HOUSING INQUIRIES-Continued

Please answer H30--H32 if you live in a one-family house
which you own or are buying, unless this is -

• A mobile home or trailer
• A house on 10 or more acres

If any of these, or if you rent your unit or this is a
• A condominium unit

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. $

00 OR

None

1

6

2

2

7

3

la. Is there piped water in this building?
1 Yes, piped water in this building - SKIP 10 10

No piped water in this building - Continue with 10
b. Is the source of water within 100 yards of this building?
3"Yes, within 100 yards

No, more than 100 yards away
c. What is the source of water ? Mark one box for the main source.
16. A public system, private company, tribal or community system

An individual drilled well
An individual dug well
A private cistern
A creek, spring, river, lake, or pond
Other source Specity

1

2

2

3

1

2

5

2

4. About when was this building originally built? Mark when the building was first
constructed, not when it was remodeled, added to, or converted.
1979 or 1980
1960 to 1969

1940 to 1949
1975 to 1978
s 1950 to 1959

1939 or earlier
1970 10 1974
Sa. Do you have complete kitchen facilities? Complete kitchen facilities are a sink
with pipod wator, range of cookstove, and refrigerator.
Yes - SKIP 10 6a

NO - Continue with 50
b. Do you have a refrigerator?
Yes

No
6a. Do you have a telephone in your living quarters?
Yes - SKIP 10 7a

NO - Continue with 60
b. Is the nearest available telephone within 1 4 mile of your living quarters?
3 Yes, within 1 4 mile

. No, more than 1 4 mile away
7a. Do you have electric lighting in your living quarters?
Yes - Continue with 70

NO - SKIP 108
b. What is the source of this electricity? Read each category and mark one box for
The main source of electricity.
Public or private utility company

Your own generator
Rural electric cooperative

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

Metal
9. What is the main type of material used for the outside walls of your living quarters?
Read each category and mark one box.
Siding or shingles wood or aluminum

Mud adobe or soc
Brick, concrete bicck stone, or stucco

Meral
Logs
Asphalt siding or far paper
Cloth or tent

$

1

2

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.
or baseboard)
Floor, wall, or pipeless furnace
Room heaters with flue or vent, burning gas, oil, or kerosene
Room heaters without flue or vent, burning gas, oil, or kerosene (not portable)
Fireplaces, stoves, or portable room heaters of any kind
No heating equipment