Check if anyone in your household receives SSI, Check if anyone in your household receives TANF, Check if anyone in your household receives SNAP, Amount of benefit received, Wages (yours), Social Security, Child Support, Unemployment, Pension, Other, Yes/No, the next 30 days?, Mortgage or Rent, Current Taxes, Child Support Paid, Health Insurance, Day Care, Total value of cash you have, money in the bank, etc., Vehicle #1, Work/Other, Value, Vehicle #2, Work/Other, Value, Vehicle #3, Work/Other, Value, Expected value from garage sale