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Please answer H30--H32 if you live in a one-family house
• A mobile home or trailer
If any of these, or if you rent your unit or this is a
multi-family structure, skip H30 to H32 and turn to page 6 • A house with a commercial establishment
or medical office on the property H30 What were the real estate taxes on this property last year?
c. How much is your total regular monthly payment to the lender?
Also include payments on a contract to purchase and to lenders holding
second or junior mortgages on this property. $
la. Is there piped water in this building?
No piped water in this building - Continue with 10
No, more than 100 yards away
An individual drilled well
4. About when was this building originally built? Mark when the building was first
1940 to 1949
1939 or earlier
NO - Continue with 50
NO - Continue with 60
. No, more than 1 4 mile away
NO - SKIP 108
Your own generator
Other - Specity
7 Bureau of Indian Affairs electric system
Tribal system 8. What is the main type of material used for the floors of your living quarters? Read each category and mark one box, Wood
Earth, gravel, sand Asphalt, linoleum, or viny: tiles 3
Stone, concrete, brick, Clay, or ceramic tile
Mud adobe or soc
Cther - Specity7
3. How are your living quarters heated? Mark one box for the kind of heat used the most.
Steam or hot water system 2 Central warm air furnace with ducts to the individual rooms (Do not count
electric heat pumps here.) 31 Electric heat pump
Other built in electric units (permanently installed in wall, ceiling.