House Journal: Page 230: Tuesday, February 4, 2003
28 excess of $1,000, e.g., banks, savings and loans, or
29 credit unions.
30 ______________________________________________________
Page 20
1 ______________________________________________________
2 ______________________________________________________
3 ______________________________________________________
4 ______________________________________________________
5 ______________________________________________________
6 C. Trusts: State the nature or type of any trust
7 from which you receive more than $1,000 of gross
8 income annually.
9 ______________________________________________________
10 ______________________________________________________
11 ______________________________________________________
12 ______________________________________________________
13 ______________________________________________________
14 ______________________________________________________
15 D. Real Estate: State the general nature of real
16 estate interests that generate more than $1,000 of
17 gross income annually, e.g., residential leasehold
18 interest or farm leasehold interest. The size or
19 location of the property interest is not required to
20 be listed.
21 ______________________________________________________
22 ______________________________________________________
23 ______________________________________________________
24 ______________________________________________________
25 ______________________________________________________
26 ______________________________________________________
27 E. Retirement Systems: State the name of each
28 pension plan or other corporation or company that pays
29 you more than $1,000 annually in retirement benefits.
30 ______________________________________________________
Page 21
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2 ______________________________________________________
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5 ______________________________________________________
6 F. Other Income Categories Specified in State and
7 Federal Income Tax Regulations.
8 ______________________________________________________
9 ______________________________________________________
10 ______________________________________________________
11 ______________________________________________________
12 ______________________________________________________

© 2003 Cornell College and
League of Women Voters of Iowa
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URL: /DOCS/GA/80GA/Session.1/HJournal/00200/00230.html
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