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To all<br />

Refer informant to Prompt Card S<br />

60<br />

i<br />

38<br />

Per No. Per No. Per No.<br />

W?GE B38<br />

f .............. .............. .............. .............. .............. ............. I<br />

Are you at the present receiving an I I I I ~EhJSINc (56<br />

income from any of the sources I I I I<br />

shown on Card S? I<br />

Is p:g p:f<br />

Yes ._w 1 1 1 -Ask 61-64<br />

No -.<br />

2 2 2 -Goto65<br />

I I I 1<br />

61 An employee pension from I I I I<br />

a previous employer?<br />

Include pension from<br />

previous employer of<br />

~ spouse or<br />

relative !+~::~(g’<br />

(a) How much was the last<br />

payment?<br />

:~-.k(b)<br />

I I I<br />

I I I<br />

I I I 1<br />

I I I I<br />

(b) HOWlong did this cover? I I I 1<br />

(c) Was tax deducted at source?<br />

Enter period<br />

code _b<br />

“=!l=:.<br />

?Ef?C565fi (i%5B> Q061B<br />

Ifcode9<br />

............................. ............................. ............................ specify pericd<br />

............................. ............................. .............................<br />

............................. ............................. ............................. Ask (C)<br />

I I I<br />

I 1 1 I<br />

(d) How much tax was deducted<br />

at source?<br />

.................. ........<br />

-ii-..(.)<br />

........ .................. ........<br />

1. I I I<br />

(c) Was the last payment before or I I<br />

after tax was deducted?<br />

Before —.<br />

After__<br />

fM,y~fll@y) ;Q..: ~]<br />

Q-<br />

Ask(f)<br />

I<br />

103

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