| [613] | 1 | DGMTP1 ;ALB/RMO - Print Means Test 10-10F Cont. ;7 APR 1992 11:00 am
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| 2 | ;;5.3;Registration;;Aug 13, 1993
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| 3 | ;
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| 4 | EN ;Entry point to print demograpic, marital status and dependents
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| 5 | D DEM,MAR,DEP,EN^DGMTP2
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| 6 | Q Q
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| 7 | ;
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| 8 | DEM ;Print demographic portion of form
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| 9 | W @IOF,?116,"VA FORM 10-10F",!,DGLNE,!,"DEPARTMENT OF VETERANS AFFAIRS",?111,"FINANCIAL WORKSHEET",!,DGLNE
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| 10 | W !?30,"THE LAW PROVIDES SEVERE PENALTIES FOR WILLFUL SUBMISSION OF FALSE INFORMATION",!?39,"SEE PAGE 3 FOR PRIVACY ACT AND PAPERWORK REDUCTION ACT INFORMATION",!,DGLNE
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| 11 | W !?1,"Applicant's Name: ",$$NAME^DGMTU1(DGVPRI),?72,"| Social Security Number: ",$$SSN^DGMTU1(DGVPRI)
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| 12 | Q
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| 13 | ;
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| 14 | MAR ;Print marital status
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| 15 | W !,DGLNE,!!?61,"A. Marital Status",$$UL^DGMTSCU1(DGUL,DGLNE1)
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| 16 | W !?1,"1. Were you married last calendar year.",?41,"| 2. Did you live with your spouse",?78,"| 3. If you did not live with your spouse, show the"
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| 17 | W !?4,"(If ""NO"", go to Section B).",?41,"| last calendar year. (If ""YES"", go",?78,"| amount you contributed to your spouse's support"
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| 18 | W !?6,$$YN^DGMTSCU1($P(DGVIR0,"^",5))
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| 19 | W ?41,"| to Section B). ",$S($P(DGVIR0,"^",5)=0:"NOT APPLICABLE",1:$$YN^DGMTSCU1($P(DGVIR0,"^",6)))
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| 20 | W ?78,"| last calendar year ",$S($P(DGVIR0,"^",5)=0!($P(DGVIR0,"^",6)):"NOT APPLICABLE",1:$$AMT^DGMTSCU1($P(DGVIR0,"^",7)))
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| 21 | Q
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| 22 | ;
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| 23 | DEP ;Print dependent children
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| 24 | W $$UL^DGMTSCU1(DGUL,DGLNE1),!!?60,"B. Dependent Children",$$UL^DGMTSCU1(DGUL,DGLNE1)
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| 25 | W !?2,"During last calendar year, did you have any UNMARRIED children or stepchildren who are under the age of 18 or between the ages"
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| 26 | W !?2,"of 18 and 23 and attending school? OR did you have any unmarried children over the age of 17 who became permanently incapable"
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| 27 | W !?2,"of self-support before reaching the age of 18? ",$$YN^DGMTSCU1($P(DGVIR0,"^",8))," (If ""NO"", go to Section C)"
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| 28 | W $$UL^DGMTSCU1(DGUL,DGLNE1),!?6,"Child's Name",?30,"| Permanently",?50,"| Did the child",?72,"| Did you contribute",?93,"| Did the",?109,"| Was the child's"
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| 29 | W !?30,"| incapable of",?50,"| live with you",?72,"| to the child's",?93,"| child have",?109,"| income available"
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| 30 | W !?30,"| self-support",?50,"|",?72,"| support?",?93,"| any income?",?109,"| to you?"
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| 31 | W !?6," (1)",?30,"| (2)",?50,"| (3)",?72,"| (4)",?93,"| (5)",?109,"| (6)"
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| 32 | I '$P(DGVIR0,"^",8) W $$UL^DGMTSCU1(DGUL,DGLNE1),!?6,"NOT APPLICABLE",?30,"|",?50,"|",?72,"|",?93,"|",?109,"|"
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| 33 | I $P(DGVIR0,"^",8) S DGCNT=0 F S DGCNT=$O(DGREL("C",DGCNT)) Q:'DGCNT D CHILD
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| 34 | Q
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| 35 | ;
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| 36 | CHILD ;Print data collected for a dependent child
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| 37 | N DGIR0
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| 38 | S DGIR0=$G(^DGMT(408.22,+$G(DGINR("C",DGCNT)),0))
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| 39 | W $$UL^DGMTSCU1(DGUL,DGLNE1),!?1,$$NAME^DGMTU1(+DGREL("C",DGCNT))
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| 40 | W ?30,"| ",$$YN^DGMTSCU1($P(DGIR0,"^",9))
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| 41 | W ?50,"| ",$$YN^DGMTSCU1($P(DGIR0,"^",6))
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| 42 | W ?72,"| ",$S($P(DGIR0,"^",6):"NOT APPLICABLE",1:$$YN^DGMTSCU1($P(DGIR0,"^",10)))
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| 43 | W ?93,"| ",$$YN^DGMTSCU1($P(DGIR0,"^",11))
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| 44 | W ?109,"| ",$S($P(DGIR0,"^",11)=0:"NOT APPLICABLE",1:$$YN^DGMTSCU1($P(DGIR0,"^",12)))
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| 45 | CHILDQ Q
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