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(b) excluding casual, sporadic or irregular gifts; amounts which are specifically <br />for or in reimbursement of medical expenses; lump sum additions to family assets, such as <br />inheritances, insurance payments (including payments under health and accident insurance <br />and workmen's compensation), capital gains and settlement for personal or property losses; <br />amounts of educational scholarships paid directly to the student or the educational institution, <br />and amounts paid by the government to a veteran for use in meeting the costs of tuition, fees, <br />books and equipment, but in either case only to the extent used for these types of purposes; <br />special pay to a serviceman head of a family who is away from home and exposed to hostile <br />fire; relocation payments under Title II of the Uniform Relocation Assistance and Real <br />Property Acquisition Policies Act of 1970; foster child care payments; the value of coupon <br />allotments for the purchase of food pursuant to the Food Stamp Act of 1964 which is in excess <br />of the amount actually charged for the allotments; and payments received pursuant to <br />participation in ACTION volunteer programs, is as follows: $ <br />3. If any of the persons described above (or whose income or contributions was included <br />in item 2) has any savings, bonds, equity in real property or other form of capital investment, provide: <br />(a) the total value of all such assets owned by all such persons: $ <br />(b) the amount of income expected to be derived from such assets in the 12 month <br />period commencing this date: $ ; and <br />(c) the amount of such income which is included in income listed in item 2: <br />4. (a) Will all of the persons listed in item 1 above be or have they been full-time <br />students during five calendar months of this calendar year at an educational institution (other <br />than a correspondence school) with regular faculty and students? <br />Yes No <br />(b) Is any such person (other than nonresident aliens) married and eligible to file <br />a joint federal income tax return? <br />Yes No <br />F-10 <br />EL185-70-769416.d7 <br />