11. Information on the financial situation of the persons concerned by the application (only give information which is relevant for the purpose of obtaining or modifying a decision)
11.1. Currency
11.2. The person(s) for whom maintenance is sought or owed and the person primarily responsible for that person (those persons)
11.2.1. Gross income
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Person primarily responsible for the person(s) for whom maintenance is sought or owed |
Spouse or current partner of the person primarily responsible for the person(s) for whom maintenance is sought or owed |
Person for whom maintenance is sought or owed (Person A) |
Person for whom maintenance is sought or owed (Person B) |
Person for whom maintenance is sought or owed (Person C) |
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Salary (including payments in kind), pensions, disability pensions, maintenance payments, allowances, annuities, unemployment benefits |
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Income from non-salaried occupations |
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Income from securities/floating capital/real property |
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Other sources of income |
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TOTAL |
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