Wilfred Sánchez
50 Boston Court
Newark, NJ 07103

Household Income & Expeses

November 6, 2025

I do not work and spend most weekdays at my 91-year-old mother's apartment caring for her. She's fragile and suffers from dementia. She can't be left alone.

My mother gives me $10,000 per year for living expenses. I also received a $1,500 ANCHOR program benefit check last October and expect one this year. I've been receiving SNAP benefits and financial assistance to cover all utility expenses.

monthly income
gifts ($10,000 ÷ 12)$833
monthly expenses
taxes less ANCHOR 300
condominium fees340
car insurance70
internet45
transportation20
telephone7
*groceries1500
*gas & electric600
*water & sewer 460
total$782

I certify the information provided is true and accurate and that if I provide false information, it may result in the denial of my application to receive USF or LIHEAP benefits.

signature