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Ask 11a and b if box 2 or 3 in 9; otherwise, go to NP.
11a. How much income did -- receive in (month) from self-employment? Report NET income, after business expenses.
Read if necessary: For farms, include any earnings as a tenant farmer or sharecropper.
Ask 12d for each person with "SS/RR" in 12b.
d. How much income did -- receive in (month) from Social Security or Railroad Retirement?
Ask 13d for each person with "SSI" in 13b.
d. How much income did -- receive in (month) from Supplemental Security Income or SSI?
Ask 15d for each person with "Pension" marked in 15b.
d. How much income did -- receive BEFORE deductions from retirement or survivor pensions (other than (Social Security or Railroad Retirement/(or) disability pension)) in (month)?
f. How much income did -- receive from public assistance or welfare in (month)?
Ask 18d for each person with "Interest" marked in 18b.
d. What is your best estimate of the total amount of interest that -- earned in (month)?
Ask 19d for each person with "Dividends" marked in 19b.
d. What is your best estimate of the total amount that -- received form dividends, net rental property income, royalties, estates, or trusts in (month)?
Ask 20d for each person with "Other income" marked in 20b.
d. How much income did -- receive in (month) from all other sources?
Ask 8a and b if box 2 or 3 in 6; otherwise, go to NP.
8a. How much income did -- receive in (month) from self-employment? Report NET income, after business expenses.
Read if necessary: For farms, include any earnings as a tenant farmer or sharecropper.
Ask 9d for each person with "SS/RR" in 9b.
d. How much income did -- receive in (month) from Social Security or Railroad Retirement?
Ask 10d for each person with "SSI" in 10b.
d. How much income did -- receive in (month) from Supplemental Security Income or SSI?
Ask 11d for each person with "Disability" marked in 11b.
d. How much did -- receive in (month) BEFORE deductions from a disability pension?
Ask 12d for each person with "Pension" marked in 12b.
d. How much income did -- receive BEFORE deductions from retirement or survivor pensions (other than (Social Security or Railroad Retirement/(or) disability pension)) in (month)?
f. How much income did -- receive from public assistance or welfare in (month)?
Ask 15d for each person with "Interest" marked in 15b.
d. What is your best estimate of the total amount of interest that -- earned in (month)?
Ask 16d for each person with "Dividends" marked in 16b.
d. What is your best estimate of the total amount that -- received from dividends, NET rental property income, royalties, estates, or trusts in (month)?
Ask 17d for each person with "Other income" marked in 17b.
d. How much income did -- receive in (month) from ALL OTHER sources?
Ask 8a and b if box 2 or 3 in 6; otherwise, go to NP.
8a. How much did -- receive in (month) from self-employment? Report NET Income, after business expenses.
Read if necessary: For farms, include any earnings as a tenant farmer or sharecropper.
Ask 9d for each person with SS/RR in 9b
d. How much did -- receive in (month) from Social Security or Railroad Retirement?
Ask 10d for each person with "SSI" in 10b
d. How much did -- receive in (month) from Supplemental Security Income or SSI?
Ask 11d for each person with "Disability" marked in 11b.
d. How much did -- receive in (month) before deductions from a disability pension?
Ask 12d for each person with "Pension" marked in 12b.
d. How much did -- receive before deductions from retirement or survivor pensions (other than (Social Security or Railroad Retirement/(or) disability pension)) in (month)?
e. How much did -- receive from public assistance or welfare in (month)?
d. What was the total value of the food stamp allotment received in (month)?
Ask 15d for each person with "Interest" marked in 15b.
d. What is your best estimate of the total amount of interest that -- earned in (month)?
Ask 16d for each person with "Dividends" marked in 16b.
d. What is your best estimate of the total amount that -- received from dividends, net rental property income, royalties, estates, or trusts in (month)?
Ask 17d for each person with "Other income" marked in 17b.
d. How much did -- receive in (month) from all other sources?