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Click ‘Get Form’ to open the dss 8116 i in the editor.
Begin with Section I, Citizenship. Document any eligible or ineligible aliens in your household, including verification sources and dates.
Move to Section II, Resources Allowance Computations. Fill in the amounts for checking accounts, savings, retirement accounts, and other resources. Ensure you provide verification sources for each entry.
In Section III, Verification of Total Earned Income, list wages from all household members and any additional income sources. Include verification sources and dates for accuracy.
Proceed to Section IV for Verification of Total Unearned Income. Document various unearned income types such as benefits and contributions along with their respective verification sources.
Finally, complete Section V by calculating the computation of ineligible alien’s income based on provided formulas. Ensure all calculations are accurate before submission.

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