Questionnaire Text

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22. 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

[Q22. b-c are asked if any member of this household has a mortgage, deed of trust, contract to purchase, or similar debt on this property.]

b) How much is the regular monthly mortgage payment on this property? Include payments only on first mortgage or contract to purchase

Monthly amount: $____.00
or
[] No regular payment required

[Q22. c-d are asked if regular monthly mortgage payment is required on this property.]

c) Does the regular monthly mortgage payment include payments for real estate taxes on this property?

[] Yes, taxes included in mortgage payment
[] No, taxes paid separately or taxes not required

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

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