Questionnaire Text

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a. Wages, salary, commissions, bonuses, or tips from all jobs . . .

Report amount before deductions for taxes, bonds, dues, or other items.
[] Yes - $____________________.00
(Annual amount - Dollars)
[] No

"Include sick leave pay. Do not include reimbursement for business expenses and pay "in kind," (for example, food, lodging received as payment for work performed)."