• Answer ONLY if you PAY RENT for this house,
<br />apartment, or mobile home -All others skip to 47.
<br />a. What is the monthly rent?
<br />Aonthly amount -Dollars
<br />,r
<br />,J . Jai
<br />b. Does the monthly rent include any meals?
<br />Yes
<br />No
<br />Answer questions 47a-53 if you or someone
<br />in this household owns or is buying this house,
<br />apartment, or mobile home; otherwise, skip to
<br />questions for Person 2.
<br />a. Do you have a mortgage, deed of trust, contract
<br />to purchase, or similar debt on THIS property?
<br />Yes, mortgage, deed of trust, or similar debt
<br />Yes, contrail to purchase
<br />No -3 Skip to 48a
<br />b. How much is your regular monthly mortgage
<br />payment on THIS property? Include payment only on
<br />first mortgage or contras to purchase.
<br />Monthly amount -Dollars
<br />
<br />OR
<br />Gtl
<br />~~~~'~
<br />~~..
<br />~J
<br />No regular payment required -~ Skip to 48a C~''~
<br />. Does your regular monthly mortgage payment~•;
<br />.nclude payments for real estate taxes o~'l;til'~
<br />property? ,~ :~. '~.~
<br />.: ~i~`,~
<br />Yes, taxes included in mortgage payment;
<br />~ No, taxes paid separately or taxes'ri~t_r;~uired
<br />•. ~;
<br />~._~;
<br />d. Does your regular monthly rrior±gage payment
<br />include payments for fire,.ha~rd; or flood
<br />insurance on THIS property?~~ ~:>
<br />v
<br />Yes, insurance included in mortgage payment
<br />Q No, insurance paid separately or no insurance
<br />a. Do you have a second mortgage or a home
<br />equity loan on THIS property? Mark ©all boxes
<br />that apply.
<br />~ Yes, a second mortgage
<br />Yes, a home equity loan
<br />(] No -~ Skip to 49
<br />b. How much is your regular monthly payment on
<br />all second or junior mortgages and all home equity
<br />loans on THIS property?
<br />Monthly amount -Dollars
<br />5 .QQ
<br />OR
<br />No regular payment required
<br />What were the real estate taxes on THIS property
<br />last year?
<br />Yearly amount -Dollars
<br />,~~
<br />OR
<br />None
<br />What was the annual payment for fire, hazard,
<br />and flood insurance on THIS property?
<br />Annual amount -Dollars
<br />a , i~U
<br />OR ~~
<br />Q None ,~;~ ~ ~~
<br />..,\,
<br />What is the value ~f this property; that is,
<br />how much~d-a yc~.~ink this house and lot,
<br />apartment+,`or mobile home and lot would sell
<br />for if it were :or sale?
<br />~;~Les~.s~t~i $10,000 ~ $90,000 to $99,999
<br />~~~;~? ~0a to $14, 999 ~ $100,000 to $124 999
<br />:~;~'?5,000 to $19,999
<br />~~ $20,000 to $24,999
<br />$25,000 to $29,999
<br />$30,000 to $34,999
<br />$35,000 to $39,999
<br />$40,000 to $49,999
<br />$50,000 to $59,999
<br />(] $60,000 to $69,999
<br />Q $70,000 to $79,999
<br />$80,000 to $89,999
<br />$125,000 to $149,999
<br />$150,000 to $174,999
<br />$175,000 to $199,999
<br />$200,000 to $249,999
<br />0 $250,000 to $299,999
<br />$300,000 to $399,999
<br />^ $400,000 to $499,999
<br />0 $500,000 to $749,999
<br />$750,000 to $999,999
<br />0 $1,000,000 or more
<br />Answer ONLY if this is a CONDOMINIUM -
<br />What is the monthly condominium feel
<br />Monthly amount -Dollars
<br />.,)~
<br />Answer ONLY if this is a MOBILE HOME -
<br />a. Do you have an installment loan or contract
<br />on THIS mobile home?
<br />Yes
<br />No
<br />b. What was the total cost for installment loan
<br />payments, personal property taxes, site rent,
<br />registration fees, and license fees on THIS mobile
<br />home and its site last year? Exclude real estate taxes.
<br />Yearly amount -Dollars
<br />s ~ .ao
<br />Are there more people living here? If yes,
<br />continue with Person 2.
<br />
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