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QUESTIONS FOR YOUR HOUSEHOLD
QUESTIONS ASKED OF A SAMPLE OF HOUSEHOLDS
Answer questions H21 TO H26, ltthis ls a one-family house, a condominium, or a mobile home that someone In this household OWNS OR lS BUYlNG; otherwise, go to page 6.
HZ1. What were the real estate taxes on THIS property last year?
Yearly amount — Dollars
H22. What was the annual payment for fire, hazard, and flood lnsurance on THIS property?
Yearly amount — Dollars
O No regular payment required
Answer ONLY lt this ls a CONDOMlNIUM H25. What U the monthly condominium fee?
H23a. Do you have a mortgage, deed of trust, contract to purchase, or similar debt on THIS property?
O Yes, mortgage, deed of trust, J
or similar debt (Go to HZ3b
O Yes, contract to purchase
b. How much ls your regular monthly mortgage
Monthly amount — Dollars
c. Does your regular monthly mortgage payment
O Yes, taxes included in payment
O No, taxes paid separately or taxes not required
d. Does your regular monthly mortgage payment lnclude payments for fire, hazard, or flood insurance on THIS property?
O Yes, lnsurance lncluded in payment
O No, insurance paid separately or no insurance
Census 2000 used two questionnaires-a long-form samPle of households throughout the United States and
(sample) and a short-form (100 percent) questionnaire. territories, contained 29 inquiries in addition to the 8
The short-form questionnaire consisted of 7 questions questions asked on the short-form questionnaire. These
that could be answered by up to 6 persons within a house- additional quesitons, as in the past, collected information
hold (see questions 1-6 and 33 on long-form questionnaire on the population, housing, economic, and social charac
reproduced here). Space was provided to identify 6 addi- teristics of the Nation's households,
Measuring America 97
The "Informational Copy" shows
For additional information about
If you need help completing this form, call 1S00-XXX-XXXX between 8:00 a.m. and
9:00 p.m., 7 days a week. The telephone call is free.
TDD - Telephone display device for the hearing impaired. Call 1-800-XXX-XXXX between
8:00 a.m. and 9:00 p.m., 7 days a week. The telephone call is free.
iNECESITA AYUDA? Si usted necesita ayuda para completar este cuestionario llame al
l-800-XXX-XXXX entre las 8:00 a.m. y las 9:00 p.m., 7 dias a la semana. La llamada
telefdnica es gratis. J
The Census Bureau estimates that for the average household, this form will take about
Respondents are not required to respond to any information collection unless it displays a valid approval number from the Office of Management and Budget.
OMB No. 0607-0856: Approval Expires 12/31/2000