[] Less than $10,000
[] $10,000 to $14,999
[] $15,000 to $19,999
[] $20,000 to $24,999
[] $25,000 to $29,999
[] $30,000 to $34,999
[] $35,000 to $39,999
[] $40,000 to $44,999
[] $45,000 to $49,999
[] $50,000 to $54,999
[] $55,000 to $59,999
[] $60,000 to $64,999
[] $65,000 to $69,999
[] $70,000 to $74,999
[] $75,000 to $79,999
[] $80,000 to $89,999
[] $90,000 to $99,999
[] $100,000 to $124,999
[] $125,000 to $149,999
[] $150,000 to $174,999
[] $175,000 to $199,999
[] $200,000 to $249,999
[] $250,000 to $299,999
[] $300,000 to $399,999
[] $400,000 to $499,999
[] $500,000 or more

"If this is a house, 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, estimate the value for your house or apartment including your share of the common elements. If this is a mobile home, include the value of the mobile home and the value of the land. If you rent the land, estimate the value of the rented land and add it to the value of the mobile home."