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Income-based Sliding Scale

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Income Based Sliding Scale (Please provide last years 1040 as proof of income)

Level Annual Household Income Initial Assessment Follow-up Group
1 Below $50,000 $100 $95 $35
2 $50,000 – $60,000 $125 $100 $35
3 $60,000-$70,000 $145 $125 $35
4 >$70,000 $175 $150 $40

v.206NOV07

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