Q6 Income Family Income Sources Add a separate response for each source of income. This question seeks information relative to income earned through employment and self-employment. You do not need to disclose the amount of income received. You must disclose all instances of employment or self-employment during the relevant year in which you, your spouse or dependent child received $1,000 or more in gross income. This also includes instances of public employment or service, including service in the public position you hold that necessitated this filing, where money (including a stipend) was received. First, answer whether it is income that you (the filer) earned, or whether it is income from a family member (your spouse or dependent child). If income from a family member, you must enter the full name of the family member. Next, answer questions regarding that particular income. Answer whether the income was from self-employment. Regardless of whether the income was from employment or self-employment, provide the name of the employer or business that was the source of income. Then give your title or occupation and the dates of your employment or self-employment. Provide the address of the employer or business that provided your income. The last question applies only if your income was received through self-employment. If so, answer whether you rendered services to a state or municipal agency for an amount of income in excess of $250. This includes services rendered to regional authorities and quasi-public agencies. If yes, list the date and nature of the services rendered to the state or municipal agency. If you have other sources of income to disclose, add another response for each source. Do not list dollar amounts.