Questionnaire Text

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Answer Questions 20 to 22 for only the dwelling that you now occupy, even if you own or rent more than one dwelling. If exact amount is not known, please enter your best estimate.
Note: If you are a farm operator living on the farm you operate, mark here __ and go to page 6.


20. For this dwelling, what are the yearly payments (last 12 months) for:

a. Electricity

[] None, or included in rent or other payments
Or
[] _ _ _Dollars _ _ Cents per year

b. Oil, gas, coal, wood or other fuels?

[] None, or included in rent or other payments,
Or,
[] _ _ _ Dollars _ _ Cents per year.

c. Water and other municipal services?

[] None, or included in rent, municipal taxes or other payments,
Or
[] _ _ _ Dollars _ _ Cents per year