Section 20, Part B - Expense Patterns for Food, Beverages, and Other Selected Items - Selected Services and Goods

Section 20, Part B deals with expenses for dry cleaning, laundry service, personal services, banking fees, taxis, limousines, and mass transportation.

For definitions Information Booklet »

Since the first of the reference month, not including the current month, have you or any members of your household had any expenses for self-service laundry machines?

1. Yes
2. No

What was the total cost? [enter value] _____________

Was any of this amount for items other than clothes, such as linens or drapes?

1. Yes
2. No

How much? [enter value] _____________

Have you or any members of your household had any expenses for dry cleaning or laundry service?

1. Yes
2. No

What was the total cost? [enter value] _____________

Was any of this amount for items other than clothes, such as linens, drapes, or rugs?

1. Yes
2. No

How much? [enter value] _____________

Since the first of the reference month, not including the current month, have you or any members of your household had any expenses for haircutting, styling, manicures, massages or other salon services?

1. Yes
2. No

What was the total expense for these services since the first of the reference month, not including the current month? [enter value] _____________

Have you or any members of your household had any expenses for the rental of a safe deposit box located in a bank or similar financial institution?

1. Yes
2. No

What was the total rental expense for the safe deposit box since the first of the reference month, not including the current month? [enter value] _____________

Have you or any members of your household paid any charges or fees for bank services such as ATM or overdraft fees or account service charges from a bank or similar financial institution?

1. Yes
2. No

For definitions Information Booklet »

What is the usual MONTHLY charge? [enter value] _____________

Since the first of the reference month, not including the current month, have you or any members of your household had expenses for taxis or limousine service? Do not include expenses entirely reimbursed for business purposes or expenses incurred on a trip.

1. Yes
2. No

What was the total expense? [enter value] _____________

Do you or any members of your household use mass transportation services such as a bus, subway, mini-bus or train?
Include all commuter services. Do not include expenses covered by employer-provided transit subsidies.
* Include commuter rail, light rail, and trolleys as mass transit

1. Yes
2. No

What is the usual MONTHLY cost to use mass transit to go to
Work? [enter value] _____________

Did you receive a transit subsidy?

1. Yes
2. No

What is the usual monthly amount? [enter value] _____________

What is the usual MONTHLY cost to use mass transit to go to
School? [enter value] _____________

What is the usual MONTHLY cost to use mass transit to go to
Other places? [enter value] _____________

End of Section 20B

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Last Modified Date: February 22, 2017