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
15a. 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
By the day........30
By the week ......4
Every other week .....2

If rent is paid: Divide rent by:
4 times a year......3
2 times a year ......6
Once a year .......12