Questionnaire Text

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During 1979 did this person receive any income from the following sources?

If "yes" to any of the sources below -- How much did this person receive for the entire year?

[Fill the yes or no circle for each part and enter the appropriate amount. If income from any source was received jointly by household members, report if possible, the appropriate share for each person; otherwise, report the whole amount for only one person and mark No for the other person, unless the other person has additional income of the same type.]


32d. Interest, dividends, royalties, or net rental income

Report even small amounts credited to an account.

[] Yes --

$ ____ .00 (Annual amount -- Dollars)

[] No


[Include interest and dividends credited to the person's account (for example, from savings accounts and stock shares), net royalties, and net income from rental property.]