 5. Do NOT include wages and selfemployment, interest income, dividends, public assistance, medical reimbursements or foster care payments. Enter $0 if none. 5A. Please specify the TYPE of Other Income that you or your spouse is re.

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