Questionnaire Text

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g. Retirement income, pensions, survivor or disability income. Include income from a previous employer or union, or any regular withdrawals or distributions from IRA, Roth IRA, 401(k), 403(b), or other accounts specifically designed for retirement. Do not include Social Security.
[ ] Yes --> $[ ][ ][ ],[ ][ ][ ].00 (TOTAL AMOUNT for past 12 months)
[ ] No