| Non-Categorically Eligible | |||||||||
| Exhibit A | FOOD STAMP BENEFITS BASIS OF ISSUANCE | ||||||||
| REGULAR HOUSEHOLDS | ***AGED-DISABLED HOUSEHOLDS | ||||||||
| HOUSEHOLD | *PRETEST | *MAXIMUM | MAXIMUM | MINIMUM | 165% INCOME | HOUSEHOLD | *MAXIMUM | MAXIMUM | MINIMUM |
| SIZE | INCOME | NET INCOME | BENEFITS | **BENEFITS | SIZE | NET INCOME | BENEFITS | **BENEFITS | |
| 1 | 931 | 716 | 135 | 10** | 1182 | 1 | 716 | 135 | 10** |
| 2 | 1258 | 968 | 248 | 10** | 1597 | 2 | 968 | 248 | 10** |
| 3 | 1585 | 1183 | 356 | 2 | 2013 | 3 | 1183 | 356 | 2 |
| 4 | 1913 | 1471 | 452 | 10 | 2427 | 4 | 1471 | 452 | 10 |
| 5 | 2240 | 1723 | 537 | 20 | 2843 | 5 | 1723 | 537 | 20 |
| 6 | 2567 | 1975 | 644 | 52 | 3258 | 6 | 1975 | 644 | 52 |
| 7 | 2894 | 2226 | 712 | 44 | 3673 | 7 | 2226 | 712 | 44 |
| 8 | 3221 | 2478 | 814 | 70 | 4088 | 8 | 2478 | 814 | 70 |
| 9 | 3549 | 2730 | 916 | 97 | 4504 | 9 | 2730 | 916 | 97 |
| 10 | 3877 | 2982 | 1018 | 123 | 4920 | 10 | 2982 | 1018 | 123 |
| 11 | 4205 | 3234 | 1120 | 149 | 5336 | 11 | 3234 | 1120 | 149 |
| 12 | 4533 | 3486 | 1222 | 176 | 5752 | 12 | 3486 | 1222 | 176 |
| 13 | 4861 | 3738 | 1324 | 202 | 6168 | 13 | 3738 | 1324 | 202 |
| 14 | 5189 | 3990 | 1426 | 229 | 6584 | 14 | 3990 | 1426 | 229 |
| 15 | 5517 | 4242 | 1528 | 255 | 7000 | 15 | 4242 | 1528 | 255 |
| 16 | 5845 | 4494 | 1630 | 281 | 7416 | 16 | 4494 | 1630 | 281 |
| 17 | 6173 | 4746 | 1732 | 308 | 7832 | 17 | 4746 | 1732 | 308 |
| 18 | 6501 | 4998 | 1834 | 334 | 8248 | 18 | 4998 | 1834 | 334 |
| 19 | 6829 | 5250 | 1936 | 361 | 8664 | 19 | 5250 | 1936 | 361 |
| 20 | 7157 | 5502 | 2038 | 387 | 9080 | 20 | 5502 | 2038 | 387 |
| 21 | 7485 | 5754 | 2140 | 413 | 9496 | 21 | 5754 | 2140 | 413 |
| 22 | 7813 | 6006 | 2242 | 439 | 9912 | 22 | 6006 | 2242 | 439 |
| 23 | 8141 | 6258 | 2344 | 465 | 10328 | 23 | 6258 | 2344 | 465 |
| 24 | 8469 | 6510 | 2446 | 491 | 10744 | 24 | 6510 | 2446 | 491 |
| 25 | 8797 | 6762 | 2548 | 517 | 11160 | 25 | 6762 | 2548 | 517 |
| 26 | 9125 | 7014 | 2650 | 543 | 11576 | 26 | 7014 | 2650 | 543 |
| 27 | 9453 | 7266 | 2752 | 569 | 11992 | 27 | 7266 | 2752 | 569 |
| 28 | 9781 | 7518 | 2854 | 595 | 12408 | 28 | 7518 | 2854 | 595 |
| 29 | 10109 | 7770 | 2956 | 621 | 12824 | 29 | 7770 | 2956 | 621 |
| 30 | 10437 | 8022 | 3058 | 647 | 13240 | 30 | 8022 | 3058 | 647 |
| * REGULAR HOUSEHOLDS are subject to gross income pretest and the maximum net income. | |||||||||
| AGED/DISABLED HOUSEHOLDS are subject only to the maximum net income limit for their household size. | |||||||||
| ** MINIMUM BENEFITS - For one or two person households the minimum monthly benefit allotment is $10. | |||||||||
| ***INCAPACITATED/AGED - LIVING WITH OTHERS - See Policy FSC 1630 number 4. | |||||||||
| See reverse side for CATEGORICAL ELIGIBLE household (Exhibit B). | |||||||||