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.
a) Wages, salary, commissions, bonuses, or tips from all jobs. Report amount before deductions for taxes, bonds, dues, or other items
[] Yes (USD) ________ (Total amount for past 12 months)
[] No
b) Self-employment income from own nonfarm businesses or farm businesses, including proprietorships and partnerships.
Report NET income after business expenses
[] Yes (USD) ________ (Total amount for past 12 months)
[] No
[] Loss
c) Interest, dividends, net rental income, royalty income, or income from estates and trusts.
Report even small amounts credited to an account
[] Yes (USD) ________ (Total amount for past 12 months)
[] No
[] Loss
d) Social Security or Railroad Retirement
[] Yes (USD) ________ (Total amount for past 12 months)
[] No
e) Supplemental Security Income (SSI)
[] Yes (USD) ________ (Total amount for past 12 months)
[] No
f) Any public assistance or welfare payments from the state or local welfare office.
[] Yes (USD) ________ (Total amount for past 12 months)
[] No
g) Retirement, survivor, or disability pensions. Do NOT include Social Security.
[] Yes (USD) ________ (Total amount for past 12 months)
[] No
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
48. What was this person's total income during the past 12 months?
Add entries in questions 47a to 47h; subtract any losses. If net income was a loss, enter the amount and mark (X) the "Loss" box next to the dollar amount.
[] None or total amount for past 12 months (USD)________
[] Loss
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
48. Add the total entries (subtracting losses) for 47a through 47h for the PAST 12 MONTHS and enter that number in the space provided. Mark the "Loss" box if there is a loss. Print the total amount in dollars.