Idaho County free press. [volume] (Grangeville, Idaho Territory) 1886-current, 1917-11-29

=. State whether you are married,
single, widowed or divorced.
3. If you are married state place.
date and the person by whom the Ger.
emony was performed.
4. Give the name, relationship. nd.
dress and age of each person mainly
~pedendent on your labor for support.
3. Which of such dependents live
with you, and how long has each lived
with you9
.. If any persons named IN your
answers do not live with you state
which of them have lived with you at
any time during the last 12 months and
for how long a period.
z. If any such dependent is a step
child, an adopted child or a foster child
state as to each when such relationship
to you began.
y. AS to each dependent state when
you began to contribute to his or her
support.
y. State both the approximate total
ana the average monthly amount of
your support of your wife and children
during the last ~ months.
10. How much have you contributed
to the support of each other dependent
during said II months9
ii. AS to each dependent state
whether such person is wholly DEEPEN
dent on your labor for support
IL. Has any dependent (other than
your wife or child), a brother, father.
mother, uncle, aunt, husband, wife or
childY If SO, give name, age, address
and occupation of each.
10. What was VO1lr fnfal iponma
from all sources during rne last IL
months, whether in cash or in other
thing of value2
IA. How much of this was the fruit
OF your labor, mental or physical.
10. Give a full statement of all prop.
erty owned by or held in trust for you,
whether income-producing or not; and
net income from same during last 12
months.
10. Character of property: Real es-
tate; principal income; personal prop
erty income.
10. Do you own the house you live
in9
Il. Does any of your family or de-
pendents own it9
IL. Do you rent your housed If so,
state the monthly rent and name and
address of landlord.
30. Have you paid any taxes during
the last yearf If so, state separately
the amount paid on real estate; on per.
sonal property, and income tax and
name the officer to whom paid.
Il. If there is any e~ncumbrance on
any property you own state its nature
and amount
%. State in money value all property
owned by or held in trust for any per-
son named as dependent.
%. State earnings of each named
dependent during preceding IL months.
"a. State amount of contributions to
each dependent during said IL months
by persons other han you, naming such
dependents, contributors and amounts.
%. State amount per month you con-
slider necessary for support of all your
dependents.
26. Has your wife been employed
any portion of the last IL months9 If
so state period of employment with
dates, nature of her work and amount
of her earnings.
~. Has our wife ever been en-
ployed9 If so in what calling9
20. Is your wife trained or skilled in
any calling? If 80 in what?
20. State the condition of health of
your wife.
80. Do you or your wife live with
her parents2 (Answer fully.)
81. If you nave stated that you con-
tribute to the support of any person
except your wife and children state
whether you live with such person or
persons, and how much you pay for your
board or subsistence to them or others.
(Answer fully.)
Series IL deals with individual oc-
equations and series IL with agricul-
tural occupation.