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SNAP Calculation Page Example

 

Mary Smith                                                  Date: 03/05/20xx

 

How We Decide Your SNAP Amount

We use your household’s income and some expenses. In some cases, we count the income of a person in your household, even if that person is not getting benefits.  Look below to see what we are counting for your household.

 

      Who is in your SNAP household

People in your household who get SNAP benefits:

Name

Mary Smith

Jessica Smith

Jane Smith

Jay Smith

John Smith

 

People in your household who do not get SNAP benefits:

 

Name 

Reason

Effective Date

Jose Smith

Ineligible noncitizen

 Not applicable

 

Income we are counting

Earned Income

Name 

Type

Reported Amount

Date

Amount We Use

Mary Smith 

Employment 

$130.85

12/17/xx

$579.97/monthly average

 

 

$136.85

12/21/xx

 

 

 

$148.85 

12/31/xx

 

 

 

$118.85 

01/07/xx

 

 

Name 

Type

Reported Amount

Date

Amount We Use

John Smith

Employment

$160.00

12/17/xx

$693.28/monthly average

 

 

$160.00

12/21/xx

 

 

 

$160.00

12/31/xx

 

 

 

$160.00

01/07/xx

 

 

Unearned Income

Name 

Type

Reported Amount

Amount We Use

Jessica Smith

RSDI

$150.00 / month

$150.00

 

Sanction Income                                             Amount We Use

Recoupment Income                                       Amount We Use

 

                                                  Agency ID: 9999999

 

Mary Smith                                                      Date: 03/05/20xx

 

Expenses we are counting

Dependent care expenses

 $0

Medical expenses (must be over $35)

 $0

Child support (paid by household

 $0

Housing expenses (rent, mortgage, etc.)

$850.00

Heat or air conditioning

No

Phone

Yes

Electricity or other utility

Yes

 

Mary Smith                                                         Date: 03/05/20xx

 

Your SNAP Calculation

The amount of SNAP you get is based on your income, minus any deductions.  A deduction means that DTA counts less of your income.  This can give you higher benefits.  The amount of the deduction may not be the same as what you pay for the expense. 

 

Your SNAP household size:      5

Maximum monthly benefits for your household size: $793.00.

Total gross earned income        1,273.25

 

Total unearned income              $150.00

 

 

Deductions

Earned income deduction

$254.65

Standard deduction

$191.00

Dependent care deduction

 $0

Medical expense deduction

 $0

Child support (paid by household)

 $0

Allowed shelter and utility deductions

$478.00

The shelter/utility deduction has a limit of {$476}, unless someone in the household is elderly or disabled.

 

Total income after deductions                                $499.60

 

Maximum amount for 5                                                  $750.00

Minus 30% of $558.60                                          149.88

                                                                       $600.12

 

Other adjustments

Recoupment of SNAP overpayment                       $    / month

 

Your SNAP Amount

$600.00/month

 

 

  Last Update:  August 28, 2015