1980 Census: Instructions to Respondents

[The 1980 census was completed via self-enumeration; the Census Bureau mailed questionnaires to each household in March, and instructed them to complete the forms on their own and mail them to the Census on "Census Day," Tuesday, April 1, 1980. A sample of the population received a "long-form" questionnaire that asked additional questions in addition to the basic questions asked of all households. This had been the case in 1960 and 1970 as well, but in 1980 there was only one version of the long form, whereas the previous two censuses had each employed several different versions. The 1980 PUMS was drawn entirely from the long-form questionnaires.]

[The text of the long-form questionnaire is reproduced here, beginning with a general introduction, followed by the population questions and then the housing questions. In addition to the questionnaires, which consisted of brief questions followed by a series of possible answers with corresponding FOSDIC circles (the little circles that must be filled with a Number 2 lead pencil), households received a separate section containing more detailed instructions for each question. In order to minimize cross-referencing, we have combined these below. For each item, we reproduce the question as worded on the questionnaire, followed by any additional instructions contained on the separate instruction sheet. The additional instructions appear in quotation marks.]

1980 Census of the United States

Please fill out this official Census Form and mail it back on Census Day, Tuesday, April 1, 1980

A message from the Director, Bureau of the Census ...

We must, from time to time, take stock of ourselves as a people if our Nation is to meet successfully the many national and local challenges we face. This is the purpose of the 1980 census.

The essential need for a population census was recognized almost 200 years ago when our Constitution was written. As provided by article I, the first census was conducted in 1790 and one has been taken every 10 years since then.

The law under which the census is taken protects the confidentiality of your answers. For the next 72 years - or until April 1, 2052 - only sworn census workers have access to the individual records, and no one else may see them.

Your answers, when combined with the answers from other people, will provide the statistical figures needed by public and private groups, schools, business and industry, and Federal, State, and local governments across the country. These figures will help all sectors of American society understand how our population and housing are changing. In this way, we can deal more effectively with today?s problems and work toward a better future for all of us.

The census is a vitally important national activity. Please do your part by filling out this census form accurately and completely. If you mail it back promptly in the enclosed postage-paid envelope, it will save the expense and inconvenience of a census taker having to visit you.

Thank you for your cooperation.

Your answers are confidential

By law (title 13 U.S. Code), census employees are subject to fine and/or imprisonment for any disclosure of your answers. Only after 72 years does your information become available to other government agencies or the public. The same law requires that you answer the questions to the best of your knowledge.

Para personas de habla hispana

(For Spanish-speaking persons)

SI USTED DESEA UN CUESTIONARIO DEL CENSO EN ESPAÑOL llame a la oficina del censo. El número de teléfono se encuentra en el encasillado de la dirección. O, si prefiere, marque esta casilla ¢ y devuelva el cuestionario por correo en el sobre que se le incluye.

How to fill out your Census Form

See the filled-out example [omitted] in the yellow instruction guide [that is, the separate instructions accompanying the questionnaire]. This guide will help with any problems you may have. If you need more help, call the Census Office. The telephone number of the local office is shown at the bottom of the address box on the front cover.

Use a black pencil to answer the questions. Black pencil is better to use than ballpoint or other pens. Fill circles "O" completely, like this. When you write in an answer, print or write clearly.

Make sure that answers are provided for everyone here. See page 4 of the guide if a roomer or someone else in the household does not want to give you all the information for the form.

Answer the questions on pages 1 through 5, and then starting with pages 6 and 7, fill a pair of pages for each person in the household. Check your answers. Then write your name, the date, and telephone number on page 20.

Mail back this form on Tuesday, April 1, or as soon afterward as you can. Use the enclosed envelope; no stamp is needed. Please start by answering Question 1 below.

1980 Population Questions

[The form provides a column for each individual within the household to respond separately to each question listed below.]

1. What is the name of each person who was living here on Tuesday, April 1, 1980, or who was staying or visiting here and had no other home?

List in Question 1

Do not list in Question 1

Last name

________________________________
First name Middle initial

________________________________

"List in question 1 ... the names of all the people who usually live here. Then turn to pages 2 and 3 where there are columns to list up to seven persons. In the first column print the name of one of the household members in whose name this home is owned or rented. If no household member owns or rents the living quarters, list in the first column any adult household member who is not a roomer, boarder, or paid employee. Print the names of the other household members, if any, in the columns which follow, using question 1 as a checklist."

2. How is this person related to the person in column 1 [i.e., to the householder]?

Fill one circle. If "Other relative" of person in column 1, give exact relationship, such as mother-in-law, niece, grandson, etc.

If relative of person in column 1:

If not related to person in column 1:

"Fill a circle to show how each person is related to the person in column 1. A stepchild or legally adopted child of the person in column 1 should be marked Son/daughter. Foster children or wards living in the household should be marked Roomer, boarder."

3. Sex.

Fill one circle.

"Be sure to fill a circle for the sex of each person."

4. Is this person -

Fill one circle.

"Fill the circle for the category with which the person most closely identifies. If you fill the Indian (American) or Other circle, be sure to print the name of the specific Indian tribe or specific group."

5. Age, and month and year of birth

c. Year of birth
Print year in the spaces, and fill one circle below each number.

___ ___ ___ ___

1[] 8[] 0[] 0 []
9[] 1[] 1 []
2[] 2 []
3[] 3 []
4[] 4 []
5[] 5 []
6[] 6 []
7[] 7 []
8[] 8 []
9[] 9 []

"Enter age at last birthday in the space provided (enter "0" for babies less than one year old). Also enter month and year of birth, andfill the appropriate circles. For an illustration of how to complete question 5, see the example on pages 4 and 5 [not shown here]. If age or month or year of birth is not known, give your best estimate."

6. Marital Status
Fill one circle.

"If the person's only marriage was annulled, mark Never married."

7. Is this person of Spanish/Hispanic origin or descent?
Fill one circle.

"A person is of Spanish/Hispanic origin or descent if the person identifies
his or her ancestry with one of the listed groups, that is, Mexican, Puerto Rican, etc. Origin or descent (ancestry) may be viewed as the nationality group, the lineage, or country in which the person or the person's parents or ancestors were born."

8. Since February 1, 1980, has this person attended regular school or college at any time?Fill one circle. Count nursery school, kindergarten, elementary school, and schooling which leads to a high school diploma or college degree.

"Do not count enrollment in a trade or business school, company training, or tutoring unless the course would be accepted for credit at a regular elementary school, high school, or college. A public school is any school or college which is controlled and supported primarily by a local, county, State, or Federal Government."

9. What is the highest grade (or year) of regular school this person has ever attended?
Fill one circle. If now attending school, mark grade person is in. If high school was finished by equivalency test (GED), mark "12."

"Fill only one circle. Mark the highest grade ever attended even if the person did not finish it. If the person is still in school, mark the grade in which now enrolled. Schooling received in foreign or ungraded schools should be reported as the equivalent grade or year in the regular American school system. If uncertain whether a Head Start program is for nursery school or kindergarten, mark the circle for Nursery school.

"If the person skipped or repeated grades, mark the highest grade ever attended regardless of how long it took to get there. Persons who did not attend any college but who completed high school by finishing the 12th grade or by passing an equivalency test, such as the General Educational Development (GED) examination. should fill the circle for the 12th grade."

10. Did this person finish the highest grade (or year) attended?
Fill once circle.

"Mark Finished this grade (or year) only if the person finished the entiregrade or year marked in question 9 or if the highest grade was completed by passing a high school equivalency test."

11. In what State or foreign country was this person born?
Print the State where this person's mother was living when this person was born. Do not give the location of the hospital unless the mother's home and the hospital were in the same State.

Name of State or foreign country; or Puerto Rico, Guam, etc. "For persons born in the United States:Print the name of the State in which this person's mother was living when this person was born. For persons born in a hospital, do not give the State in which the hospital was located unless the hospital and the mother's home were in the same State or the location of the mother's home is not known. For example, if a person was born in a hospital in Washington D.C., but the mother's home was in Virginia at the time of the person's birth, enter "Virginia."

"For persons born outside the United States:

Print the full name of the foreign country or Puerto Rico, Guam, etc., where the person was born. Use international boundaries as now recognized by the United States. Specify whether Northern Ireland or Ireland (Eire); East or West Germany; England, Scotland or Wales (notGreat Britain or United Kingdom). Specify the particular island in the Caribbean, not, for example West Indies."


12. If this person was born in a foreign country --

"This question is only for persons born in a foreign country. Fill the Yes, a naturalized citizen circle only if the person has completed the naturalization process and is now a citizen. If the person has entered the U.S. more than once, fill the circle for the year he or she came to stay permanently."

a. Is this person a naturalized citizen of the United States?

b. When did this person come to the United States to stay?

13a. Does this person speak a language other than English at home?

"Mark No, only speaks English if the person always speaks English at home; then skip to question 14. Mark Yes if the person speaks a language other than English at home. Do notmark Yes for a language spoken only at school or if speaking ability is limited to a few expressions or slang."

b. What is this language?

__________________________________________
(For example - Chinese, Italian, Spanish, etc.)

"Print the non-English language spoken at home. If this person speaks two or more non-English languages at homeand cannot determine which is spoken most often, report the first language the person learned to speak."

c. How well does this person speak English?

"Fill the circle that best describes the person's abilityto speak English.

(1) The circle Very well should be filled for persons who have no difficulty speaking English.

(2) The circle Well should be filled for persons who have only minor problems which do not seriously limit their ability to speak English.

(3) The circle Not well should be filled for persons who are seriously limited in their ability to speak English.

(4) The circle Not at all should be filled for persons who do not speak English at all."

14. What is this person's ancestry? If uncertain about how to report ancestry, see instruction guide.

_______________________________________________________________________
(For example: Afro-Amer., English, French, German, Honduran, Hungarian, Irish, Italian, Jamaican, Korean, Lebanese, Mexican, Nigerian, Polish, Ukrainian, Venezuelan, etc.)

"Print the ancestry group with which the person identifies. Ancestry (or origin or descent ) may be viewed as the nationality group, the lineage, or the country in which the person or the person's parents or ancestors were born before their arrival in the United States. Persons who are of more than one origin and who cannot identify with a single group should print their multiple ancestry (for example, German - Irish). Be specific; for example, if ancestry is "Indian," specify whether American Indian, Asian Indian, or West Indian. Distinguish Cape Verdean from Portuguese, and French Canadian from Canadian. A religious group should not be reported as a person's ancestry."

15a. Did this person live in this house five years ago (April 1, 1975)?

If in college or Armed Force in April 1975, report place of residence there.

"Mark Yes, this house if this person lived in this same house or apartment on April 1, 1975, but moved away and came back between then and now. Mark No, different house if this person lived in the same building but in a different apartment (or in the same mobile home or trailer but on a different trailer site)."

b. Where did this person live five years ago (April 1, 1975)?

"If this person lived in a different house or apartment on April 1, 1975, give the location of this person's usual home at that time.

Part (1) If the person was living in the United States on April 1, 1975, print the name of the State. If the person did not live in the United States on April 1, 1975, print the full name of the foreign country or Puerto Rico, Guam, etc.

Part (2) If in Louisiana, print the parish name. If in Alaska, print the borough name. If in New York City - print the borough name if the county name is not known. If an independent city, leave blank.

Part (3) If in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island or Vermont, print the name of the town rather than the name of the village or city, unless the name of the town is unknown.

Part (4) Mark Yes if you know that the location is now
inside the limits of a city, town, village or other incorporated place, even if it was not inside the limits on April 1, 1975."

16. When was this person born?

17. In April 1975 (five years ago)was this person -

a. On active duty in the Armed Forces?

"Mark Yes only if this person was on activeduty in the U.S. Army, Navy, Air Force, Marine Corps, or Coast Guard. Mark No if the person was in the National Guard or the reserves."

b. Attending college?

"Mark Yes if the person was attending a college or university either full or part time and was enrolled for credit toward a degree. Mark No if the person was taking only non-credit courses or was attending a vocational or trade school, such as secretarial school."

c. Working at a job or business?

"Mark Yes, full time if the person worked full time (35 hours or more per week).Mark Yes, part time if the person worked part time (less than 35 hours per week). Mark No if the person only did unpaid volunteer work, housework or yard work at own home, or if the only work done was as a resident of an institution."

18a. Is this person a veteran of active-duty military service in the Armed Forces of the United States?

If service was in National Guard or Reserves only, see instruction guide.

"Mark Yes if this person was ever on active duty in the U.S. Army, Navy, Air Force, Marine Corps, or Coast Guard, even if the time served was short. For persons in the National Guard or military reserve units, mark Yes only if the person was ever called to active duty; mark No if the only service was active duty for training."

b. Was active-duty military service during -

Fill a circle for each period in which this person served.

"If this person served during more than one period, fill all circles which apply, even if service was for a short time."

19. Does this person have a physical, mental, or other health condition which has lasted for 6 or more months and which. . .

a. Limits the kind or amount of work this person can do at a job?

[] Yes [] No

b. Prevents this person from working at a job?

[] Yes [] No

c. Limits or prevents this person from using public transportation?

[] Yes [] No

"The term "health condition" refers to any physical or mental problem which has lasted for 6 or moremonths. A serious problem with seeing, hearing, or speech should be considered a health condition. Pregnancy or a temporary health problem such as a broken bone that is expected to heal normally should notbe considered a health condition."

20. If this person is a female -

How many babies has she ever had, not counting stillbirths?

Do not count her stepchildren or children she has adopted.

"Count all children born alive, including any who have died (even shortly after birth) or who no longer live with her."

21. If this person has ever been married -

22a. Did this person work at any time last week?

"Mark Yes if the person worked, either full or part time, on any day of last week (Sunday through Saturday).

Count as work:

Do not count as work:

b. How many hours did this person work last week (at all jobs)?

"Give the actualnumber of hours worked at all jobs last week, even if that was more or fewer hours than usually worked."

23. At what location did this person work last week?

If this person worked at more than one location, print where he or she worked most last week. If one location cannot be specified, see instruction guide.

"If the person worked at several locations, but reported to the same location each day to begin work, print where he or she reported. If the person did not report to the same location each day to begin work, print the words "various locations" for 23a, and give as much information as possible in the remainder of 23 to identify the area in which he or she worked mostlast week. If the person's employer operates in more than one location (such as a grocery store chain or public school system), give the exact address of the location or branch where the person worked. If the person worked in a foreign country or Puerto Rico, Guam, etc., print the name of the country in 23e and leave the other parts of 23 blank."

a. Address (Number and street)

________________________________________

If street address is not known, enter the building name, shopping center, or other physical location description.

b. Name of city, town, village, borough, etc.

____________________________________________________________________________

c. Is this place of work inside the incorporated (legal) limits of that city, town, village, borough, etc.?

d. County

____________________________________________________________________________

e. State __________

f. ZIP Code _______________________

24a. Last week, how long did it usually take this person to get from home to work (one way)?

"Travel time is from door to door. Include time taken waiting for public transportation, picking up passengers in carpools, etc."

b. How did this person usually get to work last week?

If this person used more than one method, give the one usually used for most of the distance.

"Mark Worked at home for a person who works on a farm where he or she lives, or in an office or shop in the person's home."

c. When going to work last week, did this person usually -

"If the person was driven to work by someone who then drove back home or to a non-work destination., mark Drive alone."

d. How many people, including this person, usually rode to work in the car, truck, or van last week?

After answering 24d, skip to 28. "Do not include riders who rode to school or some other non-work destination."

25. Was this person temporarily absent or on layoff from a job or business last week?

"If the person works only during certain seasons or on a day-to-day basis when work is available, mark No."

26a. Has this person been looking for work during the last 4 weeks?

"Mark Yes if the person tried to get a job or to start a business or professional practice at any time in the last four weeks; for example, registered at an employment office, went to a job interview, placed or answered ads, or did anything toward starting a business or professional practice."

b. Could this person have taken a job last week?

"Mark No, already has a job if the person was on layoff or was expecting to report to a job within 30 days. Mark No, temporarily ill if the person expects to be able to work within 30 days. Mark No, other reasons if the person could not have taken a job because he or she was going to school, taking care of children, etc."

27. When did this person last work, even for a few days?

"Look at the instructions for 22a to see what to count as work. Mark Never worked if the person: (1) never worked at any kind of job or business, either full or part time, (2) never did any work, with or without pay, in a family business or farm and (3) never served in the Armed Forces."

28-30. Current or most recent job activity

Describe clearly this person's chief job activity or business last week. If this person had more than one job, describe the one at which this person worked the most hours. If this person had no job or business last week, give information for last job or business since 1975.

28. Industry

29. Occupation

a. What kind of work was this person doing?

___________________________________________________________________________

(For example: Registered nurse, personnel manager, supervisor of order department, gasoline engine assembler, grinder operator)

"Print two or more words to describe the kind of work the person does. If the person is a trainee, apprentice, or helper, include that in the description. Some examples of what is needed to make an answer acceptable are shown on the census form and here.

b. What were this person's most important activities or duties?

_____________________________________________________________________

(For example: Patient care, directing hiring policies, supervising order clerks. assembling engines, operating grinding mill)

"Print the most important things that the person does on the job. Some examples are shown on the census form."

30. Was this person - (Fill one circle)

"If the person was an employee of a privatenonprofit organization, such as a church, fill the first circle. Mark Local government employee for a teacher working in an elementary or secondary public school."

31a. Last year (1979), did this person work, even for a few days, at a paid job or in a business or farm?

"Look at the instructions for question 22a to see what to count as work."

b. How many weeks did this person work in 1979?

Count paid vacation, paid sick leave, and military service.

__________________ Weeks

"Count every week in which the person did any work at all, even for an hour."

c. During the weeks worked in 1979, how many hours did this person usually work each week?

__________________ Hours

"If the hours worked each week varied considerably, give the best estimate of the hours usually worked most weeks."

d. Of the weeks not worked in 1979 (if any), how many weeks was this person looking for work or on layoff from a job?

__________________ Weeks

"Count every week in which the person did not work at all, but spent any time looking for work or on layoff from a job. Looking for workmeans trying to get a job or start a business or professional practice; layoffincludes either temporary or indefinite layoff."

32. Income in 1979 -
Fill circles and print dollar amounts.
If net income was a loss, write "Loss" above the dollar amount.
If exact amount is not known, give best estimate.
For income received jointly by household members, see instruction guide.

During 1979 did this person receive any income from the following sources?
If "Yes" to any of the sources below - How much did this person receive for the entire year?

"Fill the Yes or No circle for each part and enter the appropriate amount. If income from any source was received jointly by household members, report if possible, the appropriate share for each person; otherwise, report the whole amount for only one person and mark No for the other person, unless the other person has additional income of the same type."

a. Wages, salary, commissions, bonuses, or tips from all jobs . . .

"Include sick leave pay. Do not include reimbursement for business expenses and pay "in kind," (for example, food, lodging received as payment for work performed)."

b. Own nonfarm business, partnership, or professional practice . . .

"Include net earnings (gross receipts minus operating expenses) from a nonfarm business. If business lost money, write "Loss" above the amount."

c. Own farm . . .

"Include net earnings (gross receipts minus operating expenses) from a farm. If farm lost money, write "Loss" above the amount."

d. Interest, dividends, royalties, or net rental income . . .

"Include interest and dividends credited to the person's account (for example, from savings accounts and stock shares), net royalties, and net income from rental property."

e. Social Security or Railroad Retirement . . .

"Include Social Security or Railroad Retirement payments to retired persons, to dependents of deceased insured workers and to disabled workers."

f. Supplemental Security (SSI), Aid to Families with Dependent Children (AFDC), or other public assistance or public welfare payments . . .

"Include public assistance or welfare payments received from Federal, State, or local agencies. Do not include private welfare payments."

g. Unemployment compensation, veterans' payments, pensions, alimony or child support, or any other sources of income received regularly . ?

"Include all other regular payments, such as government employee retirement, union or private pensions and annuities; unemployment benefits; worker's compensation; Armed Forces allotments; private welfare payments; regular contributions from persons not living in the household; etc. Do not include lump-sum payments received from the sale of property (capital gains), insurance policies, inheritances, etc."

33. What was this person's total income in 1979?

H1. Did you leave anyone out of Question 1 because you were not sure if the person should be listed - for example, a new baby still in the hospital, a lodger who also has another home, or a person who stays here once in a while and has no other home?

H2. Did you list anyone in Question 1 who is away from home now - for example, on a vacation or in a hospital?

H3. Is anyone visiting here who is not already listed?

H4. How many living quarters, occupied and vacant, are at this address?

"Mark only one circle. This address means the house or building number where your living quarters are located."

H5. Do you enter your living quarters

"Mark the second circle only if you mustgo through someone else's living quarters to get to your own."

H6. Do you have complete plumbing facilities in your living quarters, that is, hot and cold piped water, a flush toilet, and a bathtub or shower?

"Consider that you have hot water even if you have it only part of the time. Mark Yes, but also used by another household if someone else who lives in the same building, but is not a member of your household, also uses the facilities. Mark this circle also if the occupants of living quarters now vacant would also use the facilities in you living quarters."

H7. How many rooms do you have in your living quarters?
Do not count bathrooms, porches, balconies, foyers, halls, or half-rooms.

"Count only whole rooms used for living purposes, such as living rooms. dining rooms, kitchens, bedrooms, finished recreation rooms, family rooms, etc. Do not count bathrooms, kitchenettes, strip or pullman kitchens, utility rooms, or unfinished attics, unfinished basements, or other space used for storage."

H8. Are your living quarters -

"Mark Owned or being bought if the living quarters are owned outright or are mortgaged. Also mark Owned or being bought if the living quarters are owned but the land is rented. Mark Rented for cash rent if any money rent is paid. Rent may be paid by persons who are not members of your household. Occupied without payment of cash rent includes, for example, a parsonage, military housing, a house or apartment provided free of rent by the owner, or a house or apartment occupied by a janitor or caretaker in exchange for services."

H9. Is this apartment (house) part of a condominium?

"A condominium is housing in which the apartments or houses in a development are individually owned, but the common areas, such as lobbies, halls, etc., are jointly owned. The person owning a condominium very likely has a mortgage on the particular unit."

H10. If this is a one-family house -
a. Is the house on a property of 10 or more acres?

b. Is any part of the property used as a commercial establishment or medical office?

"A commercial establishmentis easily recognized from the outside, for example, a grocery store or barber shop. A medical office is a doctor's or dentist's office regularly visited by patients."

H11. If you live in a one-family house or a condominium unit which you own or are buying - What is the value of this property, that is, how much do you think this property (house and lot or condominium unit) would sell for if it were for sale?
Do not answer this question if this is -

"Include the value of the house, the land it is on, and any other structures on the same property. If the house is owned but the land is rented, estimate the combined value of the house and the land. If this is a condominium unit, enter the estimated value for your living quarters and your share of the common elements."

H12. If you pay rent for your living quarters -
What is the monthly rent?
If rent is not paid by the month, see the instruction guide on how to figure a monthly rent.

H13. Which best describes this building?
Include all apartments, flats, etc., even if vacant.

"Mark only one circle. Detached means there is open space on all sides, or the house is joined only to a shed or garage. Attachedmeans that the house is joined to another house or building by at least one wall which goes from ground to roof. Mark A one-family house detached from any other house when a mobile home or trailer has had one or more rooms added or built onto it: a porch or shed is not considered a room. Count all occupied and vacant living quarters in the house or building, but not stores or office space."

H14a. How many stories (floors) are in this building?

"Do not count unfinished basements or unfinished attics. However, a basement or attic with finished room(s) for living purposed should be counted as a story."

b. Is there a passenger elevator in this building?

H15a. Is this building -

"A city or suburban lot is usually located in a city, a community, or any build-up area outside a city or community, and is not larger than the house and yard. All living quarters in apartment buildings, including garden-type apartments in the city or suburbs, are considered on a city or suburban lot. A placeis a farm, ranch, or any other property, other than a city or suburban lot, on which this residence is located."

b. Last year, 1979, did sales of crops, livestock, and other farm products from this place amount to -

H16. Do you get water from -

"If a well provides water for six or more houses or apartments, mark A public system. If a well provides water for five or fewer houses or apartments, mark one of the categories for individual well. Drilled wells, or small diameter wells, are usually less than 1 1/2 feet in diameter. Dug wells are generally hand dug and are wider."

H17. Is this building connected to a public sewer?

"A public seweris operated by a government body or a private organization. A septic tank or cesspoolis an underground tank or pit used for disposal of sewage."

H18. About when was this building originally built? Mark when the building was first constructed, not when it was remodeled, added to, or converted.

H19. When did the person listed in column 1 move into this house (or apartment)?

"The term person in column 1refers to the person listed in the first column on page 2 [the head of household]. This person should be the household member (or one of the members) in whose name the house is owned or rented. If there is no such person, any adult household member can be the person in column 1. Mark when this person last moved into this house or apartment."

H20. How are your living quarters heated?
Fill one circle for the kind of heat used most.

"This question refers to the type of heating equipmentand not to the fuel used. An electric heat pumpis sometimes known as a reverse cycle system. It may be centrally installed with ducts to the rooms or individual heat pumps in the rooms. A floor, well, or pipeless furnace delivers warm air to the room right above the furnace or to the room(s) on one or both sides of the wall in which the furnace is installed and does not have ducts leading to the other rooms. Any heater that you plug into an electric outlet should be counted as a portable room heater."

H21a. Which fuel is used most for house heating?

"Gas from underground pipesis piped in from a central system such as one operated by a public utility company or a municipal government. Bottled, tank or LP gas is stored in tanks which are refilled or exchanged when empty. Other fuelincludes any fuel not separately listed, for example, purchased steam, fuel briquettes, waste material, etc."

b. Which fuel is used most for water heating?

c. Which fuel is used most for cooking?

H22. What are the costs of utilities and fuels for your living quarters?

"If your living quarters are rented, enter the costs for utilities and fuels only if you pay for them in addition to the rent entered in H12. If already included in rent, fill the appropriate circle. The amounts to be reported should be for the past 12 months, that is, for electricity and gas, the monthly averagefor the past 12 months; for water and other fuels, the totalamount for the past 12 months. Estimate as closely as possible when exact costs are not known. Report amounts even if your bills are unpaid or paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your own living quarters. If gas and electricity are billed together, enter the combined amount on the electricity line and bracket ( { ) the two utilities."

a. Electricity

b. Gas

c. Water

d. Oil, coal, kerosene, wood, etc.

H23. Do you have complete kitchen facilities?
Complete kitchen facilities are a sink with piped water, a range or cookstove, and a refrigerator.

"The kitchen sink, stove, and refrigerator must be located in the building but do nothave to be in the same room. Portable cooking equipment is not considered as a range or cook stove."

H24. How many bedrooms do you have?
Count rooms used mainly for sleeping even if used also for other purposes.

H25. How many bathrooms do you have?
A complete bathroom is a room with flush toilet, bathtub or shower, and wash basin with piped water. A half bathroom has at least a flush toilet or bathtub or shower, but does not have all the facilities for a complete bathroom.

H26. Do you have a telephone in your living quarters?

"Answer Yes only if the telephone is located in your living quarters."

H27. Do you have air conditioning?

"Count only equipment used to cool the air by means of a refrigeration unit."

H28. How many automobiles are kept at home for use by members of your household?

"Count company cars, (including police cars and taxicabs) and company trucks that are regularly kept at home and used by household members. Do notcount cars or trucks permanently out of working order."

H29. How many vans or trucks of one-ton capacity or less are kept at home for use by members of your household?

"Count company cars, (including police cars and taxicabs) and company trucks that are regularly kept at home and used by household members. Do not count cars or trucks permanently out of working order."

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

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. "Do not answer these questions if you live in a cooperative, regardless of the number of units in the structure."

H30. What were the real estate taxes on this property last year?

"Report taxes for all taxing jurisdictions even if they are included in mortgage payment, not paid yet, paid by someone else, or are delinquent."

H31. What is the annual premium for fire and hazard insurance on this property?

"When premiums are paid on other than a yearly basis, convert to a yearly basis and enter the yearly amount, even if no payment was made during the past 12 months."

H32a. Do you have a mortgage, deed of trust, contract to purchase, or similar debt on this property?

"The word "mortgage" is used as a general term to indicate all types of loans which are secured by real estate." b. Do you have a second or junior mortgage on this property?

"A second or junior mortgage is also secured by real estate but has been made by the homeowner in addition to the first mortgage."

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.

"Enter a monthly amount even if it is unpaid or paid by someone else. If the amount is paid on some other periodic basis, see instructions for H12 to change it to a monthly amount."

d. Does your regular monthly payment (amount entered in H32c) include payments for
real estate taxes on this property?

e. Does your regular monthly payment (amount entered in H32c) include payments for fire and hazard insurance on this property?

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