4. What is Person 1's age and what is Person 1's date of birth?
For babies less than 1 year old, do not write the age in months. Write 0 as the age.
Print numbers in boxes.
Age (in years) _ _ _
Month _ _
Day _ _
Year of birth _ _ _ _
[Repeat for persons X = 2 - 5.]
4. What is Person X's age and what is Person X's date of birth?
For babies less than 1 year old, do not write the age in months. Write 0 as the age. Print numbers in boxes.
Age (in years) _ _ _
Month _ _
Day _ _
Year of birth _ _ _ _
If there are more than five people living or staying here, print their names in the spaces for Person 6 through Person 12. We may call you for more information about them.
[Repeat for Persons Y = 6 - 12.]
Age (in years) _ _ _
Person questions 1-6
Answer questions 1-6 for the first five people living or staying at this address.
- Include everyone who is living or staying here for more than 2 months.
- Include yourself if you are living here for more than 2 months.
- Include anyone else staying here who does not have another place to stay, even if they are here for 2 months or less.
- Do not include anyone who is living somewhere else for more than 2 months, such as a college student living away or someone in the Armed Forces on deployment.
P4. For each person, print this person's age and month, day, and year of birth.