House Journal: Page 288: Tuesday, February 6, 2001
Page 19
1 In each one of the following categories list each
2 source which produces more than $1,000 in annual gross
3 income, if the revenue produced by the source was
4 subject to federal or state income taxes last year.
5 List the nature or type of each company, business,
6 financial institution, corporation, partnership, or
7 other entity which produces more than $1,000 of annual
8 gross income. Neither the amount of income produced
9 nor value of the holding is required to be listed in
10 any of the items.
11 A. Securities: State the nature of the business of
12 any company in which you hold stock, bonds, or other
13 pecuniary interests that generate more than $1,000 in
14 annual gross income. Income generated by multiple
15 holdings in a single company are deemed received from
16 a single source.
17 ______________________________________________________
18 ______________________________________________________
19 ______________________________________________________
20 ______________________________________________________
21 ______________________________________________________
22 ______________________________________________________
23 B. Instruments of Financial Institutions: State the
24 types of institutions in which you hold financial
25 instruments, such as certificates of deposit, savings
26 accounts, etc., that produce annual gross income in
27 excess of $1,000, e.g., banks, savings and loans, or
28 credit unions.
29 ______________________________________________________
30 ______________________________________________________
Page 20
1 ______________________________________________________
2 ______________________________________________________
3 ______________________________________________________
4 ______________________________________________________
5 C. Trusts: State the nature or type of any trust
6 from which you receive more than $1,000 of gross
7 income annually.
8 ______________________________________________________
9 ______________________________________________________
10 ______________________________________________________
11 ______________________________________________________
12 ______________________________________________________
13 ______________________________________________________
14 D. Real Estate: State the general nature of real
15 estate interests that generate more than $1,000 of
16 gross income annually, e.g., residential leasehold
17 interest or farm leasehold interest. The size or
© 2001 Cornell College and
League of Women Voters of Iowa
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Last update: Thu Feb 8 13:35:00 CST 2001
URL: /DOCS/GA/79GA/Session.1/HJournal/00200/00288.html
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