a. Do you or any member of this household have a mortgage, deed of trust, contract to purchase, or similar debt on this property?

[] Yes, mortgage, deed of trust, or similar debt
[] Yes, contract to purchase
[] No - skip to question 23a

d. Does the regular monthly mortgage payment include payment for fire, hazard, or flood insurance on this property?

[] Yes, insurance included in mortgage payment
[] No, insurance paid separately or no insurance