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2008-9 Sliding Scale for Donors This Sliding Scale and Income Worksheet are for personal use in factoring a donation for those in financial need. The Summit Dharma Center does not wish to receive your income information RURAL* Annual Household Net Income Range $ 0-9,999 $ 10,000-14,999 $ 15,000-19,999 $ 20,000-24,999 $ 25,000-29,999 $ 30,000-34,999 $ 35,000-50,000 $ 50,000-65,000 Number of Persons Supported by Income w/ % Discount** 1-2 3-4 5 or more %94 %94 %94 %90 %94 %94 %80 %90 %94 %70 %80 %90 %55 %70 %80 %40 %55 %70 %20 %40 %55 0 %20 %40 URBAN Annual Household Net Income Range $ 0-9,999 $ 10,000-14,999 $ 15,000-19,999 $ 20,000-24,999 $ 25,000-29,999 $ 30,000-34,999 $ 35,000-50,000 $50,000 and up Number of Persons Supported by Income w/ % Discount 1-2 3-4 5 or more %90 %94 %94 %85 %90 %90 %75 %85 %90 %65 %75 %85 %50 %65 %75 %30 %50 %65 %15 %30 %50 0 %15 %30 *Not sure if you are urban/rural? Note: CO can be tricky due to resort areas affecting increase in rural data, for CO counties’ cost/living go to: http://www.cclponline.org/pubfiles/SSSTables2007.xls **To calculate your discount, multiply the % to the suggested donation amount and subtract from the total. For example: if your sliding scale discount is 40% (=.40) and the suggested donation is $200 (for a retreat), then .40 X $200 = $80 discount, therefore, $200-$80 = $120 If you need help figuring your annual income, please use the worksheet below. Annual Income Worksheet Annual Income Gross individual/combined family income Child Support/Alimony Received Trust/Interest/Rental/Investment Unemployment Compensation Retirement/Pension Annual Income Public Assistance (annual) Disability Insurance (annual) A) Subtotal Annual Income $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ Expenses Child Support/Alimony Paid Daycare/Preschool Medical Bills greater than 5% (not covered by insurance) B) Subtotal Expenses C) Subtract line B from A for Total Annual Income $__________ $__________ $__________ $__________ $__________