[] Less than $80
[] $80 to $99
[] $100 to $124
[] $125 to $149
[] $150 to $174
[] $175 to $199
[] $200 to $224
[] $225 to $249
[] $250 to $274
[] $275 to $299
[] $300 to $324
[] $325 to $349
[] $350 to $374
[] $375 to $399
[] $400 to $424
[] $425 to $449
[] $450 to $474
[] $475 to $499
[] $500 to $524
[] $525 to $549
[] $550 to $599
[] $600 to $649
[] $650 to $699
[] $700 to $749
[] $750 to $999
[] $1,000 or more

"Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid: Multiply rent by:
By the day..................................... 30
By the week....................................4
Every other week............................2

If rent is paid: Divide rent by:
4 times a year.................................3
2 times a year................................. 6
Once a year................................... 12