Completing The Claim Form Instruction Page 4

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Line 24 – Other Income
Include the yearly amount of other taxable and nontaxable income
received during 2000 by you and your spouse.
The following are the types of income that you must include on line
24:
• Wages
• California State Lottery winnings in excess of $600; 100% of
lottery winnings from other states
• Life insurance proceeds to the extent they exceed the expenses
incurred for the last illness and funeral of the deceased spouse of
claimant
• Veterans Administration benefits
• Gifts and inheritances in excess of $300, except between
members of the household
• Alimony received
• Military compensation
• Amounts received from an estate or a trust
• Unemployment insurance benefits
• Workers’ compensation payments for temporary disability
• Amounts contributed by or on behalf of the claimant to a tax-
sheltered retirement or deferred compensation plan
• Amounts received from an employer or any government body for
loss of wages due to sickness or accident (sick leave payments)
• Nontaxable gain from the sale of a residence
• Scholarships and fellowship grants
• The amount of alternative minimum taxable income in excess of
your regular taxable income, if you were required to pay
alternative minimum tax on your 2000 California income tax
return
Line 25 – Income of Other Household Members
Include the total amount of income received by all other household
members while they lived in your home during 2000.
A household member is any person who lived with you in your home
who is not a renter, a student, or a minor under age 18.
Line 26 – Subtotal
Add lines 17 through 25.

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