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.]


32g. Unemployment compensation, veterans' payments, pensions, alimony or child support, or any other sources of income received regularly

Exclude lump-sum payments such as money from an inheritance or the sale of a home.

[] Yes --

$ ____ .00 (Annual amount -- Dollars)

[] No


[Include all other regular payments, such as government employee retirement, union or private pensions and annuities; unemployment benefits; worker's compensation; Armed Forces allotments; private welfare payments; regular contributions from persons not living in the household; etc. Do not include lump-sum payments received from the sale of property (capital gains), insurance policies, inheritances, etc.]