Questionnaire Text

Questionnaire form view entire document:  text  image

31. Income in 1999 - Mark [X] the "yes" box for each income source received during 1999 and enter the total amount received during 1999 to a maximum of $999,999. Mark [X] the "no" box if the income source was not received. If net income was a loss, enter the amount and mark [X] the "loss" box next to the dollar amount.

For income received jointly, report, if possible, the appropriate share for each person; otherwise, report the whole amount for only one person and mark the "no" box for the other person. If exact amount is not known, please give best estimate.


31. a. Wages, salary, commissions, bonuses, or tips from all jobs - Report amount before deductions for taxes, bonds, dues, or other items.

[] Yes
Annual amount - Dollars

$_ _ _ ,_ _ _ .00

[] No


31. b. Self-employment income from own nonfarm businesses or farm businesses, including proprietorships and partnerships - Report net income after business expenses.

[] Yes
Annual amount - Dollars

$_ _ _ ,_ _ _ .00
[] Loss

[] No