Questionnaire Text

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18. Was this person under 15 years of age on April 1, 2000?
[] Yes [Go on to question 33]
[] No


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. 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