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.

B. Answer questions 18a and b if this house, apartment, or mobile home is rented. Otherwise, skip to question 19.

18a. What is the monthly rent for this house, apartment, or mobile home?

Monthly amount - Dollars
$_ _,_ _ _.00
Questionnaire instructions view entire document:  text  image
Housing question 18

Answer question 18a and b if this house, apartment, or mobile home is rented. Otherwise, skip to question 19.

H18.a. Report the rent agreed to or contracted for, even if the rent for your house, apartment, or mobile home is unpaid or paid by someone else. Do not include any subsidy amount that may be paid by a local housing authority or other agency.

Convert rent to a monthly amount even if rent is paid daily, weekly, quarterly, yearly, etc.: If rent is paid by the day, multiply rent by 30.

If rent is paid by the week, multiply rent by 4.
If rent is paid every other week, multiply rent by 2.
If rent is paid 4 times a year, divide rent by 3.
If rent is paid 2 times a year, divide rent by 6.
If rent is paid once a year, divide rent by 12.