TN 4 (02-95)
Indicate “Yes” or “No” for each item in 5(a). Complete 5(b) for any “Yes” answer to 5(a).
Enter the frequency income is received since not all income is received monthly.
Write “Continuing” in the “To” portion of the “Dates Expected or Received” block if the income will continue.
Ask whether a deemor (or an ineligible child)receives support payments.
If a parent (or child) allegespaying court-ordered support payments, document the allegation in the “Remarks” section and see SI 01320.145.
NOTE: Support payments that an essential person or the sponsor of an alien makes do not reduce income subject to deeming.
Do not include expenses of the household actually paid for by someone outside the
household. Record this information on the SSA-8000-BK, SSA-8203-BK, or the SSA-8006-F4
where use of the form is required (see SI 00835.600 ff.).
If an individual reports income which is not listed, use the “Other Income” blocks to record the information.
NOTE: In-kind support and maintenance (ISM) that the sponsor of an alien or an essential
person receives is income subject to deeming (SI 01320.150) and should be listed under “Other Income.”
Earned income tax credits, SI 00820.400
Support/alimony, SI 00830.220
Child support with AFDC involvement, SI 00830.310