A NONPROFIT CORPORATION
I AM Recycling Inc.ph: (973) 970-3IAM (3426)alt: (email@example.com
Please complete the following information regarding your household size and annual income.
Annual Income: Total gross household income before taxes or deductions are taken out. If you need to, you may supply your MONTHLY income, but PLEASE LET US KNOW that is what you are providing.
Household Size: Total number of people who live in your house, including all adults and children.
# in Household -Upper Income Limit
1 person - $19,050
2 persons - $21,800
3 persons - $24,500
4 persons - $27,200
5 persons - $29,400
6 persons - $31,600
7 persons - $33,500
8 persons - $35,900
Proof of Income includes: pay stubs, assistance award letters, 2015 federal income tax return, social security/SSI award letter.
OPTION 1: Mail to
OPTON 2: Fax to
OPTION 3: Scan and e-mail to
Include ALL adults and children that live in your home.
Please provide your total ANNUAL or MONTHLY income and let us know whether the amount you are providing is annual or monthly.
Please tell us about situations in your household that impact your ability to pay for MJSA.
Proof of income is required within one (1) week of submitting this application.
Copyright 2012 I AM Recycling, Inc. All rights reserved.