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Seattle CiviForm
Note: Fields marked with a * are required.
How many people are in your household, including yourself? *
Please enter a number greater than or equal to 1. "Household" means all the people who live with you and share in the expenses. If your household size changes frequently, please choose the household size that is most constant.
Monthly household income *
Provide the monthly household income before taxes and deductions. Income should include all wages, earnings, and other household income.