Questionnaire Text

Questionnaire form view entire document:  text  image
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 $_______________________.00 (TOTAL AMOUNT for past 12 MONTHS)
[ ] Loss
Questionnaire instructions view entire document:  text  image
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.