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6. Amount of rent (only for dwellings or single family homes which are rented unfurnished and or not connected with a commercial or agricultural firm):
Rent only (i.e. without costs for heating, hot water, garage)

In Fr.: ____


Inclusive rent (if the above costs cannot be separated)

In Fr.: ____


Paid:

[] Monthly
[] Quarterly
[] Semi-annually
[] Annually


If inclusive rent, which costs are included:

[] Heating
[] Hot water
[] Garage


[Notes to question 6]
Only one type of paying rent should be chosen. Members of co-operatives do not deduct rebates; share certificate payments are not part of the rent.