Questionnaire Text

Questionnaire form view entire document:  text  image
15.
a) What is the monthly rent for this house, apartment, or mobile home?
Monthly amount - Dollars

$_________________.00
Questionnaire instructions view entire document:  text  image
18a.Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else.

If rent is paid:

Multiply rent by:If rent is paid: Divide rent by:

By the day........

304 times a year...... 3

By the week ......

42 times a year ...... 6

Every other week .....

2Once a year ....... 12