Questionnaire Text

Questionnaire form view entire document:  text  image
[Questions 16-20 were asked of households if a household member owns the dwelling or is buying one.]

18. What is the annual payment for fire, hazard, and flood insurance on this property?

Annual amount in dollars $_ _ _ _.00

Or
[] None
Questionnaire instructions view entire document:  text  image
Answer questions 1 through 21 for the house, apartment, or mobile home at the address on the mailing label.

18. When premiums are paid other than on a yearly basis, convert to a yearly basis. Enter the yearly amount even if no payment was made during the past year.