Table A - Standard for Determining Responsible Relative Liability

Responsible Relative Liability
Gross Annual Income Range*			Number in Family (including recipient)
			2	3	4	5	6	7 or more**
$ 7,000	-	7,500	$ 5
7,501	-	8,000	10
8,001	-	8,500	15
8,501	-	9,000	20	$ 5
9,001	-	9,500	25	10
9,501	-	10,000	30	15
10,001	-	10,500	35	20	$ 5
10,501	-	11,000	40	25	10
11,001	-	11,500	45	30	15
11,501	-	12,000	50	35	20	$ 5
12,001	-	12,500	55	40	25	10
12,501	-	13,000	60	45	30	15
13,001	-	13,500	65	50	35	20	$ 5
13,501	-	14,000	70	55	40	25	10
14,001	-	14,500	75	60	45	30	15
14,501	-	15,000	80	65	50	35	20	$ 5
15,001	-	15,500	85	70	55	40	25	10
15,501	-	16,000	90	75	60	45	30	15
16,001	-	16,500	95	80	65	50	35	20
16,501	-	17,000	100	85	70	55	40	25
17,001	-	17,500	105	90	75	60	45	30
17,501	-	18,000	110	95	80	65	50	35
18,001	-	18,500	115	100	85	70	55	40
18,501	-	19,000	120	105	90	75	60	45
19,001	-	19,500	125	110	95	80	65	50
19,501	-	20,000	130	115	100	85	70	55
20,001	-	20,500	135	120	105	90	75	60
20,501	-	21,000	140	125	110	95	80	65
21,001	-	21,500	145	130	115	100	85	70
21,501	-	22,000	150	135	120	105	90	75
22,001	-	22,500	155	140	125	110	95	80
22,501	-	23,000	160	145	130	115	100	85
23,001	-	23,500	165	150	135	120	105	90
23,501	-	24,000	170	155	140	125	110	95
24,001	-	24,500	175	160	145	130	115	100
24,501	-	25,000	180	165	150	135	120	105
25,001	-	25,500	185	170	155	140	125	110
25,501	-	26,000	190	175	160	145	130	115
26,001	-	26,500	195	180	165	150	135	120

Responsible Relative Liability
Gross Annual Income Range*			Number in Family (including recipient)
			2	3	4	5	6	7 or more**
26,501	-	27,000	200	185	170	155	140	125
27,001	-	27,500	205	190	175	160	145	130
27,501	-	28,000	210	195	180	165	150	135
28,001	-	28,500	215	200	185	170	155	140
28,501	-	29,000	220	205	190	175	160	145
29,001	-	29,500	225	210	195	180	165	150
29,501	-	30,000	230	215	200	185	170	155
30,001	-	30,500	235	220	205	190	175	160
30,501	-	31,000	240	225	210	195	180	165
31,001	-	31,500	245	230	215	200	185	170
31,501	-	32,000	250	235	220	205	190	175
32,001	-	32,500	255	240	225	210	195	180
32,501	-	33,000	260	245	230	215	200	185
33,001	-	33,500	265	250	235	220	205	190
33,501	-	34,000	270	255	240	225	210	195
34,001	-	34,500	275	260	245	230	215	200
34,501	-	35,000	280	265	250	235	220	205
35,001	-	35,500	285	270	255	240	225	210
35,501	-	36,000	290	275	260	245	230	215
36,001	-	36,500	295	280	265	250	235	220
36,501	-	37,000	300	285	270	255	240	225
37,001	-	37,500	305	290	275	260	245	230
37,501	-	38,000	310	295	280	265	250	235
38,001	-	38,500	315	300	285	270	255	240
38,501	-	39,000	320	305	290	275	260	245
39,001	-	39,500	325	310	295	280	265	250
39,501	-	40,000	330	315	300	285	270	255
40,001	-	40,500	335	320	305	290	275	260
40,501	-	41,000	340	325	310	295	280	265
41,001	-	41,500	345	330	315	300	285	270
41,501	-	42,000	350	335	320	305	290	275
42,001	-	42,500	355	340	325	310	295	280
42,501	-	43,000	360	345	330	315	300	285
43,001	-	43,500	365	350	335	320	305	290
43,501	-	44,000	370	355	340	325	310	295
44,001	-	44,500	375	360	345	330	315	300
44,501	-	45,000	380	365	350	335	320	305
45,001	-	45,500	385	370	355	340	325	310
45,501	-	46,000	390	375	360	345	330	315
46,001	-	46,500	395	380	365	350	335	320
46,501	-	47,000	400	385	370	355	340	325
47,001	-	47,500	405	390	375	360	345	330
Responsible Relative Liability
Gross Annual Income Range*			Number in Family (including recipient)
			2	3	4	5	6	7 or more**
47,501	-	48,000	410	395	380	365	350	335
48,001	-	48,500	415	400	385	370	355	340
48,501	-	49,000	420	405	390	375	360	345
49,001	-	49,500	425	410	395	380	365	350
49,501	-	50,000	430	415	400	385	370	355
50,001 & over (continues at $5 increments for each $500 increase in Gross Annual Income Range)
*Based on gross annual income as reflected on the responsible relative's Federal Income Tax Return.
**More than 7 in family (continues at $5 increments)

Notes