Form 2596-EE "TANF Stepparent/Responsible Parent/Temporary Resident Parent Deeming Budget" - Nevada

What Is Form 2596-EE?

This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2019;
  • The latest edition provided by the Nevada Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 2596-EE by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.

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Download Form 2596-EE "TANF Stepparent/Responsible Parent/Temporary Resident Parent Deeming Budget" - Nevada

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NEVADA STATE DIVISON OF WELFARE AND SUPPORTIVE SERVICES
TANF STEPPARENT/RESPONSIBLE PARENT/TEMPORARY RESIDENT PARENT
DEEMING BUDGET
Case Name
Case Number
Date
Income Month
Grant Month
 Intake Budget
 Ongoing Budget
 O/P Budget
 Other
Case Manager
STEPPARENT OR RESPONSIBLE PARENT’S
EARNED INCOME
NUMBER
OF
100% NEED
1. Gross earnings or net self-
PERSONS
STANDARD
employment income...................................... ____________
1
$ 798
2
1,078
2. Less
3
1,358
Work Expense............................................. –____________
4
1,638
5
1,918
3. TOTAL NET EARNED INCOME............ ____________
6
2,198
ADD $280 FOR EACH ADDITIONAL PERSON
STEPPARENT OR RESPONSIBLE PARENT’S
UNEARNED INCOME
(1) Enter the need standard for the number of persons in the
4. UIB ............................................................... ____________
stepparent's or responsible parent's home (including the
stepparent/parents) who are not included in the TANF
5. Social Security .............................................. ____________
assistance unit and are claimed by the stepparent/parent as
dependents for Federal Income Tax purposes.
Include
6. Value of Subsidized Housing
persons who do not meet TANF citizenship requirements.
($76 maximum) ............................................ ____________
Do not include SSI recipients.
7. Other ______________ ................................ ____________
(2) Disregard amounts actually paid by the stepparent/parent to
(Type)
persons not living in the home who are claimed by the
stepparent/parent for Federal Income Tax purposes AND
8. TOTAL NET UNEARNED INCOME...... ____________
payments made by stepparents/parents for alimony or child
support.
TOTAL NET INCOME
9. Total Income (sum items 3 & 8) ................... ____________
10. Less Need Standard (1)............................... –____________
11. Less Support (2).......................................... –____________
12. NET DEEMABLE INCOME (Transfer
to TANF/CHAP Budget - Form 2183) ......... ____________
2596 – EE (9/20)
DISTRIBUTION: WHITE - Casefile
NEVADA STATE DIVISON OF WELFARE AND SUPPORTIVE SERVICES
TANF STEPPARENT/RESPONSIBLE PARENT/TEMPORARY RESIDENT PARENT
DEEMING BUDGET
Case Name
Case Number
Date
Income Month
Grant Month
 Intake Budget
 Ongoing Budget
 O/P Budget
 Other
Case Manager
STEPPARENT OR RESPONSIBLE PARENT’S
EARNED INCOME
NUMBER
OF
100% NEED
1. Gross earnings or net self-
PERSONS
STANDARD
employment income...................................... ____________
1
$ 798
2
1,078
2. Less
3
1,358
Work Expense............................................. –____________
4
1,638
5
1,918
3. TOTAL NET EARNED INCOME............ ____________
6
2,198
ADD $280 FOR EACH ADDITIONAL PERSON
STEPPARENT OR RESPONSIBLE PARENT’S
UNEARNED INCOME
(1) Enter the need standard for the number of persons in the
4. UIB ............................................................... ____________
stepparent's or responsible parent's home (including the
stepparent/parents) who are not included in the TANF
5. Social Security .............................................. ____________
assistance unit and are claimed by the stepparent/parent as
dependents for Federal Income Tax purposes.
Include
6. Value of Subsidized Housing
persons who do not meet TANF citizenship requirements.
($76 maximum) ............................................ ____________
Do not include SSI recipients.
7. Other ______________ ................................ ____________
(2) Disregard amounts actually paid by the stepparent/parent to
(Type)
persons not living in the home who are claimed by the
stepparent/parent for Federal Income Tax purposes AND
8. TOTAL NET UNEARNED INCOME...... ____________
payments made by stepparents/parents for alimony or child
support.
TOTAL NET INCOME
9. Total Income (sum items 3 & 8) ................... ____________
10. Less Need Standard (1)............................... –____________
11. Less Support (2).......................................... –____________
12. NET DEEMABLE INCOME (Transfer
to TANF/CHAP Budget - Form 2183) ......... ____________
2596 – EE (9/20)
DISTRIBUTION: WHITE - Casefile