(1) “your”/Ms. or Mr. plus number holder's last name
            
         
         *(2) year(s) in the format “YYYY” or “YYYY and YYYY” or “YYYY, YYYY and YYYY”
            
         
         *(3)
            
            
A. Income from renting rooms and apartments is not self-employment income unless special
               services are given to the tenants
            
            B. a farm owner's share of income usually is not self- employment income when a tenant
               works the farm
            
            C. Income from renting real estate is not self-employment income unless it is received
               as part of a real estate dealer's ordinary work
            
            D. Capital gains and losses are not considered self- employment income. Only gains
               and losses from disposing of inventory can be considered self-employment income
            
            E. Income from the sale of livestock for dairy work or for breeding is not self-employment
               income
            
            F. not all business deductions were taken. All deductions from income must be taken
               when a self-employment tax return is filed with the Internal Revenue Service
            
            G. the income was not received from a trade or business. We only consider income received
               from a trade or business to be self-employment income
            
            H. the income does not meet our requirements to be considered as self-employment income
            (*) indicates that the fill-in is manual