Instructions: Take the number of your household size and add one to account for the beneficiary. Using the tables below, locate the table corresponding to your geographic area, and using your household number plus one compare your household income with the income levels shown. Is your income 125% above the poverty line for the combined household size? [Example: if you live in Indiana and there are five people in your household, then you would add one more person to make six people. Locate the table for your geographic area (For the 48 Contiguous States) and in the table find the income levels corresponding to a household size of six. For six people in the Sponsor’s Household Size, you would need to make $46,487 or over to meet the requirement of being 125% of the HHS Poverty Guidelines.]