Questionnaire Text

Questionnaire form view entire document:  text  image
47. Income in the past 12 months
Mark (X) the "Yes" box for each type of income this person received, and give your best estimate of the total amount during the past 12 months. (NOTE: The "past 12 months" is the period from today's date one year ago up through today.)

Mark (X) the "No" box to show types of income NOT received.

If net income was a loss, mark the "Loss" box to the right of the dollar amount.

For income received jointly, report the appropriate share for each person -- or, if that's not possible, report the whole amount for only one person and mark the "No" box for the other person.

h) Any such other sources of income received regularly such as Veterans' (VA) payments, unemployment compensation, child support or alimony.
Do not include lump sum payments such as money from an inheritance or the sale of a home
[] Yes (USD) ________ (Total amount for past 12 months)
[] No
Questionnaire instructions view entire document:  text  image
Answer person questions 47 through 48 only if this person is 15 years old or over.

Mark the "Yes" or "No" box for each type of income, and enter the amount received in the past 12 months for each "Yes" response.
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 the "No" box for the other person.
When reporting income received jointly, do not include the amount for a person not listed on pages 2, 3, or 4.
do not include the following as income in any item:

Refunds or rebates of any kind
Withdrawals from savings of any kind
Capital gains or losses from the sale of homes, shares of stock, etc.
Inheritances or insurance settlements
Any type of loan
Pay in-kind such as food, free rent

47h. Include Veterans' (VA) disability compensation and educational assistance payments (VEAP); unemployment compensation, child support or alimony; and all other regular payments such as Armed Forces transfer payments, assistance from private charities, regular contributions from persons not living in the household.