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House Journal: Page 326: Monday, February 17, 1997

19  subdivision, state the name of the purchasing
20  political subdivision.  The amount of commission
21  earned is not required to be listed.
22  1_____________________________________________________
23  2_____________________________________________________
24  3_____________________________________________________
25  4_____________________________________________________
26  5_____________________________________________________
27  6_____________________________________________________
28  Division III.  Sources of Gross Income.
29     In each one of the following categories list each
30  source which produces more than $1,000 in annual gross

Page  19

 1  income, if the revenue produced by the source was
 2  subject to federal or state income taxes last year.
 3  List the nature or type of each company, business,
 4  financial institution, corporation, partnership, or
 5  other entity which produces more than $1,000 of annual
 6  gross income.  Neither the amount of income produced
 7  nor value of the holding is required to be listed in
 8  any of the items.
 9  A.  Securities:  State the nature of the business of
10  any company in which you hold stock, bonds, or other
11  pecuniary interests that generate more than $1,000 in
12  annual gross income.  Income generated by multiple
13  holdings in a single company are deemed received from
14  a single source.
15  ______________________________________________________
16  ______________________________________________________
17  ______________________________________________________
18  ______________________________________________________
19  ______________________________________________________
20  ______________________________________________________
21  B.  Instruments of Financial Institutions:  State the
22  types of institutions in which you hold financial
23  instruments, such as certificates of deposit, savings
24  accounts, etc., that produce annual gross income in
25  excess of $1,000, e.g., banks, savings and loans, or
26  credit unions.
27  ______________________________________________________
28  ______________________________________________________
29  ______________________________________________________
30  ______________________________________________________

Page  20

 1  ______________________________________________________
 2  ______________________________________________________
 3  C.  Trusts:  State the nature or type of any trust
 4  from which you receive more than $1,000 of gross
 5  income annually.

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