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.
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
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
[] 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
Annual amount - Dollars
$[ ][ ][ ],[ ][ ][ ].00
[] No
d. Social Security or Railroad Retirement [] Yes
Annual amount - Dollars
$[ ][ ][ ],[ ][ ][ ].00
[] No
e. Supplemental Security Income (SSI) [] Yes
Annual amount - Dollars
$[ ][ ][ ],[ ][ ][ ].00
[] No
f. Any public assistance or welfare payments from the state or local welfare office[] Yes
Annual amount - Dollars
$[ ][ ][ ],[ ][ ][ ].00
[] No
g. Retirement, survivor, or disability pensions - Do NOT include Social Security.[] Yes
Annual amount - Dollars
$[ ][ ][ ],[ ][ ][ ].00
[] No
h. Any 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 sale of a home.[] Yes
Annual amount - Dollars
$[ ][ ][ ],[ ][ ][ ].00
[] No
32. What was this person's total income in 1999? Add entries in questions 31 a-31 h; 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 Annual amount - Dollars
$[ ][ ][ ],[ ][ ][ ].00
[] Loss
Are there more people living here? If yes, continue with Person 2.
Person 2
1. What is this person's name? Print the name of person 2 from page 2.
Last Name
[ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]
First Name MI
[ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ] [ ]
2. How is this person related to person 1?Mark [X] one box.
[] Husband/Wife
[] Natural-born son/daughter
[] Adopted son/daughter
[] Stepson/stepdaughter
[] Brother/sister
[] Father/mother
[] Grandchild
[] Parent-in-law
[] Son-in-law/daughter-in-law
[] Other relative - Print exact relationship
[ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]
If NOT RELATED to Person 1:
[] Roomer, boarder
[] Housemate, roommate
[] Unmarried partner
[] Foster child
[] Other nonrelative