Countable Sources of Income

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able Sources of Income 1040 LINES 7-20 1040 INCOME TYPE MAGI M/C APTC/CSR Line 7 Employment 1 (Wages 2 ; salary; back pay; differential wage payments; Government cost-of-living allowances; Nonqualified deferred compensation; notes for services; severance pay; sick pay; vacation, annual leave, and paid holidays; strike and lockout benefits, cash payments for stock appreciation rights; allowances and reimbursements for travel, transportation, or other business expenses; commissions; advance commissions; tips; bonuses; awards; and fringe benefits not provided on a pre-tax basis (including non-clergy housing, meals and transportation), disability pension under a plan that is paid for by your employer, guaranteed annual wages paid during period of unemployment by employer under a union agreement, employer paid supplemental unemployment benefits from an employer financed fund, fees by clergy for services performed, and other, W-2 Line 8a & 8b Interest (taxable and non-taxable), 1099-INT Gross Gross Line 9a Line 10 Line 11 Ordinary/qualified dividends, 1099-DIV refunds, credits, or offsets of state/local taxes Alimony Line 12 Business (or loss), Schedule C or C-EZ Line 13 Capital gain (or loss), Schedule E Line 14 Other gains (or losses), Form 4797 Line 15b Individual Retirement Account (IRA) distributions, 1099-R taxable taxable Line 16b Pensions, Department of Defense Retirement Board military retirement, endowment contracts paid as annuities and taxable annuities, 1099-R 1 Workers' compensation for an occupational sickness or injury is tax-exempt and not counted as. However, if part of the workers compensation reduces/replaces the recipient s Social Security benefits, that part of the workers compensation is considered Social Security benefit and is counted as. 2 In-Home Supportive Services (IHSS) wages by IHSS providers who live with the recipient of those services are not counted as. Page 1 of 6

able Sources of Income 1040 LINES 7-20 1040 INCOME TYPE MAGI M/C APTC/CSR Line 17 Rental real estate, royalties, partnerships, S-Corporations, Trusts, etc. (or loss), Schedule E Line 18 Farm (or loss), Schedule F Line 19 State of Federal unemployment compensation, 1099-G; State Disability Insurance (SDI), when treated as unemployment compensation, 1099-G; State Disability Insurance (SDI), when treated as unemployment compensation, 1099-G; Railroad Unemployment benefits, 1099-G; Trade Readjustment allowances, 1099-G; Unemployment assistance under the Disaster Relief and Emergency Assistance Act of 1974, 1099-G; Unemployment assistance under the Airline Deregulation Act of 1974 Program, 1099-G; Line 20a & 20b Social security benefits (taxable and non-taxable), SSA-1099 Gross Gross Line 20a & 20b Railroad retirement benefits (taxable and non-taxable), RRB- 1099 Gross Gross Line 7 & Line 21 Foreign Earned Income (taxable and non-taxable), Form 2555/2555-EZ (the gross is included as earned on Line 7 and any excludible amount is listed on Line 21 with a reference to Form 2555/2555-EZ) Gross Gross Accelerated death benefits/viatical settlements paid to persons with a financial interest in the insured s business Activity not for profit, Pub.535 Alaska Permanent Fund dividends AmeriCorps State/National Stipend and Education Award AmeriCorps National Civilian Community Corps Stipend and Education Award AmeriCorps Vista Stipend and Educational Award Bartering, 1099-B, Pub. 525 Page 2 of 6

able Sources of Income Blood, plasma, sperm, egg, embryo, or compensation for other body parts Coverdale education savings account Court awards/judgments/settlements for compensation for lost wages/profits, breach of contract, pension rights, interest on awards, patent or copyright infringement and punitive damages Cancellation of non-business debt, unless intended as a gift, that is in excess of: amounts of insolvency amounts discharged in bankruptcy with regard to mortgage cancellation, in excess of the cost of your principal residence plus improvements, 1099-C Clergy housing and utility allowance in excess of market rate and actual cost respectively Clinical trial participation remuneration and amounts in excess of expenses minus $2,000, 1099-Misc and 42 U.S.C. Section 1396a(e)(14) Credit Card Insurance or Disability Payment Disability Income - taxed (taxed private disability insurance premiums paid for by employer) Pubs 525 and 907, 1099 and 1099-A Endowment Contracts paid as a lump sum before death in excess of costs (not applicable a veteran s endowment contract) Foreign Earned Income (taxable and non-taxable), Form 2555 Gross Gross Foster care, maintaining a space in your home Gambling winnings: gambling, lottery, raffles, Form W2-G Health savings account Hobby, or from an activity you did not expect to see a profit Host or hostess gift or gratuity Income from the rental of personal property (not business ) Interest not because the interest charged was below the applicable federal rate Job Corps earnings/stipend Page 3 of 6

able Sources of Income Jury duty pay in excess of costs Kickbacks Life insurance proceeds turned over for price, e.g. surrender in excess of the cost of the insurance Long-term care benefits taxable amount 1099 LTC Medical Savings Account (Archer-Medicare), Pub. 969 Net Operating Loss Carryover, Subtract from other line 21, Pub. 536 Paid Family Leave, 1099-G Prizes and awards Pulitzer, Noble or similar prize Qualified Tuition Program, Pub. 970 Qualified reservist distribution from health flexible spending account, W-2, Pub 525 Recoveries of amounts deducted or for which a credit was taking in an earlier year. Refunds/reimbursements/rebates of itemized deductions Reemployment Trade Adjustment Assistance payments made by a state agency, 1099-G Rental of personal property not self-employment Rewards Reimbursement for Employment Agency Fee Scholarships, awards, fellowship grants not used for living expenses, Pub. 970 Scholarships, awards, fellowship grants used for living expenses, Pub, 970 Self-employment (in excess of expenses), Schedule K-1, Schedule SE State tax refund in excess of prior year state tax deducted Subtract Losses Not ed Subtract Losses Strike and lockout benefits Unearned in-kind/personal expenses paid by another, including a corporation Page 4 of 6

able Sources of Income Unemployment benefits paid by a union Utility rebates Whistleblower s award Work training program payments entire amount paid by a state welfare agency if greater than what would otherwise be paid for public welfare benefits FREQUENCY (ONE-TIME LUMP SUM PAYMENT) MAGI-BASED M/C APTC/CSR Cancellation of debt Education scholarships, awards, fellowship grants not used for living expenses Education scholarships, awards, fellowship grants used for living expenses Employee accrued vacation, annual leave or sick pay Employee back pay awarded in a settlement Gambling winnings Insurance settlements due to death, personal injury, damage, or loss of property Lottery Winnings Prizes and awards Retroactive social security and railroad retirement benefits Retroactive unemployment insurance benefits Surviving spouse or beneficiary receives salary or wages from decedent s employer Surviving spouse or beneficiary receives lump sum qualified retirement plan distribution from decedent s employer in month Not counted in month taxable amount in the month in the month in month Not ed in month in month in month in month in month taxable amount in month as annual as annual as annual as annual Not ed as annual as annual as annual as annual as annual taxable amount as annual Alimony paid Monthly deduction Annual deduction Certain business expenses of reservists, performing artists, etc. Monthly deduction Annual deduction Child support paid No deduction No deduction Deductible part of self-employment tax Monthly deduction Annual deduction Domestic production activities deductions Monthly deduction Annual deduction Educator expenses Monthly deduction Annual deduction Health Savings Account deduction Monthly deduction Annual deduction Page 5 of 6

able Sources of Income FREQUENCY (ONE-TIME LUMP SUM DEDUCTION) MAGI-BASED M/C APTC/CSR IRA deduction Monthly deduction Annual deduction Moving expenses Monthly deduction Annual deduction Penalty on early withdrawal of savings Monthly deduction Annual deduction Self-employed health insurance deduction Monthly deduction Annual deduction Self-employed SEP, Simple, and qualified plans Monthly deduction Annual deduction Student loan interest deduction Monthly deduction Annual deduction Tuition and fees Monthly deduction Annual deduction AI/AN INCOME EXCEPTIONS MAGI M/C APTC/CSR Distributions from Alaska Native corporations and settlement trusts Not ed Distributions from any property held in trust, subject to federal restrictions, located within the most recent boundaries of a prior Federal reservation, or otherwise under the supervision of the Secretary of the Interior Distributions and payments from rents, leases, rights of way, royalties, usage rights, or natural resource extraction and harvest from: Rights of ownership or possession in any lands located within the most recent boundaries of a prior Federal reservation, or otherwise under the supervision of the Secretary of the Interior Federally protected rights regarding off-reservation hunting, fishing, gathering, or usage of natural resources Distributions resulting from real property ownership interests related to natural resources and improvements: Located on or near a reservation or within the most recent boundaries of a prior Federal reservation; or Resulting from the exercise of federally-protected rights relating to such real property ownership interests Not ed Not ed Not ed Payments resulting from ownership interest in or usage rights to items that have a unique religious, spiritual, traditional, or cultural significance or rights that support subsistence or a traditional lifestyle according to applicable Tribal Law or custom Student financial aid provided under the Bureau of Indian Affairs education programs Tribal gaming per capita payments Not ed Not ed ed ed Page 6 of 6