BACA COUNTY FOOD COMMODITIES
State of Colorado
TEFAP
2007 - 2008 Income Guidelines
185% of Poverty
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Federal Poverty Guidelines - 100% Colorado TEFAP - 185%
# PERSONS In Household ANNUAL INCOME   WEEKLY INCOME MONTHLY INCOME ANNUAL INCOME
1 $10,210     $364.00   $1,575.00   $18,889.00
2 $13,690     $488.00   $1978.00   $25,327.00
3 $17,170     $611.00   $2481.00   $31,765.00
4 $20,650     $735.00   $2984.00   $38,203.00
5 $24,130     $859.00   $3486.00   $44,641.00
6 $27,610     $983.00   $3989.00   $51,079.00
7 $31,090     $1107.00   $4491.00   $57,517.00
8 $34,570     $1230.00   $4994.00   $63,955.00
For each additional family member over 8, add $3,480.00   $124.00 $537.00 $6,438.00

I CERTIFY THAT I AM IN NEED OF FOOD ASSISTANCE AND THAT MY GROSS MONTHLY INCOME DOES NOT EXCEED THE LIMITS AS SHOWN ABOVE FOR THE NUMBER OF PERSONS IN MY HOUSEHOLD. THE FOOD I RECEIVE WILL NOT BE SOLD OR EXCHANGED AND IS FOR MY OWN PERSONAL USE.

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"In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age or handicap. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W Whitten Building, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer."

Approved By:  ________Sheila Emick ________Marylin Lasley