Page 32
pg. 27 the client’s wage history for the month prior to the application month. The Work Number phone number: (800) 364-2884 Document any failed attempts to obtain past income information on the E1CN screen. You will need to review the E1LW screen. If it is accurate, verify and save this information. Self-Employment/Partnership Income: Current Form 1040 Federal Income Tax Return. 1040, Line 1 – Wages, salaries, tips, etc. when paid by self- employment-business 1040, Line 6 – Capital Gains Schedule 1, Line 3 – Business income (don’t include if a loss) Schedule 1, Line 4 – Other gains (don’t include if a loss) Schedule 1, Line 6 – Farm income (don’t include if a loss) Do not allow additional deductions other than the 20% earned income deduction that the EA system will automatically apply. If no Form-1040, use the household member’s business records for the month prior to the application month. Business records must include the customer’s name and gross earnings for the entire month. Use last year’s Federal Income Tax Return unless the household has filed for the current year. If the Federal Income Tax Return has not been filed, does not reflect a full year’s income or the individual is no longer self-employed in the same profession; follow the income determination procedures. For Partnership Income if any rental income is included in the partnership income, compute the rental income separately using the Rental Income procedures below. Roomer-Boarder / Rent Income: Rent receipts. Contracts Signed and dated statement from the tenant or cancelled checks Prorate income from the rent of land and/or buildings not received monthly to a monthly amount. Terminated Earned Income: Employee Wage Documentation Form (LIHEAP-3). Employer statement (written or verbal). If verbal, extensive case notes are required. Unearned Income and Documentation: Contributions: