home *** CD-ROM | disk | FTP | other *** search
/ Microsoft Bookshelf CD-ROM Reference Library / BOOKSHELF.ISO / book / forms / xywrite / sources < prev    next >
Text File  |  1987-08-31  |  4KB  |  67 lines
  1.  
  2.                          [YEARLY SOURCES OF INCOME]
  3.  
  4.  
  5.   EARNED INCOME        HUSBAND   WIFE    OTHER    TOTAL    MONTHLY
  6. |                    |        |        |        |        |         |
  7. | Salary and wages___|________|________|________|________|_________|
  8. |                    |        |        |        |        |         |
  9. | Self-employment____|________|________|________|________|_________|
  10. |                    |        |        |        |        |         |
  11. | Bonus______________|________|________|________|________|_________|
  12. |                    |        |        |        |        |         |
  13. | INVESTMENT INCOME__|________|________|________|________|_________|
  14. |                    |        |        |        |        |         |
  15. | Interest on savings|________|________|________|________|_________|
  16. |                    |        |        |        |        |         |
  17. | Interest from bonds|________|________|________|________|_________|
  18. |                    |        |        |        |        |         |
  19. | Dividends__________|________|________|________|________|_________|
  20. |                    |        |        |        |        |         |
  21. | Rental income______|________|________|________|________|_________|
  22. |                    |        |        |        |        |         |
  23. | Trust income_______|________|________|________|________|_________|
  24. |                    |        |        |        |        |         |
  25. | PENSIONS/ANNUITIES_|________|________|________|________|_________|
  26. |                    |        |        |        |        |         |
  27. | Social Security____|________|________|________|________|_________|
  28. |                    |        |        |        |        |         |
  29. | Employers's pension|________|________|________|________|_________|
  30. |                    |        |        |        |        |         |
  31. | IRA________________|________|________|________|________|_________|
  32. |                    |        |        |        |        |         |
  33. | Other______________|________|________|________|________|_________|
  34. |                    |        |        |        |        |         |
  35. | OTHER INCOME_______|________|________|________|________|_________|
  36. |                    |        |        |        |        |         |
  37. | Gifts              |        |        |        |        |         |
  38. | Unemployment,      |        |        |        |        |         |
  39. | disability insur.__|________|________|________|________|_________|
  40. |                    |        |        |        |        |         |
  41. | Alimony/child sppt.|________|________|________|________|_________|
  42. |                    |        |        |        |        |         |
  43. | Other______________|________|________|________|________|_________|
  44. |                    |        |        |        |        |         |
  45. | GROSS INCOME_______|________|________|________|________|_________|
  46. «PG»
  47. ====================================================================
  48.                               DEDUCTIONS
  49. ====================================================================
  50.    EARNED INCOME       HUSBAND   WIFE    OTHER    TOTAL    MONTHLY
  51. |                    |        |        |        |        |         |
  52. |TAXES_______________|________|________|________|________|_________|
  53. |                    |        |        |        |        |         |
  54. |Federal_____________|________|________|________|________|_________|
  55. |                    |        |        |        |        |         |
  56. |State_______________|________|________|________|________|_________|
  57. |                    |        |        |        |        |         |
  58. |Local_______________|________|________|________|________|_________|
  59. |                    |        |        |        |        |         |
  60. |SOCIAL SECURITY     |        |        |        |        |         |
  61. |CONTRIBUTION TO     |        |        |        |        |         |
  62. |BENEFITS____________|________|________|________|________|_________|
  63. |                    |        |        |        |        |         |
  64. |OTHER_______________|________|________|________|________|_________|
  65. |                    |        |        |        |        |         |
  66. |NET INCOME__________|________|________|________|________|_________|
  67.