Questionnaire Text

Questionnaire form view entire document:  text  image
Housing
Please answer the following questions about the house, apartment, or mobile home at the address on the mailing label.

[C] - Answer questions 19-23 IF you or someone else in this household owns or is buying this house, apartment, or mobile home. Otherwise, skip to [E] on the next page.

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

Annual amount (USD)________
or
[] None
Questionnaire instructions view entire document:  text  image
Answer housing questions 19 through 23 only if you or any member of this household owns or is buying this house, apartment, or mobile home.

21. 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.