Section: Housing (Phase I) |
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INTRO_CP |
1. Yes 2. No |
Hello. I'm... from the United States Census Bureau. [Here is my identification card (show ID card).]
We are conducting the [American/ Puerto Rico] Community Survey to collect current population and housing information.
I have some questions to ask you. Did you receive our mailings? |
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ADRSVER_CP |
1. Yes 2. No |
I need to verify the address where this unit is located.
Is this address:
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YBL |
2000 or later 1990 – 1999 MVY 1980 – 1989 MVY 1970 – 1979 MVY 1960 – 1969 MVY 1950 – 1959 MVY 1940 – 1949 MVY 1939 or earlier MVY
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About when was this <FILL BUILDING TYPE> first built?
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YBL1 |
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(What year was this <FILL BUILDING TYPE> built?)
Enter specific year <FILL BUILDING TYPE> was built if 2000 or later.
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MVY |
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In what year did (you/<HHOLDERNAME) move into this [FILL BUILDING TYPE]?
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MVM |
<1> January <2> February <3> March <4> April <5> May <6> June <7> July <8> August <9> September <10> October <11> November <12> December |
In what month was that?
(What was the month that [you/HHOLDERNAME] moved into this [FILL BUILDING TYPE]?) |
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ACR |
Less than 1 acre(s) Go to RMS 1 to 9.9 acre(s) 10 or more acre(s) |
Is this [BUILDING TYPE] on less than 1 [acre/cuerda], between 1 and 9.9 [acres/cuerdas], or 10 or more [acres/cuerdas]?
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AGSA |
Yes No Go to RMS
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IN THE PAST 12 MONTHS, were there any sales of agricultural products from this property?
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AGSB |
$1 - $999 $1,000 - $2,499 $2,500 - $4,999 $5,000 - $9,999 $10,000 or more
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How much were the sales? |
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RMS |
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The next questions are about the number and kinds of rooms at this place. Rooms must be separated by built-in archways or walls that extend out at least 6 inches and go from floor to ceiling.
How many separate rooms are in this [BUILDING TYPE] not counting bathrooms, porches, balconies, foyers, halls or unfinished basements?
INCLUDE bedrooms, kitchens, etc. |
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INCLBED |
Yes No Go to BDSINC
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Did you include bedrooms?
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BDSINC |
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How many of the (<RMS> rooms) would you list as bedrooms if this <BUILDING TYPE> were for sale or rent?
Enter number of rooms |
VEH |
None 1 2 3 4 5 6 or more |
How many cars, vans, and trucks of one-ton capacity or less are kept at home for use by members of this household?
(If a business vehicle is available for personal use, it should be included.) |
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FSX |
Yes No
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IN THE PAST 12 MONTHS, did anyone in this household receive Food Stamps or a Food Stamp benefit card?
IN THE PAST 12 MONTHS, did anyone in this household receive Nutritional Assistance Program benefits or a Nutritional Assistance Program benefit card?
In some states the Food Stamps program may be known as the Supplemental Nutrition Assistance Program (SNAP) |
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CONX |
Yes No Go to TEN
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The next few questions refer to this [BUILDING TYPE].
Is this [BUILDING TYPE] part of a condominium? |
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CONPAY |
Yes No Go to TEN |
Is there a condominium fee?
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CONFEE |
$_______.00
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What is the MONTHLY condominium fee?
Estimate monthly amount in dollars. |
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TEN |
Own with a mortgage or loan including home equity loans Own free and clear Rent Occupy without having to pay rent |
(Do you / Do you or does someone in this household / Does <HHoldername> or someone in this household)] own this [BUILDING TYPE] with a mortgage or loan including home equity loans, own it free and clear, rent it, or occupy it without having to pay rent?
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TENRENT |
2. No |
(Do you / Do you or does someone in this household / Does <HHoldername> or someone in this household)] pay rent? |
TENMORT |
2. No |
(Do you / Do you or does someone in this household / Does <HHoldername> or someone in this household)] pay a mortgage?
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TENTAX |
2. No
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(Do you / Do you or does someone in this household / Does <HHoldername> or someone in this household)] pay real estate taxes?
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RNTTEMP |
________ |
How much is the rent for this [BUILDING TYPE]?
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RNTPAY |
1. Daily 2. Weekly 3. Monthly 4. Quarterly 5. Other |
How often is the rent paid?
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RNTOTH |
________ |
How often is the rent paid?
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RenterRN |
________ |
What is the MONTHLY rent for this [BUILDING TYPE]?
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RNTM |
1. Yes 2. No
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Does the MONTHLY rent include any meals? |
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VALPROP |
________ |
How much do you think this <house and lot/apartment/mobile home - and lot, if owned - / unit > would sell for if it were for sale?
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TAX |
________ |
What are the annual real estate taxes on THIS property?
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INS |
________ |
What is the annual payment for fire, hazard, and flood insurance on THIS property?
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MRGX |
3. No |
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Earlier I recorded that there is a mortgage or loan on this property. Is it a mortgage, deed of trust, contract to purchase, or similar debt? |
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MRGFR |
1. Yes 2. No |
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Earlier I recorded that this property is owned free and clear. Is this correct?
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MRG |
________ |
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What is the regular MONTHLY mortgage payment on this property?
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MRGT |
1. Yes, taxes included in payment 2. No, taxes paid separately or taxes not required
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Does the regular MONTHLY mortgage payment include payments for real estate taxes?
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MRGI |
1. Yes, insurance included in payment 2. No, insurance paid separately or no insurance |
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Does the regular MONTHLY mortgage payment include payments for fire, hazard, or flood insurance?
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SMXA |
1. Yes 2. No
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Is there a second or junior mortgage on this property? |
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SMXB |
1. Yes
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Is there a home equity loan on this property?
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SM |
________ |
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What is the regular MONTHLY payment on all second or junior mortgages and all home equity loans on this property?
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MH |
________ |
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What are the total annual costs for personal property taxes, site rent, registration fees, and license fees on THIS mobile home and its site?
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THANKYOU |
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Thank you very much for your participation in this important survey.
You've been very helpful. |
File Type | application/msword |
File Title | YBL |
Author | Bureau Of The Census |
Last Modified By | demai001 |
File Modified | 2010-02-01 |
File Created | 2010-02-01 |