[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8 [IN27]
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 2002, how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?

IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM 1040, LINE 16a FORM 1040A, LINE 12a
[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 2001, how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 16a
FORM 1040A, LINE 12a

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 2000, how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM 1040, LINE 16b FORM 1040A, LINE 11b

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 1999, how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 16b
FORM 1040A, LINE 11b

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 1998, how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 16b
FORM 1040A, LINE 11b

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME]
[NAME OF SECONDARY FILER]
During 1997, how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM 1040, LINE 16b FORM 1040A, LINE 11b

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 1996, how much money did (READ NAME(S) ABOVE) receive from private pensions, military retirement, other Federal government employee pensions, state or local government employee pensions, or annuities?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM 1040, LINE 16b FORM 1040A, LINE 11b

[Enter $ Amount] ....................... [BOX_02B]
REF .................................... -7 [BOX_02B]
DK ..................................... -8
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-300,000
----------------------------------------------------