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Ë7c+C#?%Ug!!uÌ
D-1340
Form
U.S DEPARTMENT OF COMMERCE
(12/20/2019)
Economics and Statistics Administration
0607-1010
OMB No.
Approval Expires 11/30/2022
U.S. CENSUS BUREAU
Post-Enumeration Survey (PES)
Final Housing Unit Followup (FHUFU) Packet Cover Page
2020 Census
A. BCU Identification
1. BCU No.
XXXXXXXXXXXXX
2. ACO Name
South Plainfield, NJ
4. County
Middlesex
6. State
3. Code
2266
5. Code
023
7. Code
NJ
34
CITY-STYLE
8. TEA
10. ZIP
9: City
08861
______
16
Total Number of Followup Units
B. Field Staff Identification
Dates
Position
(a)
FSA
(b)
Name
(c)
Assigned
FR Code
(d)
Completed
(e)
Month
(f)
Day
Month
Day
1. Field Supervisor
2. Field Representative
3. Field Representative
Total # maps: 2
CENSUS CONFIDENTIAL: RESTRICTED DATA FOR OFFICIAL USE ONLY. Information contained in this report is for use by the
Census Bureau and is confidential by law (Title 13, U.S.C.). It may be seen only by persons sworn to protect the confidentiality of the
data and may be used only for statistical purposes. Access restricted to authorized PES staff.
NOTICE TO FINDER: If found, please either call 1-301-763-3301 to arrange for pickup OR mail to: Field Division, U.S. Census
Bureau, 4600 Silver Hill Road, Washington, DC 20233-5700, Attn: Coverage Measurement Branch.
Page 2 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Group Quarters (GQ)
1111.12345678
Page 1 of 3
Group Quarters (GQ)
PES listed the address as a housing unit, but Census listed it as a group quarters. Determine if the PES address is a housing unit
or a group quarters.
PES Address
Census Address
MSN WMSN
TOA
# Units
00010
Multi
3
0002
1679 JEFFERSON ST
BCU
Census ID
MSN
Hello my name is (your name). I’m from the U.S. Census Bureau (show your identification badge). I’d like to speak with
(H) someone who can answer questions about this place. Would that be you, or should I speak with someone else?
(Continue, or if referred to another respondent, re-read paragraph above).
We are checking addresses in this area as part of the 2020 Census. The questions should take about 3 minutes.
This notice explains that your answers are confidential. (Hand the person the Confidentiality Notice and allow time for the
person to read it.)
READ IF NECESSARY: I won’t need to interview residents here; I just want to ask some very basic questions about
this place.
1.
Go to next question.
(M)
2.
Next I’m going to show you a list [HAND FLASHCARD TO RESPONDENT]. Which of these best describes this
place (PES Address)?
(I)
A: Boarding school (except for schools for people with disabilities). . . . . . . . . . . . . . . . . . . . . . . . . ®
. Correctional facility for adults or juveniles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B:
®
. . Fraternity
. . . . . . . . or
. . .sorority
. . . . . .house
. . . . . for
. . .students
. . . . . . . at
. . a. .college,
. . . . . . .university,
. . . . . . . . or
. . seminary
. . . . . . . . .. .. .. .. .. .. .. .. .. .. .. .. .. .
C:
®
. . Group
. . . . . .home
. . . . .(non-correctional)
. . . . . . . . . . . . . . or
. . .residential
. . . . . . . . treatment
. . . . . . . . center
. . . . . .(non-correctional)
. . . . . . . . . . . . . . .. .. .. .. .. .. .. .. .. .. .
D:
®
. . Health
. . . . . .care
. . . .facility
. . . . . (e.g.,
. . . . .skilled
. . . . . .nursing
. . . . . .facility,
. . . . . .nursing
. . . . . . facility,
. . . . . . hospital,
. . . . . . . .hospice)
. . . . . . ....................
E:
®
F: Hotel, motel, hostel, single-room occupancy units, inn, resort, lodge, or bed & breakfast . . . . . ®
G: Independent living or assisted living facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ®
. . Military
. . . . . . .quarters
. . . . . . .(e.g.,
. . . . barrack/dormitory,
. . . . . . . . . . . . . . . disciplinary
. . . . . . . . . .barrack/jail,
. . . . . . . . . military
. . . . . . .treatment
. . . . . . . .facility)
. . . . . .. ..
H:
®
I: Recreational vehicle (RV) park, campground, marina, or racetrack . . . . . . . . . . . . . . . . . . . . . . . ®
. . . . . . . .group
. . . . .living
. . . . .quarters
. . . . . . .intended
. . . . . . . to
. . house
. . . . . .members
. . . . . . . .living
. . . . in
. .a. .group
. . . . .situation
. . . . . . .(e.g.,
......
J:. .Religious
convent, monastery, or abbey) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ®
K: Residence hall or dormitory for students that is owned, leased, or managed either by a
college, university or seminary, or by a private entity or organization . . . . . . . . . . . . . . . . . . . . . . . ®
L: Residential schools for people with disabilities (e.g., schools for the physically or
developmentally disabled). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ®
M: Soup kitchen, a facility that operates a regularly schedule mobile food van, or shelter for
people experiencing homelessness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ®
N: Workers’ group living quarters or group housing at Job Corps centers (e.g., migratory farm
worker quarters, ranch housing, vocational training facilities, or housing for staff) . . . . . . . . . . . . ®
O: None of the above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ®
............................................................................
Skip to Question 9
Skip to Question 9
Skip to Question 9
Skip to Question 9
Skip to Question 9
Skip to Question 9
Skip to Question 4
Skip to Question 9
Skip to Question 5
Skip to Question 9
Skip to Question 9
Skip to Question 9
Skip to Question 9
Skip to Question 9
Skip to Question 3
(Continued ® )
Page 3 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Group Quarters (GQ)
1111.12345678
Page 2 of 3
3.
Is this a private residence?
Yes ® Skip to Question 5
No ® Go to Question 4
(J)
4.
Please describe this place:
(K)
5.
How many housing units were at this basic street address on April 1st, 2020?
(L)
One
More than one
®
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
6.
Is 1679 JEFFERSON ST located in BCU 41370?
Yes
No ® In what BCU number is 1679 JEFFERSON ST?
(B)
7.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 1679 JEFFERSON ST?
(E)
Yes ® Enter Census ID:
No
8.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 1679 JEFFERSON ST?
Yes ® Enter PES MSN
(F1)
and WMSN
No
9.
Main source of information you used to fill out questions:
(N)
NOTE: You cannot complete this case by observation.
Household member
Building manager or landlord
Proxy
(Continued ® )
Page 4 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Group Quarters (GQ)
1111.12345678
Page 3 of 3
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 5 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Group Quarters (GQ)
1111.12345678
Page 1 of 3
Group Quarters (GQ)
PES listed the address as a housing unit, but Census listed it as a group quarters. Determine if the PES address is a housing unit
or a group quarters.
PES Address
Census Address
MSN WMSN
TOA
# Units
00010
Multi
3
0002
BCU
Census ID
MSN
1679 JEFFERSON ST
Hello my name is (your name). I’m from the U.S. Census Bureau (show your identification badge). I’d like to speak with
(H) someone who can answer questions about this place. Would that be you, or should I speak with someone else?
(Continue, or if referred to another respondent, re-read paragraph above).
We are checking addresses in this area as part of the 2020 Census. The questions should take about 3 minutes.
This notice explains that your answers are confidential. (Hand the person the Confidentiality Notice and allow time for the
person to read it.)
READ IF NECESSARY: I won’t need to interview residents here; I just want to ask some very basic questions about
this place.
1.
Do 1679 JEFFERSON ST and refer to the same
housing unit?
Yes
(C1)
® a. What is the correct address?
1679 JEFFERSON ST
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
(C2)
Other
No
(Continued ® )
Page 6 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Group Quarters (GQ)
1111.12345678
Page 2 of 3
Next I’m going to show you a list [HAND FLASHCARD TO RESPONDENT]. Which of these best describes this
place (PES Address)?
A: Boarding school (except for schools for people with disabilities). . . . . . . . . . . . . . . . . . . . . . . . . ®
. Correctional facility for adults or juveniles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B:
®
. . Fraternity
. . . . . . . . or
. . .sorority
. . . . . .house
. . . . . for
. . .students
. . . . . . . at
. . a. .college,
. . . . . . .university,
. . . . . . . . or
. . seminary
. . . . . . . . .. .. .. .. .. .. .. .. .. .. .. .. .. .
C:
®
. . Group
. . . . . .home
. . . . .(non-correctional)
. . . . . . . . . . . . . . or
. . .residential
. . . . . . . . treatment
. . . . . . . . center
. . . . . .(non-correctional)
. . . . . . . . . . . . . . .. .. .. .. .. .. .. .. .. .. .
D:
®
. . Health
. . . . . .care
. . . .facility
. . . . . (e.g.,
. . . . .skilled
. . . . . .nursing
. . . . . .facility,
. . . . . .nursing
. . . . . . facility,
. . . . . . hospital,
. . . . . . . .hospice)
. . . . . . ....................
E:
3.
F: Hotel, motel, hostel, single-room occupancy units, inn, resort, lodge, or bed & breakfast . . . . .
G: Independent living or assisted living facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . Military
. . . . . . .quarters
. . . . . . .(e.g.,
. . . . barrack/dormitory,
. . . . . . . . . . . . . . . disciplinary
. . . . . . . . . .barrack/jail,
. . . . . . . . . military
. . . . . . .treatment
. . . . . . . .facility)
. . . . . .. ..
H:
I: Recreational vehicle (RV) park, campground, marina, or racetrack . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . .group
. . . . .living
. . . . .quarters
. . . . . . .intended
. . . . . . . to
. . house
. . . . . .members
. . . . . . . .living
. . . . in
. .a. .group
. . . . .situation
. . . . . . .(e.g.,
......
J:. .Religious
convent, monastery, or abbey) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
K: Residence hall or dormitory for students that is owned, leased, or managed either by a
college, university or seminary, or by a private entity or organization . . . . . . . . . . . . . . . . . . . . . . .
L: Residential schools for people with disabilities (e.g., schools for the physically or
developmentally disabled). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
M: Soup kitchen, a facility that operates a regularly schedule mobile food van, or shelter for
people experiencing homelessness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
N: Workers’ group living quarters or group housing at Job Corps centers (e.g., migratory farm
worker quarters, ranch housing, vocational training facilities, or housing for staff) . . . . . . . . . . . .
O: None of the above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
............................................................................
Is this a private residence?
Yes ® Skip to Question 5
No ® Go to Question 4
(I)
Skip to Question 9
Skip to Question 9
Skip to Question 9
Skip to Question 9
®
®
®
®
®
Skip to Question 9
Skip to Question 9
Skip to Question 4
Skip to Question 9
Skip to Question 5
®
Skip to Question 9
®
Skip to Question 9
®
Skip to Question 9
®
Skip to Question 9
®
®
Skip to Question 9
Skip to Question 3
(J)
4.
Please describe this place:
(K)
5.
How many housing units were at this basic street address on April 1st, 2020?
(L)
One
More than one
®
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
6.
Is 1679 JEFFERSON ST located in BCU 41370?
Yes
No ® In what BCU number is 1679 JEFFERSON ST?
(B)
7.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 1679 JEFFERSON ST?
(E)
Yes ® Enter Census ID:
No
(Continued ® )
Page 7 of 222
Form D-1340
8.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Group Quarters (GQ)
1111.12345678
Page 3 of 3
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 1679 JEFFERSON ST?
Yes ® Enter PES MSN
(F1)
and WMSN
No
9.
Main source of information you used to fill out questions:
(N)
NOTE: You cannot complete this case by observation.
Household member
Building manager or landlord
Proxy
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 8 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update (M*)
1111.12345678
Page 1 of 2
Unit Status Update (M*)
The PES and Census addresses match, but the unit status was listed by PES as something other than occupied or vacant.
Determine the unit status of the PES address.
PES Address
Census Address
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
413 DELL CT APT 3
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
2.
Was there a housing unit at13 DELL CT APT 3 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 5
(Continued ® )
Page 9 of 222
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update (M*)
1111.12345678
Page 2 of 2
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
5.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 10 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Duplicate Census Address (M*/DE)
1111.12345678
Page 1 of 4
Unit Status Update/Duplicate Census Address (M*/DE)
The PES and Census addresses match, but the unit status was listed by PES as something other than occupied or vacant. The
census address is a possible duplicate with another census address. Determine the unit status of the PES address and if the
addresses on the Census list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00017
Multi
12
41370
10000000003999
00015
0001
114 TAYLOR LN APT 1
114 TAYLORY LN APT 1
41370
10000000003798
00009
114 TAYLOR LN APT A
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 114 TAYLOR LN APT 1. Did or
does the house/apartment at 114 TAYLOR LN APT 1 ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 11 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Duplicate Census Address (M*/DE)
1111.12345678
Page 2 of 4
Was there a housing unit at14 TAYLOR LN APT 1 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 12 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Duplicate Census Address (M*/DE)
1111.12345678
Page 3 of 4
CENSUS DUPLICATE ADDRESS
5.
Do 114 TAYLORY LN APT 1 and 114 TAYLOR LN APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
114 TAYLORY LN APT 1
114 TAYLOR LN APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND CENSUS ADDRESS
6.
Was there a housing unit at14 TAYLOR LN APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 13 of 222
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Duplicate Census Address (M*/DE)
Page 4 of 4
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
9.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLORY LN APT 1 do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT A?
(G2)
Yes ® Enter Census ID:
10.
11.
No
Is 114 TAYLOR LN APT A located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT A?
(B)
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 14 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate Census Addresses (M*/DE/DE)
1111.12345678
Page 1 of 6
Unit Status Update/Two Duplicate Census Addresses (M*/DE/DE)
The PES and Census addresses match, but the unit status was listed by PES as something other than occupied or vacant. The
census addresses are possible duplicates with other census addresses. Determine the unit status of the PES address and if the
addresses on the Census list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Single
7423 APPLES GROVE DR
Census Address(es)
# Units
BCU
Census ID
MSN
41370
10000000000111
00072
10000000002333
00074
7423 APPLE GROVE
41370
7423 APPLE GROVE APT 1A
41370
10000000003888
00062
7423 APPLE GROVE 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 15 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate Census Addresses (M*/DE/DE)
1111.12345678
Page 2 of 6
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 16 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate Census Addresses (M*/DE/DE)
1111.12345678
Page 3 of 6
FIRST CENSUS DUPLICATE ADDRESS
5.
Do 7423 APPLE GROVE and 7423 APPLE GROVE APT 1A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE APT 1A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND CENSUS ADDRESS
6.
Was there a housing unit at 423 APPLE GROVE APT 1A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE APT 1A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 17 of 222
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate Census Addresses (M*/DE/DE)
1111.12345678
Page 4 of 6
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE APT 1A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
9.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE
APT 1A?
(G3)
Yes ® Enter Census ID:
No
10.
(B)
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
SECOND CENSUS DUPLICATE ADDRESS
11.
Do 7423 APPLE GROVE and 7423 APPLE GROVE 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 17
®
Skip to Question 17
No
(Continued ® )
Page 18 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate Census Addresses (M*/DE/DE)
1111.12345678
Page 5 of 6
THIRD CENSUS ADDRESS
12.
Was there a housing unit at 423 APPLE GROVE 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 16
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
13.
Skip to Question 17
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
14.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE 1st FLOOR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
15.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE APT 1A, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE 1st
FLOOR?
(G3)
Yes ® Enter Census ID:
No
16.
Is 7423 APPLE GROVE 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(B)
(Continued ® )
Page 19 of 222
Form D-1340
17.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate Census Addresses (M*/DE/DE)
1111.12345678
Page 6 of 6
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 20 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Duplicate PES Address (M*/DI)
1111.12345678
Page 1 of 4
Unit Status Update/Duplicate PES Address (M*/DI)
The PES and Census addresses match, but the unit status was listed by PES as something other than occupied or vacant. The
PES address is a possible duplicate with another PES address. Determine the unit status of the PES address and if the
addresses on the PES list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
Multi
413 DELL CT APT 3
4
413 DELL CT C APT C
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 21 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Duplicate PES Address (M*/DI)
1111.12345678
Page 2 of 4
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
(A)
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 22 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Duplicate PES Address (M*/DI)
1111.12345678
Page 3 of 4
PES DUPLICATE ADDRESS
5.
Do 413 DELL CT APT 3 and 413 DELL CT C APT C refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
413 DELL CT APT 3
413 DELL CT C APT C
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND PES ADDRESS
6.
Was there a housing unit at13 DELL CT C APT C on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 23 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Duplicate PES Address (M*/DI)
1111.12345678
Page 4 of 4
How many housing units were at this basic street address on April 1st, 2020?
One
7.
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 413 DELL CT C APT C?
(E)
Yes ® Enter Census ID:
No
9.
Look at the PES column of the Housing Unit Reference List. Aside from 413 DELL CT APT 3, do any other addresses in
that column refer to the same housing unit as 413 DELL CT C APT C?
Yes ® Enter PES MSN
No
(F2)
and WMSN
10.
Is 413 DELL CT C APT C located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT C APT C?
(B)
11.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 24 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 1 of 6
Unit Status Update/Two Duplicate PES Addresses (M*/DI/DI)
The PES and Census addresses match, but the unit status was listed by PES as something other than occupied or vacant. The
PES addresses are possible duplicates with other PES addresses. Determine the unit status of the PES address and if the
addresses on the PES list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Census Address(es)
# Units
Single
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
9
APPLES GROVE APTS APT 1
00029
0001
Multi
9
7423 MAIN ST. 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 25 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 2 of 6
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 26 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 3 of 6
FIRST PES DUPLICATE ADDRESS
5.
Do 7423 APPLES GROVE DR and APPLES GROVE APTS APT 1 refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
APPLES GROVE APTS APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND PES ADDRESS
6.
Was there a housing unit at PPLES GROVE APTS APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 27 of 222
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 4 of 6
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as APPLES GROVE APTS APT 1?
(E)
Yes ® Enter Census ID:
No
9.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and 7423 MAIN ST.
1st FLOOR, do any other addresses in that column refer to the same housing unit as APPLES GROVE APTS APT 1?
Yes ® Enter PES MSN
(F3)
and WMSN
No
10.
(B)
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
SECOND PES DUPLICATE ADDRESS
11.
Do 7423 APPLES GROVE DR and 7423 MAIN ST. 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
7423 MAIN ST. 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 17
®
Skip to Question 17
No
(Continued ® )
Page 28 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 5 of 6
THIRD PES ADDRESS
12.
Was there a housing unit at 423 MAIN ST. 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 16
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
13.
Skip to Question 17
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
14.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 MAIN ST. 1st FLOOR?
(E)
Yes ® Enter Census ID:
No
15.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and APPLES
GROVE APTS APT 1, do any other addresses in that column refer to the same housing unit as 7423 MAIN ST. 1st
FLOOR?
Yes ® Enter PES MSN
(F3)
and WMSN
No
16.
Is 7423 MAIN ST. 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(B)
(Continued ® )
Page 29 of 222
Form D-1340
17.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 6 of 6
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 30 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match (M*)
1111.12345678
Page 1 of 2
Surrounding BCU Match (M*)
The PES and Census addresses were matched, but the BCUs for the two addresses are different. Determine the correct BCU.
PES Address
Census Address
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
413 DELL CT APT 3
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
2.
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 5
(Continued ® )
Page 31 of 222
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match (M*)
1111.12345678
Page 2 of 2
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
5.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 32 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate Census Address (M*/DE)
1111.12345678
Page 1 of 4
Surrounding BCU Match/Duplicate Census Address (M*/DE)
The PES and Census addresses were matched, but the BCUs for the two addresses are different. The Census address is a
possible duplicate with another Census address. Determine the correct BCU and if the addresses on the Census list are the
same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00017
Multi
12
41370
10000000003999
00015
0001
114 TAYLOR LN APT 1
114 TAYLORY LN APT 1
41370
10000000003798
00009
114 TAYLOR LN APT A
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 114 TAYLOR LN APT 1. Did or
does the house/apartment at 114 TAYLOR LN APT 1 ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 33 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate Census Address (M*/DE)
1111.12345678
Page 2 of 4
Was there a housing unit at 14 TAYLOR LN APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 34 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate Census Address (M*/DE)
1111.12345678
Page 3 of 4
CENSUS DUPLICATE ADDRESS
5.
Do 114 TAYLORY LN APT 1 and 114 TAYLOR LN APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
114 TAYLORY LN APT 1
114 TAYLOR LN APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND CENSUS ADDRESS
6.
Was there a housing unit at 14 TAYLOR LN APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 35 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate Census Address (M*/DE)
1111.12345678
Page 4 of 4
How many housing units were at this basic street address on April 1st, 2020?
One
7.
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
9.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLORY LN APT 1 do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT A?
(G2)
Yes ® Enter Census ID:
10.
11.
No
Is 114 TAYLOR LN APT A located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT A?
(B)
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 36 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 1 of 6
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
The PES and Census addresses were matched, but the BCUs for the two addresses are different. The Census addresses are
possible duplicates with other Census addresses. Determine the correct BCU and if the addresses on the Census list are the
same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Single
7423 APPLES GROVE DR
Census Address(es)
# Units
BCU
Census ID
MSN
41370
10000000000111
00072
10000000002333
00074
7423 APPLE GROVE
41370
7423 APPLE GROVE APT 1A
41370
10000000003888
00062
7423 APPLE GROVE 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 37 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 2 of 6
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 38 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 3 of 6
FIRST CENSUS DUPLICATE ADDRESS
5.
Do 7423 APPLE GROVE and 7423 APPLE GROVE APT 1A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE APT 1A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND CENSUS ADDRESS
6.
Was there a housing unit at 423 APPLE GROVE APT 1A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE APT 1A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 39 of 222
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 4 of 6
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE APT 1A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
9.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE
APT 1A?
(G3)
Yes ® Enter Census ID:
No
10.
(B)
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
SECOND CENSUS DUPLICATE ADDRESS
11.
Do 7423 APPLE GROVE and 7423 APPLE GROVE 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 17
®
Skip to Question 17
No
(Continued ® )
Page 40 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 5 of 6
THIRD CENSUS ADDRESS
12.
Was there a housing unit at 423 APPLE GROVE 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 16
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
13.
Skip to Question 17
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
14.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE 1st FLOOR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
15.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE APT 1A, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE 1st
FLOOR?
(G3)
Yes ® Enter Census ID:
No
16.
Is 7423 APPLE GROVE 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(B)
(Continued ® )
Page 41 of 222
Form D-1340
17.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 6 of 6
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 42 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate PES Address (M*/DI)
1111.12345678
Page 1 of 4
Surrounding BCU Match/Duplicate PES Address (M*/DI)
The PES and Census addresses were matched, but the BCUs for the two addresses are different. The PES address is a possible
duplicate with another PES address. Determine the correct BCU and if the addresses on the PES list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
Multi
413 DELL CT APT 3
4
413 DELL CT C APT C
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 43 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Page 2 of 4
Surrounding BCU Match/Duplicate PES Address (M*/DI)
2. Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 44 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate PES Address (M*/DI)
1111.12345678
Page 3 of 4
PES DUPLICATE ADDRESS
5.
Do 413 DELL CT APT 3 and 413 DELL CT C APT C refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
413 DELL CT APT 3
413 DELL CT C APT C
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND PES ADDRESS
6.
Was there a housing unit at 13 DELL CT C APT C on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 45 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate PES Address (M*/DI)
1111.12345678
Page 4 of 4
How many housing units were at this basic street address on April 1st, 2020?
7.
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 413 DELL CT C APT C?
(E)
Yes ® Enter Census ID:
No
9.
Look at the PES column of the Housing Unit Reference List. Aside from 413 DELL CT APT 3, do any other addresses in
that column refer to the same housing unit as 413 DELL CT C APT C?
Yes ® Enter PES MSN
No
(F2)
and WMSN
10.
Is 413 DELL CT C APT C located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT C APT C?
(B)
11.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 46 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 1 of 6
Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
The PES and Census addresses were matched, but the BCUs for the two addresses are different. The PES addresses are
possible duplicate with other PES addresses. Determine the correct BCU and if the addresses on the PES list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Census Address(es)
# Units
Single
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
9
APPLES GROVE APTS APT 1
00029
0001
Multi
9
7423 MAIN ST. 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 47 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 2 of 6
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 48 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 3 of 6
FIRST PES DUPLICATE ADDRESS
5.
Do 7423 APPLES GROVE DR and APPLES GROVE APTS APT 1 refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
APPLES GROVE APTS APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND PES ADDRESS
6.
Was there a housing unit at PPLES GROVE APTS APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 49 of 222
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 4 of 6
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as APPLES GROVE APTS APT 1?
(E)
Yes ® Enter Census ID:
No
9.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and 7423 MAIN ST.
1st FLOOR, do any other addresses in that column refer to the same housing unit as APPLES GROVE APTS APT 1?
Yes ® Enter PES MSN
(F3)
and WMSN
No
10.
(B)
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
SECOND PES DUPLICATE ADDRESS
11.
Do 7423 APPLES GROVE DR and 7423 MAIN ST. 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
7423 MAIN ST. 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 17
®
Skip to Question 17
No
(Continued ® )
Page 50 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 5 of 6
THIRD PES ADDRESS
12.
Was there a housing unit at 423 MAIN ST. 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 16
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
13.
Skip to Question 17
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
14.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 MAIN ST. 1st FLOOR?
(E)
Yes ® Enter Census ID:
No
15.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and APPLES
GROVE APTS APT 1, do any other addresses in that column refer to the same housing unit as 7423 MAIN ST. 1st
FLOOR?
Yes ® Enter PES MSN
(F3)
and WMSN
No
16.
Is 7423 MAIN ST. 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(B)
(Continued ® )
Page 51 of 222
Form D-1340
17.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
1111.12345678
Page 6 of 6
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 52 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update and Surrounding BCU Match (M*)
1111.12345678
Page 1 of 2
Unit Status Update and Surrounding BCU Match (M*)
The PES and Census addresses were matched, but the unit status was listed by PES as something other than occupied or vacant
and the BCUs for the two addresses are different. Determine the unit status and the correct BCU.
PES Address
Census Address
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
413 DELL CT APT 3
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
2.
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 5
(Continued ® )
Page 53 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update and Surrounding BCU Match (M*)
1111.12345678
Page 2 of 2
How many housing units were at this basic street address on April 1st, 2020?
3.
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
5.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 54 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate Census Address (M*/DE)
Page 1 of 4
Unit Status Update and Surrounding BCU Match/Duplicate Census Address
(M*/DE)
The PES and Census addresses were matched, but the unit status was listed by PES as something other than occupied or vacant
and the BCUs for the two addresses are different. The census address is a possible duplicate with another census address.
Determine the unit status, the correct BCU, and if the addresses on the Census list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00017
Multi
12
41370
10000000003999
00015
0001
114 TAYLOR LN APT 1
114 TAYLORY LN APT 1
41370
10000000003798
00009
114 TAYLOR LN APT A
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 114 TAYLOR LN APT 1. Did or
does the house/apartment at 114 TAYLOR LN APT 1 ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 55 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate Census Address (M*/DE)
Page 2 of 4
Was there a housing unit at 14 TAYLOR LN APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 56 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate Census Address (M*/DE)
Page 3 of 4
CENSUS DUPLICATE ADDRESS
5.
Do 114 TAYLORY LN APT 1 and 114 TAYLOR LN APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
114 TAYLORY LN APT 1
114 TAYLOR LN APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND CENSUS ADDRESS
6.
Was there a housing unit at 14 TAYLOR LN APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 57 of 222
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate Census Address (M*/DE)
Page 4 of 4
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
9.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLORY LN APT 1 do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT A?
(G2)
Yes ® Enter Census ID:
10.
11.
No
Is 114 TAYLOR LN APT A located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT A?
(B)
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 58 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 1 of 6
Unit Status Update and Surrounding BCU Match/Two Duplicate Census
Addresses (M*/DE/DE)
The PES and Census addresses were matched, but the unit status was listed by PES as something other than occupied or vacant
and the BCUs for the two addresses are different. The census addresses are possible duplicates with other census addresses.
Determine the unit status, the correct BCU, and if the addresses on the Census list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Single
7423 APPLES GROVE DR
Census Address(es)
# Units
BCU
Census ID
MSN
41370
10000000000111
00072
10000000002333
00074
7423 APPLE GROVE
41370
7423 APPLE GROVE APT 1A
41370
10000000003888
00062
7423 APPLE GROVE 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 59 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 2 of 6
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 60 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 3 of 6
FIRST CENSUS DUPLICATE ADDRESS
5.
Do 7423 APPLE GROVE and 7423 APPLE GROVE APT 1A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE APT 1A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND CENSUS ADDRESS
6.
Was there a housing unit at 423 APPLE GROVE APT 1A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE APT 1A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 61 of 222
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 4 of 6
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE APT 1A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
9.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE
APT 1A?
(G3)
Yes ® Enter Census ID:
No
10.
(B)
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
SECOND CENSUS DUPLICATE ADDRESS
11.
Do 7423 APPLE GROVE and 7423 APPLE GROVE 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 17
®
Skip to Question 17
No
(Continued ® )
Page 62 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 5 of 6
THIRD CENSUS ADDRESS
12.
Was there a housing unit at 423 APPLE GROVE 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 16
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
13.
Skip to Question 17
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
14.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE 1st FLOOR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
15.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE APT 1A, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE 1st
FLOOR?
(G3)
Yes ® Enter Census ID:
No
16.
Is 7423 APPLE GROVE 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(B)
(Continued ® )
Page 63 of 222
Form D-1340
17.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 6 of 6
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 64 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate PES Address (M*/DI)
Page 1 of 4
Unit Status Update and Surrounding BCU Match/Duplicate PES Address
(M*/DI)
The PES and Census addresses were matched, but the unit status was listed by PES as something other than occupied or vacant
and the BCUs for the two addresses are different. The PES address is a possible duplicate with another PES address. Determine
the unit status, the correct BCU, and if the addresses on the PES list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
Multi
413 DELL CT APT 3
4
413 DELL CT C APT C
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 65 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate PES Address (M*/DI)
Page 2 of 4
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 66 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate PES Address (M*/DI)
Page 3 of 4
PES DUPLICATE ADDRESS
5.
Do 413 DELL CT APT 3 and 413 DELL CT C APT C refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
413 DELL CT APT 3
413 DELL CT C APT C
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND PES ADDRESS
6.
Was there a housing unit at 13 DELL CT C APT C on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 67 of 222
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate PES Address (M*/DI)
Page 4 of 4
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 413 DELL CT C APT C?
(E)
Yes ® Enter Census ID:
No
9.
Look at the PES column of the Housing Unit Reference List. Aside from 413 DELL CT APT 3, do any other addresses in
that column refer to the same housing unit as 413 DELL CT C APT C?
Yes ® Enter PES MSN
No
(F2)
and WMSN
10.
Is 413 DELL CT C APT C located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT C APT C?
(B)
11.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 68 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
Page 1 of 6
Unit Status Update and Surrounding BCU Match/Two Duplicate PES
Addresses (M*/DI/DI)
The PES and Census addresses were matched, but the unit status was listed by PES as something other than occupied or vacant
and the BCUs for the two addresses are different. The PES addresses are possible duplicates with other PES addresses.
Determine the unit status, the correct BCU, and if the addresses on the PES list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Census Address(es)
# Units
Single
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
9
APPLES GROVE APTS APT 1
00029
0001
Multi
9
7423 MAIN ST. 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page 69 of 222
Form D-1340
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
Page 2 of 6
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page 70 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
Page 3 of 6
FIRST PES DUPLICATE ADDRESS
5.
Do 7423 APPLES GROVE DR and APPLES GROVE APTS APT 1 refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
APPLES GROVE APTS APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND PES ADDRESS
6.
Was there a housing unit at PPLES GROVE APTS APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page 71 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Page 4 of 6
Unit Status Update and Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
7.
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as APPLES GROVE APTS APT 1?
(E)
Yes ® Enter Census ID:
No
9.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and 7423 MAIN ST.
1st FLOOR, do any other addresses in that column refer to the same housing unit as APPLES GROVE APTS APT 1?
Yes ® Enter PES MSN
(F3)
and WMSN
No
10.
(B)
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
SECOND PES DUPLICATE ADDRESS
11.
Do 7423 APPLES GROVE DR and 7423 MAIN ST. 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
7423 MAIN ST. 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 17
®
Skip to Question 17
No
(Continued ® )
Page 72 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
Page 5 of 6
THIRD PES ADDRESS
12.
Was there a housing unit at 423 MAIN ST. 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 16
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
13.
Skip to Question 17
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
14.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 MAIN ST. 1st FLOOR?
(E)
Yes ® Enter Census ID:
No
15.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and APPLES
GROVE APTS APT 1, do any other addresses in that column refer to the same housing unit as 7423 MAIN ST. 1st
FLOOR?
Yes ® Enter PES MSN
(F3)
and WMSN
No
16.
Is 7423 MAIN ST. 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(B)
(Continued ® )
Page 73 of 222
Form D-1340
17.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate PES Addresses (M*/DI/DI)
Page 6 of 6
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 74 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Duplicate Census Address (M/DE)
1111.12345678
Page 1 of 3
PES-Census Match/Duplicate Census Address (M/DE)
The PES and Census address match. The Census address is a possible duplicate with another Census address. Determine if the
addresses on the Census list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00017
Multi
12
41370
10000000003999
00015
10000000003798
00009
0001
114 TAYLOR LN APT 1,1 1/4 mile from intersection of
route 54 and Taylor LN
114 TAYLOR LN APT 1
41370
114 TAYLOR LN APT A
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 114 TAYLOR LN APT 1,1 1/4 mile
from intersection of route 54 and Taylor LN. Did or does the house/apartment at 114 TAYLOR LN APT 1,1 1/4 mile from
intersection of route 54 and Taylor LN ever use a different address?
1.
Go to next question.
(M)
CENSUS DUPLICATE ADDRESS
2.
Do 114 TAYLOR LN APT 1 and 114 TAYLOR LN APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
114 TAYLOR LN APT 1
114 TAYLOR LN APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
Other
No
®
Skip to Question 5
(Continued ® )
Page 75 of 222
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Duplicate Census Address (M/DE)
1111.12345678
Page 2 of 3
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
STOP if you answered "Yes" to Question 2
SECOND CENSUS ADDRESS
5.
Was there a housing unit at 14 TAYLOR LN APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 9
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 10
(Continued ® )
Page 76 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Duplicate Census Address (M/DE)
1111.12345678
Page 3 of 3
How many housing units were at this basic street address on April 1st, 2020?
6.
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
7.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
8.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLOR LN APT 1 do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT A?
(G2)
Yes ® Enter Census ID:
9.
10.
No
Is 114 TAYLOR LN APT A located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT A?
(B)
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 77 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Two Duplicate Census Addresses (M/DE/DE)
1111.12345678
Page 1 of 5
PES-Census Match/Two Duplicate Census Addresses (M/DE/DE)
The PES and Census address match. The Census addresses are possible duplicates with other Census addresses. Determine if
the addresses on the Census list are the same.
PES Address(es)
MSN WMSN
00001
0000
Census Address(es)
TOA
# Units
Single
7423 APPLES GROVE DR
BCU
Census ID
MSN
41370
10000000000111
00072
10000000002333
00074
7423 APPLE GROVE
41370
7423 APPLE GROVE APT 1A
41370
10000000003888
00062
7423 APPLE GROVE 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
FIRST CENSUS DUPLICATE ADDRESS
2.
Do 7423 APPLE GROVE and 7423 APPLE GROVE APT 1A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE APT 1A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
Other
No
®
Skip to Question 4
(Continued ® )
Page 78 of 222
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Two Duplicate Census Addresses (M/DE/DE)
1111.12345678
Page 2 of 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
SKIP to Question 9 if you answered "Yes" to Question 2
SECOND CENSUS ADDRESS
4.
Was there a housing unit at 423 APPLE GROVE APT 1A on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE APT 1A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Demolished or burned down. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 8
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
5.
Skip to Question 9
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
6.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE APT 1A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
(Continued ® )
Page 79 of 222
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Two Duplicate Census Addresses (M/DE/DE)
1111.12345678
Page 3 of 5
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE
APT 1A?
(G3)
Yes ® Enter Census ID:
No
8.
(B)
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
SECOND CENSUS DUPLICATE ADDRESS
9.
Do 7423 APPLE GROVE and 7423 APPLE GROVE 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
No
10.
®
(C2)
Other
Skip to Question 11
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
SKIP to Question 16 if you answered "Yes" to Question 9
(Continued ® )
Page 80 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Two Duplicate Census Addresses (M/DE/DE)
1111.12345678
Page 4 of 5
THIRD CENSUS ADDRESS
11.
Was there a housing unit at 423 APPLE GROVE 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 15
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
12.
Skip to Question 16
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
13.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE 1st FLOOR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
14.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE APT 1A, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE 1st
FLOOR?
(G3)
Yes ® Enter Census ID:
No
15.
Is 7423 APPLE GROVE 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(B)
(Continued ® )
Page 81 of 222
Form D-1340
16.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Two Duplicate Census Addresses (M/DE/DE)
1111.12345678
Page 5 of 5
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 82 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Duplicate PES Address (M/DI)
1111.12345678
Page 1 of 3
PES-Census Match/Duplicate PES Address (M/DI)
The PES and Census address match. The PES address is a possible duplicate with another PES address. Determine if the
addresses on the PES list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
413 DELL CT APT 3
Multi
4
413 DELL CT APT C
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
PES DUPLICATE ADDRESS
2.
Do 413 DELL CT APT 3 and 413 DELL CT APT C refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
413 DELL CT APT 3
413 DELL CT APT C
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
Other
No
®
Skip to Question 5
(Continued ® )
Page 83 of 222
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
PES-Census Match/Duplicate PES Address (M/DI)
Page 2 of 3
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
STOP if you answered "Yes" to Question 2
SECOND PES ADDRESS
5.
Was there a housing unit at 13 DELL CT APT C on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT C
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 9
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 10
(Continued ® )
Page 84 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Duplicate PES Address (M/DI)
1111.12345678
Page 3 of 3
How many housing units were at this basic street address on April 1st, 2020?
6.
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
7.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 413 DELL CT APT C?
(E)
Yes ® Enter Census ID:
No
8.
Look at the PES column of the Housing Unit Reference List. Aside from 413 DELL CT APT 3, do any other addresses in
that column refer to the same housing unit as 413 DELL CT APT C?
Yes ® Enter PES MSN
No
(F2)
and WMSN
9.
Is 413 DELL CT APT C located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT APT C?
(B)
10.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 85 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Two Duplicate PES Addresses (M/DI/DI)
1111.12345678
Page 1 of 5
PES-Census Match/Two Duplicate PES Addresses (M/DI/DI)
The PES and Census address match. The PES addresses are possible duplicates with other PES addresses. Determine if the
addresses on the PES list are the same.
PES Address(es)
MSN WMSN
00001
0000
Census Address(es)
TOA
# Units
Single
7423 APPLES GROVE DR
00024
0001
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Multi
9
APPLE GROVE APTS APT 1
00029
0001
Multi
9
7423 MAIN ST 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
FIRST PES DUPLICATE ADDRESS
2.
Do 7423 APPLES GROVE DR and APPLE GROVE APTS APT 1 refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
APPLE GROVE APTS APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
Other
No
®
Skip to Question 4
(Continued ® )
Page 86 of 222
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Two Duplicate PES Addresses (M/DI/DI)
1111.12345678
Page 2 of 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
SKIP to Question 9 if you answered "Yes" to Question 2
SECOND PES ADDRESS
4.
Was there a housing unit at PPLE GROVE APTS APT 1 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of APPLE GROVE APTS APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Demolished or burned down. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 8
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
5.
Skip to Question 9
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
6.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as APPLE GROVE APTS APT 1?
(E)
Yes ® Enter Census ID:
No
(Continued ® )
Page 87 of 222
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Two Duplicate PES Addresses (M/DI/DI)
1111.12345678
Page 3 of 5
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and 7423 MAIN ST
1st FLOOR, do any other addresses in that column refer to the same housing unit as APPLE GROVE APTS APT 1?
Yes ® Enter PES MSN
(F3)
and WMSN
No
8.
(B)
Is APPLE GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLE GROVE APTS APT 1?
SECOND PES DUPLICATE ADDRESS
9.
Do 7423 APPLES GROVE DR and 7423 MAIN ST 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
7423 MAIN ST 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
No
10.
®
(C2)
Other
Skip to Question 11
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
SKIP to Question 16 if you answered "Yes" to Question 9
(Continued ® )
Page 88 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Two Duplicate PES Addresses (M/DI/DI)
1111.12345678
Page 4 of 5
THIRD PES ADDRESS
11.
Was there a housing unit at 423 MAIN ST 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 15
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
12.
Skip to Question 16
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
13.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 MAIN ST 1st FLOOR?
(E)
Yes ® Enter Census ID:
No
14.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and APPLE GROVE
APTS APT 1, do any other addresses in that column refer to the same housing unit as 7423 MAIN ST 1st FLOOR?
Yes ® Enter PES MSN
(F3)
and WMSN
No
15.
Is 7423 MAIN ST 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 MAIN ST 1st FLOOR?
(B)
(Continued ® )
Page 89 of 222
Form D-1340
16.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Two Duplicate PES Addresses (M/DI/DI)
1111.12345678
Page 5 of 5
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 90 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched Address (NE)
1111.12345678
Page 1 of 2
Census Nonmatched Address (NE)
The Census listed an address that PES did not. Determine if the Census address is a housing unit.
PES Address
MSN WMSN
TOA
Census Address
# Units
BCU
Census ID
MSN
41370
10000000002513
00001
1714 N LOGAN BLVD
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 1714 N LOGAN BLVD. Did or
does the house/apartment at 1714 N LOGAN BLVD ever use a different address?
1.
Go to next question.
(M)
2.
Was there a housing unit at 714 N LOGAN BLVD on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 1714 N LOGAN BLVD
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 6
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 7
(Continued ® )
Page 91 of 222
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Census Nonmatched Address (NE)
Page 2 of 2
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 1714 N LOGAN BLVD?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
5.
Look at the Census Column of the Housing Unit Reference List. Do any other addresses in that column refer to the
same housing unit as 1714 N LOGAN BLVD?
(G1)
6.
Yes ® Enter Census ID:
No
Is 1714 N LOGAN BLVD located in BCU 41370?
Yes
No ® In what BCU number is 1714 N LOGAN BLVD?
(B)
7.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 92 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched and Duplicate Addresses (NE/DE)
1111.12345678
Page 1 of 4
Census Nonmatched and Duplicate Addresses (NE/DE)
The Census listed an address that PES did not. The Census address is a possible duplicate with another Census address.
Determine if the Census address is a housing unit and if the addresses on the Census list are the same.
PES Address(es)
MSN WMSN
Census Address(es)
TOA
# Units
BCU
Census ID
MSN
41370
10000000002777
00004
10000000002888
00007
4116 FELDOR DR
41370
4116 FELDON DR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 4116 FELDOR DR. Did or does
the house/apartment at 4116 FELDOR DR ever use a different address?
1.
Go to next question.
(M)
CENSUS DUPLICATE ADDRESS
2.
Do 4116 FELDOR DR and 4116 FELDON DR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
4116 FELDOR DR
4116 FELDON DR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
®
Skip to Question 8
Other
®
Skip to Question 8
No
(Continued ® )
Page 93 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched and Duplicate Addresses (NE/DE)
1111.12345678
Page 2 of 4
SECOND CENSUS ADDRESS
3.
Was there a housing unit at 116 FELDON DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 4116 FELDON DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 4116 FELDON DR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
Look at the Census Column of the Housing Unit Reference List. Aside from 4116 FELDOR DR do any other addresses
in that column refer to the same housing unit as 4116 FELDON DR?
(G2)
Yes ® Enter Census ID:
7.
No
Is 4116 FELDON DR located in BCU 41370?
Yes
No ® In what BCU number is 4116 FELDON DR?
(B)
(Continued ® )
Page 94 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched and Duplicate Addresses (NE/DE)
1111.12345678
Page 3 of 4
CENSUS NONMATCH ADDRESS
8.
Was there a housing unit at 116 FELDOR DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 4116 FELDOR DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 4116 FELDOR DR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
11.
Look at the Census Column of the Housing Unit Reference List. Aside from 4116 FELDON DR do any other addresses
in that column refer to the same housing unit as 4116 FELDOR DR?
(G2)
Yes ® Enter Census ID:
12.
No
Is 4116 FELDOR DR located in BCU 41370?
Yes
No ® In what BCU number is 4116 FELDOR DR?
(B)
(Continued ® )
Page 95 of 222
Form D-1340
13.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched and Duplicate Addresses (NE/DE)
1111.12345678
Page 4 of 4
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 96 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched/Two Duplicate Census Addresses (NE/DE/DE)
1111.12345678
Page 1 of 5
Census Nonmatched/Two Duplicate Census Addresses (NE/DE/DE)
The Census listed an address that PES did not. The Census addresses are possible duplicates with other Census addresses.
Determine if the Census address is a housing unit and if the addresses on the Census list are the same.
PES Address(es)
MSN WMSN
Census Address(es)
TOA
# Units
BCU
Census ID
MSN
41370
12345678701222
00052
23456789801333
00021
12345678701444
00058
4116 WALDO DR
41370
4116 WALDON DR
41370
4116 FELDOR ST
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 4116 WALDO DR. Did or does
the house/apartment at 4116 WALDO DR ever use a different address?
1.
Go to next question.
(M)
FIRST CENSUS DUPLICATE ADDRESS
2.
Do 4116 WALDO DR and 4116 WALDON DR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
4116 WALDO DR
4116 WALDON DR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
®
Skip to Question 8
Other
®
Skip to Question 8
No
(Continued ® )
Page 97 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched/Two Duplicate Census Addresses (NE/DE/DE)
1111.12345678
Page 2 of 5
SECOND CENSUS ADDRESS
3.
Was there a housing unit at 116 WALDON DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 4116 WALDON DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 4116 WALDON DR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
Look at the Census Column of the Housing Unit Reference List. Aside from 4116 WALDO DR and 4116 FELDOR ST,
do any other addresses in that column refer to the same housing unit as 4116 WALDON DR?
(G3)
Yes ® Enter Census ID:
No
7.
Is 4116 WALDON DR located in BCU 41370?
Yes
No ® In what BCU number is 4116 WALDON DR?
(B)
(Continued ® )
Page 98 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched/Two Duplicate Census Addresses (NE/DE/DE)
1111.12345678
Page 3 of 5
SECOND CENSUS DUPLICATE ADDRESS
8.
Do 4116 WALDO DR and 4116 FELDOR ST refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
4116 WALDO DR
4116 FELDOR ST
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 14
®
Skip to Question 14
No
THIRD CENSUS ADDRESS
9.
Was there a housing unit at 116 FELDOR ST on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 4116 FELDOR ST
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 13
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 14
(Continued ® )
Page 99 of 222
Form D-1340
10.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched/Two Duplicate Census Addresses (NE/DE/DE)
1111.12345678
Page 4 of 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
11.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 4116 FELDOR ST?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
12.
Look at the Census Column of the Housing Unit Reference List. Aside from 4116 WALDO DR and 4116 WALDON DR,
do any other addresses in that column refer to the same housing unit as 4116 FELDOR ST?
(G3)
Yes ® Enter Census ID:
No
13.
(B)
Is 4116 FELDOR ST located in BCU 41370?
Yes
No ® In what BCU number is 4116 FELDOR ST?
CENSUS NONMATCH ADDRESS
14.
Was there a housing unit at 116 WALDO DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 4116 WALDO DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 100 of 222
Form D-1340
15.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched/Two Duplicate Census Addresses (NE/DE/DE)
1111.12345678
Page 5 of 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 4116 WALDO DR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
17.
Look at the Census Column of the Housing Unit Reference List. Aside from 4116 WALDON DR and 4116 FELDOR ST,
do any other addresses in that column refer to the same housing unit as 4116 WALDO DR?
(G3)
Yes ® Enter Census ID:
No
18.
Is 4116 WALDO DR located in BCU 41370?
Yes
No ® In what BCU number is 4116 WALDO DR?
(B)
19.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 101 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched Address (NI)
1111.12345678
Page 1 of 2
PES Nonmatched Address (NI)
The PES listed an address that the Census did not. Determine if the PES address is a housing unit.
PES Address
MSN WMSN
TOA
00003
Multi
0005
Census Address
# Units
BCU
Census ID
MSN
927 WITNER DR APT 112
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 927 WITNER DR APT 112. Did or
does the house/apartment at 927 WITNER DR APT 112 ever use a different address?
1.
Go to next question.
(M)
2.
Was there a housing unit at 27 WITNER DR APT 112 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 927 WITNER DR APT 112
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 6
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 7
(Continued ® )
Page 102 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
PES Nonmatched Address (NI)
Page 2 of 2
How many housing units were at this basic street address on April 1st, 2020?
3.
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 927 WITNER DR APT 112?
(E)
Yes ® Enter Census ID:
No
5.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 927 WITNER DR APT 112?
Yes ® Enter PES MSN
(F1)
and WMSN
No
6.
Is 927 WITNER DR APT 112 located in BCU 4130?
Yes
No ® In what BCU number is 927 WITNER DR APT 112?
(B)
7.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 103 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched and Duplicate Addresses (NI/DI)
1111.12345678
Page 1 of 4
PES Nonmatched and Duplicate Addresses (NI/DI)
The PES listed an address that the Census did not. The PES address is a possible duplicate with another PES address.
Determine if the PES address is a housing unit and if the addresses on the PES list are the same.
PES Address(es)
MSN WMSN
00013
0000
Census Address(es)
TOA
# Units
BCU
Census ID
MSN
Single
416A CHADWICK CT
00014
0001
Multi
4
416 CHADWICK CT APT A
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 416A CHADWICK CT. Did or
does the house/apartment at 416A CHADWICK CT ever use a different address?
1.
Go to next question.
(M)
PES DUPLICATE ADDRESS
2.
Do 416A CHADWICK CT and 416 CHADWICK CT APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
416A CHADWICK CT
416 CHADWICK CT APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
®
Skip to Question 8
Other
®
Skip to Question 8
No
(Continued ® )
Page 104 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched and Duplicate Addresses (NI/DI)
1111.12345678
Page 2 of 4
SECOND PES ADDRESS
3.
Was there a housing unit at 16 CHADWICK CT APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 416 CHADWICK CT APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 416 CHADWICK CT APT A?
(E)
Yes ® Enter Census ID:
No
6.
Look at the PES column of the Housing Unit Reference List. Aside from 416A CHADWICK CT, do any other addresses
in that column refer to the same housing unit as 416 CHADWICK CT APT A?
Yes ® Enter PES MSN
No
7.
(F2)
and WMSN
Is 416 CHADWICK CT APT A located in BCU 41370?
Yes
No ® In what BCU number is 416 CHADWICK CT APT A?
(B)
(Continued ® )
Page 105 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched and Duplicate Addresses (NI/DI)
1111.12345678
Page 3 of 4
PES NONMATCH ADDRESS
8.
Was there a housing unit at 16A CHADWICK CT on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 416A CHADWICK CT
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 416A CHADWICK CT?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Aside from 416 CHADWICK CT APT A, do any other
addresses in that column refer to the same housing unit as 416A CHADWICK CT?
Yes ® Enter PES MSN
No
12.
(F2)
and WMSN
Is 416A CHADWICK CT located in BCU 41370?
Yes
No ® In what BCU number is 416A CHADWICK CT?
(B)
(Continued ® )
Page 106 of 222
Form D-1340
13.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched and Duplicate Addresses (NI/DI)
1111.12345678
Page 4 of 4
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 107 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched/Two Duplicate PES Addresses (NI/DI/DI)
1111.12345678
Page 1 of 5
PES Nonmatched/Two Duplicate PES Addresses (NI/DI/DI)
The PES listed an address that the Census did not. The PES addresses are possible duplicates with other PES addresses.
Determine if the PES address is a housing unit and if the addresses on the PES list are the same.
PES Address(es)
MSN WMSN
00133
0000
Census Address(es)
TOA
# Units
BCU
Census ID
MSN
Single
416A ARDWICK CT
00134
0001
Multi
4
416 ARDWICK CT APT A
00135
0001
Multi
4
416 CHADWICK CT APT 1
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 416A ARDWICK CT. Did or does
the house/apartment at 416A ARDWICK CT ever use a different address?
1.
Go to next question.
(M)
FIRST PES DUPLICATE ADDRESS
2.
Do 416A ARDWICK CT and 416 ARDWICK CT APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
416A ARDWICK CT
416 ARDWICK CT APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
®
Skip to Question 8
Other
®
Skip to Question 8
No
(Continued ® )
Page 108 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched/Two Duplicate PES Addresses (NI/DI/DI)
1111.12345678
Page 2 of 5
SECOND PES ADDRESS
3.
Was there a housing unit at 16 ARDWICK CT APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 416 ARDWICK CT APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 416 ARDWICK CT APT A?
(E)
Yes ® Enter Census ID:
No
6.
Look at the PES column of the Housing Unit Reference List. Aside from 416A ARDWICK CT and 416 CHADWICK CT
APT 1, do any other addresses in that column refer to the same housing unit as 416 ARDWICK CT APT A?
Yes ® Enter PES MSN
(F3)
and WMSN
No
7.
Is 416 ARDWICK CT APT A located in BCU 41370?
Yes
No ® In what BCU number is 416 ARDWICK CT APT A?
(B)
(Continued ® )
Page 109 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched/Two Duplicate PES Addresses (NI/DI/DI)
1111.12345678
Page 3 of 5
SECOND PES DUPLICATE ADDRESS
8.
Do 416A ARDWICK CT and 416 CHADWICK CT APT 1 refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
416A ARDWICK CT
416 CHADWICK CT APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 14
®
Skip to Question 14
No
THIRD PES ADDRESS
9.
Was there a housing unit at 16 CHADWICK CT APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 416 CHADWICK CT APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 13
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 14
(Continued ® )
Page 110 of 222
Form D-1340
10.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
PES Nonmatched/Two Duplicate PES Addresses (NI/DI/DI)
Page 4 of 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
11.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 416 CHADWICK CT APT 1?
(E)
Yes ® Enter Census ID:
No
12.
Look at the PES column of the Housing Unit Reference List. Aside from 416A ARDWICK CT and 416 ARDWICK CT APT
A, do any other addresses in that column refer to the same housing unit as 416 CHADWICK CT APT 1?
Yes ® Enter PES MSN
(F3)
and WMSN
No
13.
(B)
Is 416 CHADWICK CT APT 1 located in BCU 41370?
Yes
No ® In what BCU number is 416 CHADWICK CT APT 1?
PES NONMATCH ADDRESS
14.
Was there a housing unit at 16A ARDWICK CT on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 416A ARDWICK CT
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 111 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Page 5 of 5
PES Nonmatched/Two Duplicate PES Addresses (NI/DI/DI)
15.
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 416A ARDWICK CT?
(E)
Yes ® Enter Census ID:
No
17.
Look at the PES column of the Housing Unit Reference List. Aside from 416 ARDWICK CT APT A and 416 CHADWICK
CT APT 1, do any other addresses in that column refer to the same housing unit as 416A ARDWICK CT?
Yes ® Enter PES MSN
(F3)
and WMSN
No
18.
Is 416A ARDWICK CT located in BCU 41370?
Yes
No ® In what BCU number is 416A ARDWICK CT?
(B)
19.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 116 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Possible PES-Census Match (P*)
1111.12345678
Page 1 of 4
Unit Status Update/Possible PES-Census Match (P*)
The PES and Census addresses are possible matches, and the unit status was listed by PES as something other than occupied or
vacant. Determine if the addresses are the same and the unit status of the PES address.
PES Address
Census Address
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
413 DELL CT APT 3
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
2.
Do 413 DELL CT APT 3 and 413 DELL CT APT 3 refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
413 DELL CT APT 3
Other
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 117 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Possible PES-Census Match (P*)
1111.12345678
Page 2 of 4
CENSUS ADDRESS
3.
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 413 DELL CT APT 3?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
7.
Look at the Census Column of the Housing Unit Reference List. Do any other addresses in that column refer to the
same housing unit as 413 DELL CT APT 3?
Yes ® Enter Census ID:
No
Is 413 DELL CT APT 3 located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT APT 3?
(G1)
(B)
(Continued ® )
Page 118 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Possible PES-Census Match (P*)
1111.12345678
Page 3 of 4
PES ADDRESS
8.
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 413 DELL CT APT 3?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 413 DELL CT APT 3?
Yes ® Enter PES MSN
(F1)
and WMSN
No
12.
Is 413 DELL CT APT 3 located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT APT 3?
(B)
(Continued ® )
Page 119 of 222
Form D-1340
13.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Possible PES-Census Match (P*)
1111.12345678
Page 4 of 4
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 120 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 1 of 5
Unit Status Update/Possible PES-Census Match/Duplicate Census Address
(P*/DE)
The PES and Census addresses are possible matches, and the unit status was listed by PES as something other than occupied or
vacant. The census address is a possible duplicate with another census address. Determine if the addresses are the same, the
unit status of the PES address, and if the addresses on the Census list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00017
Multi
12
41370
10000000003999
00015
10000000003798
00009
0001
114 TAYLOR LN APT 1,1 1/4 mile from intersection of
route 54 and Taylor LN
114 TAYLOR LN APT 1
41370
114 TAYLOR LN APT A
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 114 TAYLOR LN APT 1,1 1/4 mile
from intersection of route 54 and Taylor LN. Did or does the house/apartment at 114 TAYLOR LN APT 1,1 1/4 mile from
intersection of route 54 and Taylor LN ever use a different address?
1.
Go to next question.
2.
(M)
Do 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN and 114 TAYLOR LN APT 1 refer (C1)
to the same housing unit?
Yes
® a. What is the correct address?
114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN
114 TAYLOR LN APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 121 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 2 of 5
FIRST CENSUS ADDRESS
3.
Was there a housing unit at 14 TAYLOR LN APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT 1?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLOR LN APT A do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT 1?
(G2)
Yes ® Enter Census ID:
7.
No
Is 114 TAYLOR LN APT 1 located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT 1?
(B)
(Continued ® )
Page 122 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 3 of 5
PES ADDRESS
8.
Was there a housing unit at 14 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor
LN on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor
LN
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Demolished or burned down. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
Yes ® Enter PES MSN
(F1)
and WMSN
No
12.
Is 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
(B)
(Continued ® )
Page 123 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 4 of 5
CENSUS DUPLICATE ADDRESS
13.
Do 114 TAYLOR LN APT 1 and 114 TAYLOR LN APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
114 TAYLOR LN APT 1
114 TAYLOR LN APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 19
®
Skip to Question 19
No
SECOND CENSUS ADDRESS
14.
Was there a housing unit at 14 TAYLOR LN APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 124 of 222
Form D-1340
15.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 5 of 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
17.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLOR LN APT 1 do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT A?
(G2)
Yes ® Enter Census ID:
18.
19.
No
Is 114 TAYLOR LN APT A located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT A?
(B)
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 125 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 1 of 7
Unit Status Update/Possible PES-Census Match/Two Duplicate Census
Addresses (P*/DE/DE)
The PES and Census addresses are possible matches, and the unit status was listed by PES as something other than occupied or
vacant. The census addresses are possible duplicates with other census addresses. Determine if the addresses are the same, the
unit status of the PES address, and if the addresses on the Census list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Census Address(es)
# Units
Single
7423 APPLES GROVE DR
BCU
Census ID
MSN
41370
10000000000111
00072
10000000002333
00074
7423 APPLE GROVE
41370
7423 APPLE GROVE APT 1A
41370
10000000003888
00062
7423 APPLE GROVE 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
2.
Do 7423 APPLES GROVE DR and 7423 APPLE GROVE refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
7423 APPLES GROVE DR
7423 APPLE GROVE
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
®
Skip to Question 8
Other
®
Skip to Question 8
No
(Continued ® )
Page 126 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 2 of 7
CENSUS ADDRESS
3.
Was there a housing unit at 423 APPLE GROVE on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE APT 1A and 7423
APPLE GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE
GROVE?
(G3)
Yes ® Enter Census ID:
No
7.
Is 7423 APPLE GROVE located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE?
(B)
(Continued ® )
Page 127 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 3 of 7
PES ADDRESS
8.
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 APPLES GROVE DR?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 7423 APPLES GROVE DR?
Yes ® Enter PES MSN
(F1)
and WMSN
No
12.
Is 7423 APPLES GROVE DR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLES GROVE DR?
(B)
(Continued ® )
Page 128 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 4 of 7
FIRST CENSUS DUPLICATE ADDRESS
13.
Do 7423 APPLE GROVE and 7423 APPLE GROVE APT 1A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE APT 1A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 19
®
Skip to Question 19
No
SECOND CENSUS ADDRESS
14.
Was there a housing unit at 423 APPLE GROVE APT 1A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE APT 1A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 129 of 222
Form D-1340
DE) 15.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/
Page 5 of 7
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE APT 1A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
17.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE
APT 1A?
(G3)
Yes ® Enter Census ID:
No
18.
(B)
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
SECOND CENSUS DUPLICATE ADDRESS
19.
Do 7423 APPLE GROVE and 7423 APPLE GROVE 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 25
®
Skip to Question 25
No
(Continued ® )
Page 130 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 6 of 7
THIRD CENSUS ADDRESS
20.
Was there a housing unit at 423 APPLE GROVE 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 24
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
21.
Skip to Question 25
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
22.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE 1st FLOOR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
23.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE APT 1A, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE 1st
FLOOR?
(G3)
Yes ® Enter Census ID:
No
24.
Is 7423 APPLE GROVE 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(B)
(Continued ® )
Page 131 of 222
Form D-1340
25.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 7 of 7
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 132 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 1 of 5
Unit Status Update/Possible PES-Census Match/Duplicate PES Address
(P*/DI)
The PES and census addresses are possible matches, and the unit status was listed by PES as something other than occupied or
vacant. The PES address is a possible duplicate with another PES address. Determine if the addresses are the same, the unit
status of the address and if the addresses on the PES list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
413 DELL CT APT 3
Multi
4
413 DELL CT C APT C
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
2.
Do 413 DELL CT APT 3 and 413 DELL CT APT 3 refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
413 DELL CT APT 3
Other
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 133 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 2 of 5
CENSUS ADDRESS
3.
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 413 DELL CT APT 3?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
7.
Look at the Census Column of the Housing Unit Reference List. Do any other addresses in that column refer to the
same housing unit as 413 DELL CT APT 3?
Yes ® Enter Census ID:
No
Is 413 DELL CT APT 3 located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT APT 3?
(G1)
(B)
(Continued ® )
Page 134 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 3 of 5
FIRST PES ADDRESS
8.
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 413 DELL CT APT 3?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Aside from 413 DELL CT C APT C, do any other addresses
in that column refer to the same housing unit as 413 DELL CT APT 3?
Yes ® Enter PES MSN
No
12.
(F2)
and WMSN
Is 413 DELL CT APT 3 located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT APT 3?
(B)
(Continued ® )
Page 135 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 4 of 5
PES DUPLICATE ADDRESS
13.
Do 413 DELL CT APT 3 and 413 DELL CT C APT C refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
413 DELL CT APT 3
413 DELL CT C APT C
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 19
®
Skip to Question 19
No
SECOND PES ADDRESS
14.
Was there a housing unit at 13 DELL CT C APT C on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 136 of 222
Form D-1340
15.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 5 of 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 413 DELL CT C APT C?
(E)
Yes ® Enter Census ID:
No
17.
Look at the PES column of the Housing Unit Reference List. Aside from 413 DELL CT APT 3, do any other addresses in
that column refer to the same housing unit as 413 DELL CT C APT C?
Yes ® Enter PES MSN
No
(F2)
and WMSN
18.
Is 413 DELL CT C APT C located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT C APT C?
(B)
19.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 137 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 1 of 7
Unit Status Update/Possible PES-Census Match/Two Duplicate PES
Addresses (P*/DI/DI)
The PES and Census addresses are possible matches, and the unit status was listed by PES as something other than occupied or
vacant. The PES addresses are possible duplicates with other PES addresses. Determine if the addresses are the same, the unit
status of the PES address, and if the addresses on the PES list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Census Address(es)
# Units
Single
7423 APPLES GROVE DR
00024
0001
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Multi
9
APPLES GROVE APTS APT 1
00029
0001
Multi
9
7423 MAIN ST. 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
2.
Do 7423 APPLES GROVE DR and 7423 APPLE GROVE refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
7423 APPLES GROVE DR
7423 APPLE GROVE
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
®
Skip to Question 8
Other
®
Skip to Question 8
No
(Continued ® )
Page 138 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 2 of 7
CENSUS ADDRESS
3.
Was there a housing unit at 423 APPLE GROVE on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
7.
Look at the Census Column of the Housing Unit Reference List. Do any other addresses in that column refer to the
same housing unit as 7423 APPLE GROVE?
Yes ® Enter Census ID:
No
Is 7423 APPLE GROVE located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE?
(G1)
(B)
(Continued ® )
Page 139 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 3 of 7
FIRST PES ADDRESS
8.
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 APPLES GROVE DR?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 7423 APPLES GROVE DR?
Yes ® Enter PES MSN
(F1)
and WMSN
No
12.
Is 7423 APPLES GROVE DR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLES GROVE DR?
(B)
(Continued ® )
Page 140 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 4 of 7
FIRST PES DUPLICATE ADDRESS
13.
Do 7423 APPLES GROVE DR and APPLES GROVE APTS APT 1 refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
APPLES GROVE APTS APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 19
®
Skip to Question 19
No
SECOND PES ADDRESS
14.
Was there a housing unit at PPLES GROVE APTS APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 141 of 222
Form D-1340
15.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 5 of 7
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as APPLES GROVE APTS APT 1?
(E)
Yes ® Enter Census ID:
No
17.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and 7423 MAIN ST.
1st FLOOR, do any other addresses in that column refer to the same housing unit as APPLES GROVE APTS APT 1?
Yes ® Enter PES MSN
(F3)
and WMSN
No
18.
(B)
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
SECOND PES DUPLICATE ADDRESS
19.
Do 7423 APPLES GROVE DR and 7423 MAIN ST. 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
7423 MAIN ST. 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 25
®
Skip to Question 25
No
(Continued ® )
Page 142 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 6 of 7
THIRD PES ADDRESS
20.
Was there a housing unit at 423 MAIN ST. 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 24
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
21.
Skip to Question 25
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
22.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 MAIN ST. 1st FLOOR?
(E)
Yes ® Enter Census ID:
No
23.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and APPLES
GROVE APTS APT 1, do any other addresses in that column refer to the same housing unit as 7423 MAIN ST. 1st
FLOOR?
Yes ® Enter PES MSN
(F3)
and WMSN
No
24.
Is 7423 MAIN ST. 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(B)
(Continued ® )
Page 143 of 222
Form D-1340
25.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 7 of 7
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 172 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match (P*)
Page 1 of 4
Unit Status Update and Surrounding BCU Match/Possible PES-Census
Match (P*)
The PES and Census addresses are possible matches, the unit status was listed by PES as something other than occupied or
vacant, and the BCUs for the two addresses are different. Determine if the addresses are the same, the unit status, and the
correct BCU.
PES Address
Census Address
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
413 DELL CT APT 3
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
2.
Do 413 DELL CT APT 3 and 413 DELL CT APT 3 refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
413 DELL CT APT 3
Other
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 173 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match (P*)
Page 2 of 4
CENSUS ADDRESS
3.
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 413 DELL CT APT 3?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
7.
Look at the Census Column of the Housing Unit Reference List. Do any other addresses in that column refer to the
same housing unit as 413 DELL CT APT 3?
Yes ® Enter Census ID:
No
Is 413 DELL CT APT 3 located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT APT 3?
(G1)
(B)
(Continued ® )
Page 174 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match (P*)
Page 3 of 4
PES ADDRESS
8.
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 413 DELL CT APT 3?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 413 DELL CT APT 3?
Yes ® Enter PES MSN
(F1)
and WMSN
No
12.
Is 413 DELL CT APT 3 located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT APT 3?
(B)
(Continued ® )
Page 175 of 222
Form D-1340
13.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match (P*)
Page 4 of 4
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 176 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 1 of 5
Unit Status Update and Surrounding BCU Match/Possible PES-Census
Match/Duplicate Census Address (P*/DE)
The PES and Census addresses are possible matches, the unit status was listed by PES as something other than occupied or
vacant, and the BCUs for the two addresses are different. Determine if the addresses are the same, the unit status, the correct
BCU, and if the addresses on the Census list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00017
Multi
12
41370
10000000003999
00015
10000000003798
00009
0001
114 TAYLOR LN APT 1,1 1/4 mile from intersection of
route 54 and Taylor LN
114 TAYLOR LN APT 1
41370
114 TAYLOR LN APT A
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 114 TAYLOR LN APT 1,1 1/4 mile
from intersection of route 54 and Taylor LN. Did or does the house/apartment at 114 TAYLOR LN APT 1,1 1/4 mile from
intersection of route 54 and Taylor LN ever use a different address?
1.
Go to next question.
2.
(M)
Do 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN and 114 TAYLOR LN APT 1 refer (C1)
to the same housing unit?
Yes
® a. What is the correct address?
114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN
114 TAYLOR LN APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 177 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 2 of 5
FIRST CENSUS ADDRESS
3.
Was there a housing unit at 14 TAYLOR LN APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT 1?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLOR LN APT A do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT 1?
(G2)
Yes ® Enter Census ID:
7.
No
Is 114 TAYLOR LN APT 1 located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT 1?
(B)
(Continued ® )
Page 178 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 3 of 5
PES ADDRESS
8.
Was there a housing unit at 14 TAYLOR LN APT 1, 1/4 mile from intersection of route 54 and Taylor
LN on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor
No ® Please describe the status of LN
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
Yes ® Enter PES MSN
(F1)
and WMSN
No
12.
Is 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
(B)
(Continued ® )
Page 179 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 4 of 5
CENSUS DUPLICATE ADDRESS
13.
Do 114 TAYLOR LN APT 1 and 114 TAYLOR LN APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
114 TAYLOR LN APT 1
114 TAYLOR LN APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 19
®
Skip to Question 19
No
SECOND CENSUS ADDRESS
14.
Was there a housing unit at 14 TAYLOR LN APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 180 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE)
15.
Page 5 of 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
17.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLOR LN APT 1 do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT A?
(G2)
Yes ® Enter Census ID:
18.
19.
No
Is 114 TAYLOR LN APT A located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT A?
(B)
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 181 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 1 of 7
Unit Status Update and Surrounding BCU Match/Possible PES-Census
Match/Two Duplicate Census Addresses (P*/DE/DE)
The PES and Census addresses are possible matches, the unit status was listed by PES as something other than occupied or
vacant, and the BCUs for the two addresses are different. Determine if the addresses are the same, the unit status, the correct
BCU, and if the addresses on the Census list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Census Address(es)
# Units
Single
7423 APPLES GROVE DR
BCU
Census ID
MSN
41370
10000000000111
00072
10000000002333
00074
7423 APPLE GROVE
41370
7423 APPLE GROVE APT 1A
41370
10000000003888
00062
7423 APPLE GROVE 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
2.
Do 7423 APPLES GROVE DR and 7423 APPLE GROVE refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
7423 APPLES GROVE DR
7423 APPLE GROVE
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
®
Skip to Question 8
Other
®
Skip to Question 8
No
(Continued ® )
Page 182 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 2 of 7
CENSUS ADDRESS
3.
Was there a housing unit at 423 APPLE GROVE on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE APT 1A and 7423
APPLE GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE
GROVE?
(G3)
Yes ® Enter Census ID:
No
7.
Is 7423 APPLE GROVE located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE?
(B)
(Continued ® )
Page 183 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 3 of 7
PES ADDRESS
8.
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 APPLES GROVE DR?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 7423 APPLES GROVE DR?
Yes ® Enter PES MSN
(F1)
and WMSN
No
12.
Is 7423 APPLES GROVE DR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLES GROVE DR?
(B)
(Continued ® )
Page 184 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 4 of 7
FIRST CENSUS DUPLICATE ADDRESS
13.
Do 7423 APPLE GROVE and 7423 APPLE GROVE APT 1A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE APT 1A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 19
®
Skip to Question 19
No
14.
Was there a housing unit at 423 APPLE GROVE APT 1A on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE APT 1A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Demolished or burned down. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
15.
Skip to Question 19
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
(Continued ® )
Page 185 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
16.
Page 5 of 7
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE APT 1A?
(D)
and WMSN
Yes ® Enter PES MSN:
®
No
Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
17.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE
APT 1A?
(G3)
Yes ® Enter Census ID:
No
18.
(B)
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
SECOND CENSUS DUPLICATE ADDRESS
19.
Do 7423 APPLE GROVE and 7423 APPLE GROVE 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 25
®
Skip to Question 25
No
(Continued ® )
Page 186 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
20.
Page 6 of 7
Was there a housing unit at 423 APPLE GROVE 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 24
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
21.
Skip to Question 25
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
22.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE 1st FLOOR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
23.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE APT 1A, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE 1st
FLOOR?
(G3)
Yes ® Enter Census ID:
No
24.
Is 7423 APPLE GROVE 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(B)
(Continued ® )
Page 187 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
25.
Page 7 of 7
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 188 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 1 of 5
Unit Status Update and Surrounding BCU Match/Possible PES-Census
Match/Duplicate PES Address (P*/DI)
The PES and Census addresses are possible matches, the unit status was listed by PES as something other than occupied or
vacant, and the BCUs for the two addresses are different.The PES address is a possible duplicate with another PES address.
Determine if the addresses are the same, the unit status, the correct BCU, and if the addresses on the PES list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00031
Multi
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
413 DELL CT APT 3
Multi
4
413 DELL CT C APT C
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 413 DELL CT APT 3. Did or does
the house/apartment at 413 DELL CT APT 3 ever use a different address?
1.
Go to next question.
(M)
2.
Do 413 DELL CT APT 3 and 413 DELL CT APT 3 refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
413 DELL CT APT 3
Other
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 189 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 2 of 5
CENSUS ADDRESS
3.
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 413 DELL CT APT 3?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
7.
Look at the Census Column of the Housing Unit Reference List. Do any other addresses in that column refer to the
same housing unit as 413 DELL CT APT 3?
Yes ® Enter Census ID:
No
Is 413 DELL CT APT 3 located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT APT 3?
(G1)
(B)
(Continued ® )
Page 190 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 3 of 5
FIRST PES ADDRESS
8.
Was there a housing unit at 13 DELL CT APT 3 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT 3
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 413 DELL CT APT 3?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Aside from 413 DELL CT C APT C, do any other addresses
in that column refer to the same housing unit as 413 DELL CT APT 3?
Yes ® Enter PES MSN
No
12.
(F2)
and WMSN
Is 413 DELL CT APT 3 located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT APT 3?
(B)
(Continued ® )
Page 191 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 4 of 5
PES DUPLICATE ADDRESS
13.
Do 413 DELL CT APT 3 and 413 DELL CT C APT C refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
413 DELL CT APT 3
413 DELL CT C APT C
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 19
®
Skip to Question 19
No
SECOND PES ADDRESS
14.
Was there a housing unit at 13 DELL CT C APT C on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 192 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate PES Address (P*/DI)
15.
Page 5 of 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 413 DELL CT C APT C?
(E)
Yes ® Enter Census ID:
No
17.
Look at the PES column of the Housing Unit Reference List. Aside from 413 DELL CT APT 3, do any other addresses in
that column refer to the same housing unit as 413 DELL CT C APT C?
Yes ® Enter PES MSN
No
(F2)
and WMSN
18.
Is 413 DELL CT C APT C located in BCU 41370?
Yes
No ® In what BCU number is 413 DELL CT C APT C?
(B)
19.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 193 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 1 of 7
Unit Status Update and Surrounding BCU Match/Possible PES-Census
Match/Two Duplicate PES Addresses (P*/DI/DI)
The PES and Census addresses are possible matches, the unit status was listed by PES as something other than occupied or
vacant, and the BCUs for the two addresses are different. The PES addresses are possible duplicates with other PES addresses.
Determine if the addresses are the same, the unit status, the correct BCU, and if the addresses on the PES list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Census Address(es)
# Units
Single
7423 APPLES GROVE DR
00024
0001
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Multi
9
APPLES GROVE APTS APT 1
00029
0001
Multi
9
7423 MAIN ST. 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
2.
Do 7423 APPLES GROVE DR and 7423 APPLE GROVE refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
7423 APPLES GROVE DR
7423 APPLE GROVE
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
®
Skip to Question 8
Other
®
Skip to Question 8
No
(Continued ® )
Page 194 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 2 of 7
CENSUS ADDRESS
3.
Was there a housing unit at 423 APPLE GROVE on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
7.
Look at the Census Column of the Housing Unit Reference List. Do any other addresses in that column refer to the
same housing unit as 7423 APPLE GROVE?
Yes ® Enter Census ID:
No
Is 7423 APPLE GROVE located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE?
(G1)
(B)
(Continued ® )
Page 195 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 3 of 7
FIRST PES ADDRESS
8.
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 APPLES GROVE DR?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 7423 APPLES GROVE DR?
Yes ® Enter PES MSN
(F1)
and WMSN
No
12.
Is 7423 APPLES GROVE DR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLES GROVE DR?
(B)
(Continued ® )
Page 196 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 4 of 7
FIRST PES DUPLICATE ADDRESS
13.
Do 7423 APPLES GROVE DR and APPLES GROVE APTS APT 1 refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
APPLES GROVE APTS APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 19
®
Skip to Question 19
No
SECOND PES ADDRESS
14.
Was there a housing unit at PPLES GROVE APTS APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 197 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
15.
Page 5 of 7
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as APPLES GROVE APTS APT 1?
(E)
Yes ® Enter Census ID:
No
17.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and 7423 MAIN ST.
1st FLOOR, do any other addresses in that column refer to the same housing unit as APPLES GROVE APTS APT 1?
Yes ® Enter PES MSN
(F3)
and WMSN
No
18.
(B)
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
SECOND DUPLICATE ADDRESS
19.
Do 7423 APPLES GROVE DR and 7423 MAIN ST. 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLES GROVE DR
7423 MAIN ST. 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 25
®
Skip to Question 25
No
(Continued ® )
Page 198 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 6 of 7
THIRD PES ADDRESS
20.
Was there a housing unit at 423 MAIN ST. 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 24
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
21.
Skip to Question 25
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
22.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 MAIN ST. 1st FLOOR?
(E)
Yes ® Enter Census ID:
No
23.
Look at the PES column of the Housing Unit Reference List. Aside from 7423 APPLES GROVE DR and APPLES
GROVE APTS APT 1, do any other addresses in that column refer to the same housing unit as 7423 MAIN ST. 1st
FLOOR?
Yes ® Enter PES MSN
(F3)
and WMSN
No
24.
Is 7423 MAIN ST. 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(B)
(Continued ® )
Page 199 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
25.
Page 7 of 7
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate Census Address (M*/DE)
1111.12345678
Page 1 of 4
Surrounding BCU Match/Duplicate Census Address (M*/DE)
The PES and Census addresses were matched, but the BCUs for the two addresses are different. The census address is a
possible duplicate with another census address. Determine the correct BCU and if the addresses on the census list are the
same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00017
Multi
12
41370
10000000003999
00015
0001
114 TAYLOR LN APT 1
114 TAYLORY LN APT 1
41370
10000000003798
00009
114 TAYLOR LN APT A
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 114 TAYLOR LN APT 1. Did or
does the house/apartment at 114 TAYLOR LN APT 1 ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Duplicate Census Address (M*/DE)
2.
Page 2 of 4
Was there a housing unit at14 TAYLOR LN APT 1 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate Census Address (M*/DE)
1111.12345678
Page 3 of 4
CENSUS DUPLICATE ADDRESS
5.
Do 114 TAYLORY LN APT 1 and 114 TAYLOR LN APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
114 TAYLORY LN APT 1
114 TAYLOR LN APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND CENSUS ADDRESS
6.
Was there a housing unit at14 TAYLOR LN APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate Census Address (M*/DE)
1111.12345678
Page 4 of 4
How many housing units were at this basic street address on April 1st, 2020?
7.
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
9.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLORY LN APT 1 do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT A?
(G2)
Yes ® Enter Census ID:
10.
11.
No
Is 114 TAYLOR LN APT A located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT A?
(B)
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 1 of 6
Surrounding BCU Match/ Two Duplicate Census Addresses (M*/DE/DE)
The PES and Census addresses were matched, but the BCUs for the two addresses are different. The census addresses are
possible duplicates with other census addresses. Determine the correct BCU and if the addresses on the census list are the
same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Single
7423 APPLES GROVE DR
Census Address(es)
# Units
BCU
Census ID
MSN
41370
10000000000111
00072
10000000002333
00074
7423 APPLE GROVE
41370
7423 APPLE GROVE APT 1A
41370
10000000003888
00062
7423 APPLE GROVE 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Page 2 of 6
)
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
2.
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 3 of 6
FIRST CENSUS DUPLICATE ADDRESS
5.
Do 7423 APPLE GROVE and 7423 APPLE GROVE APT 1A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE APT 1A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND CENSUS ADDRESS
6.
Was there a housing unit at 423 APPLE GROVE APT 1A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE APT 1A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page XXX of XXX
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 4 of 6
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE APT 1A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
9.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE
APT 1A?
(G3)
Yes ® Enter Census ID:
No
10.
(B)
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
SECOND CENSUS DUPLICATE ADDRESS
11.
Do 7423 APPLE GROVE and 7423 APPLE GROVE 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 17
®
Skip to Question 17
No
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 5 of 6
THIRD CENSUS ADDRESS
12.
Was there a housing unit at 423 APPLE GROVE 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 16
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
13.
Skip to Question 17
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
14.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE 1st FLOOR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
15.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE APT 1A, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE 1st
FLOOR?
(G3)
Yes ® Enter Census ID:
No
16.
Is 7423 APPLE GROVE 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(B)
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
17.
Page 6 of 6
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate Census Address (M*/DE)
Page 1 of 4
Unit Status Update and Surrounding BCU Match/Duplicate Census Address (M*/DE)
The PES and Census addresses were matched, but the unit status was listed by PES as something other than occupied or
vacant and the BCUs for the two addresses are different. The census address is a possible duplicate with another census
address. Determine the unit status, the correct BCU, and if the address on the census list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00017
Multi
12
41370
10000000003999
00015
0001
114 TAYLOR LN APT 1
114 TAYLORY LN APT 1
41370
10000000003798
00009
114 TAYLOR LN APT A
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 114 TAYLOR LN APT 1. Did or
does the house/apartment at 114 TAYLOR LN APT 1 ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022 )
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate Census Address (M*/DE)
2.
Page 2 of 4
Was there a housing unit at14 TAYLOR LN APT 1 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate Census Address (M*/DE)
Page 3 of 4
CENSUS DUPLICATE ADDRESS
5.
Do 114 TAYLORY LN APT 1 and 114 TAYLOR LN APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
114 TAYLORY LN APT 1
114 TAYLOR LN APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND CENSUS ADDRESS
6.
Was there a housing unit at 14 TAYLOR LN APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Duplicate Census Address (M*/DE)
Page 4 of 4
How many housing units were at this basic street address on April 1st, 2020?
One
7.
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
9.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLORY LN APT 1 do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT A?
(G2)
Yes ® Enter Census ID:
10.
11.
No
Is 114 TAYLOR LN APT A located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT A?
(B)
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 1 of 6
Unit Status Update and Surrounding BCU Match/ Two Duplicate Census Addresses
(M*/DE/DE)
The PES and Census addresses were matched, but the unit status was listed by PES as something other than occupied or
vacant and the BCUs for the two addresses are different. The census addresses are possible duplicates with other census
addresses. Determine the unit status, the correct BCU, and if the addresses on the census list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Single
7423 APPLES GROVE DR
Census Address(es)
# Units
BCU
Census ID
MSN
41370
10000000000111
00072
10000000002333
00074
7423 APPLE GROVE
41370
7423 APPLE GROVE APT 1A
41370
10000000003888
00062
7423 APPLE GROVE 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Page 2 of 6
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
2.
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
(A)
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 4
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
3.
Skip to Question 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
4.
What is the correct BCU?
41370
(C2)
Other
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 3 of 6
FIRST CENSUS DUPLICATE ADDRESS
5.
Do 7423 APPLE GROVE and 7423 APPLE GROVE APT 1A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE APT 1A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 11
®
Skip to Question 11
No
SECOND CENSUS ADDRESS
6.
Was there a housing unit at 423 APPLE GROVE APT 1A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE APT 1A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 10
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 11
(Continued ® )
Page XXX of XXX
Form D-1340
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 4 of 6
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
8.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE APT 1A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
9.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE
APT 1A?
(G3)
Yes ® Enter Census ID:
No
10.
(B)
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
SECOND CENSUS DUPLICATE ADDRESS
11.
Do 7423 APPLE GROVE and 7423 APPLE GROVE 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 17
®
Skip to Question 17
No
(Continued ® )
Page XXX of XXX
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 5 of 6
THIRD CENSUS ADDRESS
12.
Was there a housing unit at 423 APPLE GROVE 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 16
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
13.
Skip to Question 17
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
14.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE 1st FLOOR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
15.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE APT 1A, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE 1st
FLOOR?
(G3)
Yes ® Enter Census ID:
No
16.
Is 7423 APPLE GROVE 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(B)
(Continued ® )
Page XXX of XXX
Form D-1340
17.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Two Duplicate Census Addresses (M*/DE/DE)
Page 6 of 6
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 120 of 222
Form D-1340
1111.12345678
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE) Page 1 of 5
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/
Duplicate Census Address(P*/DE)
The PES and Census addresses are possible matches, the unit status was listed by PES as something other than occupied or
vacant, and the BCUs for the two addresses are different. The census address is a possible duplicate with another census
address. Determine if the addresses are the same, the unit status, the correct BCU, and if the addresses on the Census list are the
same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
# Units
BCU
Census ID
MSN
00017
Multi
12
41370
10000000003999
00015
10000000003798
00009
0001
114 TAYLOR LN APT 1,1 1/4 mile from intersection of
route 54 and Taylor LN
114 TAYLOR LN APT 1
41370
114 TAYLOR LN APT A
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 114 TAYLOR LN APT 1,1 1/4 mile
from intersection of route 54 and Taylor LN. Did or does the house/apartment at 114 TAYLOR LN APT 1,1 1/4 mile from
intersection of route 54 and Taylor LN ever use a different address?
1.
Go to next question.
2.
(M)
Do 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN and 114 TAYLOR LN APT 1 refer (C1)
to the same housing unit?
Yes
® a. What is the correct address?
114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN
114 TAYLOR LN APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 121 of 222
Form D-1340
1111.12345678
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE) Page 2 of 5
FIRST CENSUS ADDRESS
3.
Was there a housing unit at 14 TAYLOR LN APT 1 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT 1?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLOR LN APT A do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT 1?
(G2)
Yes ® Enter Census ID:
7.
No
Is 114 TAYLOR LN APT 1 located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT 1?
(B)
(Continued ® )
Page 122 of 222
Form D-1340
1111.12345678
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE) Page 3 of 5
PES ADDRESS
8.
Was there a housing unit at 14 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor
LN on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor
LN
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Demolished or burned down. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
Yes ® Enter PES MSN
(F1)
and WMSN
No
12.
Is 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
(B)
(Continued ® )
Page 123 of 222
Form D-1340
1111.12345678
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE) Page 4 of 5
CENSUS DUPLICATE ADDRESS
13.
Do 114 TAYLOR LN APT 1 and 114 TAYLOR LN APT A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
114 TAYLOR LN APT 1
114 TAYLOR LN APT A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 19
®
Skip to Question 19
No
SECOND CENSUS ADDRESS
14.
Was there a housing unit at 14 TAYLOR LN APT A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 124 of 222
Form D-1340
15.
1111.12345678
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE) Page 5 of 5
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 114 TAYLOR LN APT A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
17.
Look at the Census Column of the Housing Unit Reference List. Aside from 114 TAYLOR LN APT 1 do any other
addresses in that column refer to the same housing unit as 114 TAYLOR LN APT A?
(G2)
Yes ® Enter Census ID:
18.
19.
No
Is 114 TAYLOR LN APT A located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT A?
(B)
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Page 125 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 1 of 7
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two
Duplicate Census Addresses (P*/DE/DE)
The PES and Census addresses are possible matches, the unit status was listed by PES as something other than occupied or
vacant, and the BCUs for the two addresses are different. The census addresses are possible duplicates with other census
addresses. Determine if the addresses are the same, the unit status, the correct BCU, and if the addresses on the Census list are the
same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Census Address(es)
# Units
Single
7423 APPLES GROVE DR
BCU
Census ID
MSN
41370
10000000000111
00072
10000000002333
00074
7423 APPLE GROVE
41370
7423 APPLE GROVE APT 1A
41370
10000000003888
00062
7423 APPLE GROVE 1st FLOOR
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in
this area as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your
answers are confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor or apartment manager) I’m trying to find 7423 APPLES GROVE DR. Did or
does the house/apartment at 7423 APPLES GROVE DR ever use a different address?
1.
Go to next question.
(M)
2.
Do 7423 APPLES GROVE DR and 7423 APPLE GROVE refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
7423 APPLES GROVE DR
7423 APPLE GROVE
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
(C2)
41370
®
Skip to Question 8
Other
®
Skip to Question 8
No
(Continued ® )
Page 126 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 2 of 7
CENSUS ADDRESS
3.
Was there a housing unit at 423 APPLE GROVE on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 7
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
4.
Skip to Question 8
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
5.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
6.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE APT 1A and 7423
APPLE GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE
GROVE?
(G3)
Yes ® Enter Census ID:
No
7.
Is 7423 APPLE GROVE located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE?
(B)
(Continued ® )
Page 127 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match//Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 3 of 7
PES ADDRESS
8.
Was there a housing unit at 423 APPLES GROVE DR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 12
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
9.
Skip to Question 13
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
10.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as 7423 APPLES GROVE DR?
(E)
Yes ® Enter Census ID:
No
11.
Look at the PES column of the Housing Unit Reference List. Do any other addresses in that column refer to the same
housing unit as 7423 APPLES GROVE DR?
Yes ® Enter PES MSN
(F1)
and WMSN
No
12.
Is 7423 APPLES GROVE DR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLES GROVE DR?
(B)
(Continued ® )
Page 128 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match//Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 4 of 7
FIRST CENSUS DUPLICATE ADDRESS
13.
Do 7423 APPLE GROVE and 7423 APPLE GROVE APT 1A refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE APT 1A
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 19
®
Skip to Question 19
No
SECOND CENSUS ADDRESS
14.
Was there a housing unit at 423 APPLE GROVE APT 1A on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE APT 1A
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
.
.
.
.
.
.
. . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .or
. . burned
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 18
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
Skip to Question 19
(Continued ® )
Page 129 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match//Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
15.
Page 5 of 7
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
16.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE APT 1A?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
17.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE
APT 1A?
(G3)
Yes ® Enter Census ID:
No
18.
(B)
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
SECOND CENSUS DUPLICATE ADDRESS
19.
Do 7423 APPLE GROVE and 7423 APPLE GROVE 1st FLOOR refer to the same housing unit?
Yes
(C1)
® a. What is the correct address?
7423 APPLE GROVE
7423 APPLE GROVE 1st FLOOR
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
Other
(C2)
®
Skip to Question 25
®
Skip to Question 25
No
(Continued ® )
Page 130 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match//Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 6 of 7
THIRD CENSUS ADDRESS
20.
Was there a housing unit at 423 APPLE GROVE 1st FLOOR on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(A)
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
Under construction (doors, windows, or floors NOT in place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .construction
. . . . . . . . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Future
. . . . . . . . . . . .(condemned
..
Uninhabitable
or open to the elements) and unoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . down
. . . . . .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demolished or burned
. . . . . up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Boarded
. . . .used
. . . . for storage of non-household goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unit
.
.
.
.
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty. .Trailer
. . . . . .Quarters
. . . . . . . .®
. . Enter
. . . facility name:
Group
Skip to
Question 24
Describe facility:
Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....®
. . . Explain
. . . . . . .what
. . . is on the ground; continue on back and draw sketch map if needed
Other
Cannot locate
® Explain what is on the ground; continue on the back and draw a sketch map if needed.
®
21.
Skip to Question 25
How many housing units were at this basic street address on April 1st, 2020?
One
More than one
®
(L)
How many?
List all unit designations (eg: Apt. 12A, 12B, or for several units list ranges of all units, e.g., Apts. 101106, 201-206, 301-306) continue in Notes and on the back if necessary:
22.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 7423 APPLE GROVE 1st FLOOR?
(D)
and WMSN
Yes ® Enter PES MSN:
No ® Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
23.
Look at the Census Column of the Housing Unit Reference List. Aside from 7423 APPLE GROVE and 7423 APPLE
GROVE APT 1A, do any other addresses in that column refer to the same housing unit as 7423 APPLE GROVE 1st
FLOOR?
(G3)
Yes ® Enter Census ID:
No
24.
Is 7423 APPLE GROVE 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(B)
(Continued ® )
Page 131 of 222
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Unit Status Update and Surrounding BCU Match//Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 7 of 7
(N)
25.
Main source of information you used to fill out questions:
Household member
Building manager or landlord
Proxy
Observation
Notes:
STOP - Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct Incorrect
FS
QC
OE
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
PES not a Housing Unit/ Duplicate PES Addresses (XI/DI)
Attachment 1
Page XX of XX
Page XX of XX
PES not a Housing Unit/Duplicate PES Address (XI/DI)
The PES address did not refer to a housing unit at the time of the IHUFU. For example the structure was still under construct ion, future
construction, uninhabitable, demolished or burned down, business, used for the storage of non-household goods, empty trailer lot/site
or trailer/house has been moved, group quarters, or the address did not exist. The PES address is a possible duplicate with a nother
PES address. Determine if the addresses on the PES list are the same.
PES Address(es)
MSN
WMSN
TOA
Census Address(es)
# Units
XXXXXXX
BCU
Census ID
MSN
XXXXXXX
PES ADDRESS 1
CENSUS ADDRESS
XXXXXXX
PES ADDRESS 2
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in this area as part
of the 2020 Census. The questions should only take 3 minutes. This notice explains that your answers are confidential. (Hand the
respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor, apartment manager, or mail carrier) I’m trying to find (address). Did or does the
house/apartment at (address) ever use a different address?
1.
[Go to next question. /Fill question or note from analyst beginning with: Special question: _______________________
(M)
_______________________________________________________________________________________________
_______________________________________________________________________________________________ ]
PES DUPLICATE ADDRESS
2.
Do PES ADDRESS 1 and PES ADDRESS 2 refer to the same housing unit?
Yes
a.
PES ADDRESS 1
PES ADDRESS 2
Neither address is correct
What is the correct address? _________________________________________________
b. What is the correct BCU?
(C1)
What is the correct address?
(C2)
XXXXXXX
Other
No Skip to Question 5
_________________________________________________
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
PES not a Housing Unit/ Duplicate PES Addresses (XI/DI)
Attachment 1
Page XX of XX
Page XX of XX
How many housing units were at this basic street address on April 1 st, 2020?
(L)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
__________________________________________________________________________
4.
__________________________________________________________________________
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
STOP if you answered “Yes” to Question 2
SECOND PES ADDRESS
5.
Was there a housing unit at PES ADDRESS 2 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here): ____________________________________________________________________
No Please describe the status of PES ADDRESS 2
Under construction (doors, windows, or floors NOT in place)……………………………………….…………
Future construction………………………………………………………………………………………………….
Uninhabitable (condemned or open to the elements) and unoccupied…………………………………..
Demolished or burned down………………………………………………………………………………………..
Boarded up…………………………………………………………………………………………………..………
Unit used for storage of non-household goods…………………………………………………………….……
Empty Trailer lot/site or trailer/house has been moved…………………………………………………………
Group quarters
Enter facility name: __________________________________________________
Describe facility: __________________________________________________
(A)
_________________________________________________
Business………………………………………………………………………………………………………….
Other Explain what is on the ground; continue on back and draw sketch map if needed
_________________________________________________________________________________
Cannot locate Explain what is on the ground; continue on the back and draw a sketch map if needed.
________________________________________________________________________________________
_____________________________________________________________________ Skip to Question 10
Skip to
Question 9
Form D-1340
6.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
PES not a Housing Unit/ Duplicate PES Addresses (XI/DI)
Attachment 1
Page XX of XX
Page XX of XX
How many housing units were at this basic street address on April 1 st, 2020?
(L)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
7.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as PES ADDRESS 2?
8.
10.
Enter Census ID:
No
Look at the PES column of the Housing Unit Reference List. Aside from PES ADDRESS 1, do any other addresses
in that column refer to the same housing unit as PES ADDRESS 2?
9.
Yes
(E)
Yes
Enter PES MSN
and WMSN
(F2)
No
Is PES ADDRESS 2 located in BCU XXXXXXX?
(B)
Yes
No In what BCU number is PES ADDRESS 2?
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes: _____________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
STOP – Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct
Incorrect
FS
QC
OE
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
PES not a Housing Unit/Two Duplicate PES Addresses (XI/DI/DI)
Attachment 1
Page XX of XX
Page XX of XX
PES not a Housing Unit/Two Duplicate PES Addresses (XI/DI/DI)
The PES address did not refer to a housing unit at the time of the IHUFU. For example the structure was still under construction, future
construction, uninhabitable, demolished or burned down, business, used for the storage of non-household goods, empty trailer lot/site
or trailer/house has been moved, group quarters, or the address did not exist. The PES addresses are possible duplicates with other
PES addresses. Determine if the addresses on the PES list are the same.
PES Address(es)
MSN
WMSN
Census Address(es)
TOA
# Units
XXXXXXX
BCU
Census ID
MSN
XXXXXXX
PES ADDRESS 1
CENSUS ADDRESS
XXXXXXX
PES ADDRESS 2
YYYYYYY
PES ADDRESS 3
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in this area
as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your answers are
confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor, apartment manager, or mail carrier) I’m trying to find (address). Did or does the
house/apartment at (address) ever use a different address?
1.
[Go to next question. /Fill question or note from analyst beginning with: Special question: _______________________
(M)
_______________________________________________________________________________________________
_______________________________________________________________________________________________ ]
FIRST PES DUPLICATE ADDRESS
2.
Do PES ADDRESS 1 and PES ADDRESS 2 refer to the same housing unit?
Yes
a.
What is the correct address?
PES ADDRESS 1
PES ADDRESS 2
Neither address is correct
What is the correct address? _________________________________________________
b. What is the correct BCU?
(C1)
(C2)
XXXXXXX
Other
No Skip to Question 4
_________________________________________________
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
PES not a Housing Unit/Two Duplicate PES Addresses (XI/DI/DI)
Attachment 1
Page XX of XX
Page XX of XX
How many housing units were at this basic street address on April 1 st, 2020?
(L)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
SKIP to Question 9 if you answered “Yes” to Question 2
SECOND PES ADDRESS
4.
Was there a housing unit at PES ADDRESS 2 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here): ____________________________________________________________________
No Please describe the status of PES ADDRESS 2
Under construction (doors, windows, or floors NOT in place)……………………………………….…..…….
Future construction………………………………………………………………………………………………….
Uninhabitable (condemned or open to the elements) and unoccupied…………………………………..
Demolished or burned down……………………………………………………………………………………….
Boarded up…………………………………………………………………………………………………..………
Unit used for storage of non-household goods…………………………………………………………….……
Skip to
Empty trailer lot/site or trailer/house has been moved…………………………………………………………
Question 8
Group quarters
Enter facility name: __________________________________________________
Describe facility: __________________________________________________
_________________________________________________
Business………………………………………………………………………………………………………….
Other Explain what is on the ground; continue on back and draw sketch map if needed
________________________________________________________________________________
Cannot locate Explain what is on the ground; continue on the back and draw a sketch map if needed.
________________________________________________________________________________________
______________________________________________________________________ Skip to Question 9
5.
How many housing units were at this basic street address on April 1 st, 2020?
(L)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
6.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as PES ADDRESS 2?
Yes
Enter Census ID:
(E)
Form D-1340
7.
Attachment 1
Page XX of XX
Page XX of XX
No
Look at the PES column of the Housing Unit Reference List. Aside from PES ADDRESS 1 and PES ADDRESS 3,
do any other addresses in that column refer to the same housing unit as PES ADDRESS 2?
8.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
PES not a Housing Unit/Two Duplicate PES Addresses (XI/DI/DI)
Yes
Enter PES MSN
and WMSN
No
Is PES ADDRESS 2 located in BCU XXXXXXX?
(F3)
(B)
Yes
No In what BCU number is PES ADDRESS 2?
SECOND PES DUPLICATE ADDRESS
9.
Do PES ADDRESS 1 and PES ADDRESS 3 refer to the same housing unit?
Yes
a.
What is the correct address?
PES ADDRESS 1
PES ADDRESS 3
Neither address is correct
What is the correct address? _________________________________________________
b. What is the correct BCU?
10.
(C2)
XXXXXXX
YYYYYYY
Other
_________________________________________________
No Skip to Question 11
How many housing units were at this basic street address on April 1 st, 2020?
(C1)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
SKIP to Question 16 if you answered “Yes” to Question 9
(L)
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
PES not a Housing Unit/Two Duplicate PES Addresses (XI/DI/DI)
Attachment 1
Page XX of XX
Page XX of XX
THIRD PES ADDRESS
11.
Was there a housing unit at PES ADDRESS 3 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here): ____________________________________________________________________
No Please describe the status of PES ADDRESS 3
Under construction (doors, windows, or floors NOT in place)……………………………………….………...
Future construction………………………………………………………………………………………………….
Uninhabitable (condemned or open to the elements) and unoccupied…………………………………..
Demolished or burned down……………………………………………………………………………………....
Boarded up…………………………………………………………………………………………………..……..
Unit used for storage of non-household goods…………………………………………………………….……
Skip to
Empty trailer lot/site or trailer/house has been moved…………………………………………………………
Question 15
Group quarters
Enter facility name: __________________________________________________
Describe facility: __________________________________________________
_________________________________________________
Business………………………………………………………………………………………………………….
Other Explain what is on the ground; continue on back and draw sketch map if needed
________________________________________________________________________________
Cannot locate Explain what is on the ground; continue on the back and draw a sketch map if needed.
________________________________________________________________________________________
_____________________________________________________________________ Skip to Question 16
12.
How many housing units were at this basic street address on April 1st, 2020?
(L)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
13.
Look at the Census column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as PES ADDRESS 3?
14.
Enter Census ID:
No
Look at the PES column of the Housing Unit Reference List. Aside from PES ADDRESS 1 and PES ADDRESS 2,
do any other addresses in that column refer to the same housing unit as PES ADDRESS 3?
15.
Yes
Yes
Enter PES MSN
and WMSN
(F3)
No
Is PES ADDRESS 3 located in BCU YYYYYYY?
(E)
(B)
Yes
No In what BCU number is PES ADDRESS 3?
Form D-1340
16.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
PES not a Housing Unit/Two Duplicate PES Addresses (XI/DI/DI)
Attachment 1
Page XX of XX
Page XX of XX
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes: _____________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
STOP – Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct
Incorrect
FS
QC
OE
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
Census not a Housing Unit/Duplicate Census Addresses (EE/DE)
Attachment 1
Page XX of XX
Page XX of XX
Census not a Housing Unit/Duplicate Census Address (EE/DE)
The Census address did not refer to a housing unit at the time of the IHUFU. For example the structure was still under construction,
future construction, uninhabitable, demolished or burned down, business, used for the storage of non-household goods, empty trailer
lot/site or trailer/house has been moved, group quarters, or the address did not exist. The Census address is a possible dupl icate with
another Census address. Determine if the addresses on the Census list are the same.
PES Address(es)
MSN
WMSN
Census Address(es)
TOA
# Units
XXXXXXX
BCU
Census ID
MSN
XXXXXXX
PES ADDRESS
CENSUS ADDRESS 1
YYYYYYY
CENSUS ADDRESS 2
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in this area
as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your answers are
confidential. (Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor, apartment manager, or mail carrier) I’m trying to find (address). Did or does the
house/apartment at (address) ever use a different address?
1.
[Go to next question. /Fill question or note from analyst beginning with: Special question: _______________________
(M)
_______________________________________________________________________________________________
_______________________________________________________________________________________________ ]
CENSUS DUPLICATE ADDRESS
2.
Do CENSUS ADDRESS 1 and CENSUS ADDRESS 2 refer to the same housing unit?
Yes
a.
CENSUS ADDRESS 1
CENSUS ADDRESS 2
Neither address is correct
What is the correct address? __________________________________________________
b. What is the correct BCU?
(C1)
What is the correct address?
(C2)
XXXXXXX
YYYYYYY
Other
No Skip to Question 5
_________________________________________________
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
Census not a Housing Unit/Duplicate Census Addresses (EE/DE)
Attachment 1
Page XX of XX
Page XX of XX
How many housing units were at this basic street address on April 1 st, 2020?
(L)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
4.
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
STOP if you answered “Yes” to Question 2
SECOND CENSUS ADDRESS
5.
Was there a housing unit at CENSUS ADDRESS 2 on April 1st, 2020?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here): ____________________________________________________________________
No Please describe the status of CENSUS ADDRESS 2
Under construction (doors, windows, or floors NOT in place)……………………………………….………....
Future construction…………………………………………………………………………………………………
Uninhabitable (condemned or open to the elements) and unoccupied………………………………….
Demolished or burned down……………………………………………………………………………………….
Boarded up…………………………………………………………………………………………………..………
Unit used for storage of non-household goods…………………………………………………………….……
Skip to
Empty trailer lot/site or trailer/house has been moved…………………………………………………………
Question 9
Group quarters
Enter facility name: __________________________________________________
Describe facility: __________________________________________________
(A)
_________________________________________________
Business………………………………………………………………………………………………………….
Other Explain what is on the ground; continue on back and draw sketch map if needed
________________________________________________________________________________
Cannot locate Explain what is on the ground; continue on the back and draw a sketch map if needed.
________________________________________________________________________________________
_____________________________________________________________________ Skip to Question 10
Form D-1340
6.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
Census not a Housing Unit/Duplicate Census Addresses (EE/DE)
Attachment 1
Page XX of XX
Page XX of XX
How many housing units were at this basic street address on April 1 st, 2020?
(L)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
7.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same
housing unit as CENSUS ADDRESS 2?
8.
10.
No
Enter PES MSN and WMSN
Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map spot
number here:
Look at the Census column of the Housing Unit Reference List. Aside from CENSUS ADDRESS 1, do any other
addresses in that column refer to the same housing unit as CENSUS ADDRESS 2?
9.
Yes
(D)
Yes
(G2)
Enter Census ID:
No
Is CENSUS ADDRESS 2 located in BCU YYYYYYY?
(B)
Yes
No In what BCU number is CENSUS ADDRESS 2?
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes: _____________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
STOP – Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct
Incorrect
FS
QC
OE
Form D-1340
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
Census not a Housing Unit/Two Duplicate Census Addresses (EE/DE/DE)
Attachment 1
Page XX of XX
Page XX of XX
Census not a Housing Unit/Two Duplicate Census Addresses (EE/DE/DE)
The Census address did not refer to a housing unit at the time of the Initial HUFU. For example the structure was still under construction,
future construction, uninhabitable, demolished or burned down, business, used for the storage of non-household goods, empty trailer
lot/site or trailer/house has been moved, group quarters, or the address did not exist. The Census addresses are possible du plicates with
other Census addresses. Determine if the addresses on the Census list are the same.
PES Address(es)
MSN
WMSN
Census Address(es)
TOA
# Units
XXXXXXX
BCU
Census ID
MSN
XXXXXXX
PES ADDRESS
CENSUS ADDRESS 1
XXXXXXX
CENSUS ADDRESS 2
XXXXXXX
CENSUS ADDRESS 3
Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. We are checking some addresses in this area
as part of the 2020 Census. The questions should only take 3 minutes. This notice explains that your answers are confidential.
(Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)
(If you cannot locate the address, ask a neighbor, apartment manager, or mail carrier) I’m trying to find (address). Did or does the
house/apartment at (address) ever use a different address?
1.
[Go to next question. /Fill question or note from analyst beginning with: Special question: _______________________
(M)
_______________________________________________________________________________________________
_______________________________________________________________________________________________ ]
FIRST CENSUS DUPLICATE ADDRESS
2.
Do CENSUS ADDRESS 1 and CENSUS ADDRESS 2 refer to the same housing unit?
Yes
a.
What is the correct address?
CENSUS ADDRESS 1
CENSUS ADDRESS 2
Neither address is correct
What is the correct address? _________________________________________________
b. What is the correct BCU?
(C1)
(C2)
XXXXXXX
Other
No Skip to Question 4
_________________________________________________
Form D-1340
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
Census not a Housing Unit/Two Duplicate Census Addresses (EE/DE/DE)
Attachment 1
Page XX of XX
Page XX of XX
How many housing units were at this basic street address on April 1st, 2020?
(L)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
SKIP to Question 9 if you answered “Yes” to Question 2
SECOND CENSUS ADDRESS
4.
Was there a housing unit at CENSUS ADDRESS 2 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here): ____________________________________________________________________
No Please describe the status of CENSUS ADDRESS 2
Under construction (doors, windows, or floors NOT in place)……………………………………….……..….
Future construction………………………………………………………………………………………………….
Uninhabitable (condemned or open to the elements) and unoccupied…………………………………..
Demolished or burned down………………………………………………………………………………………..
Boarded up…………………………………………………………………………………………………..………
Unit used for storage of non-household goods…………………………………………………………….……
Skip to
Empty trailer lot/site or trailer/house has been moved…………………………………………………………
Question 8
Group quarters
Enter facility name: __________________________________________________
Describe facility: __________________________________________________
_________________________________________________
Business………………………………………………………………………………………………………….
Other Explain what is on the ground; continue on back and draw sketch map if needed
________________________________________________________________________________
Cannot locate Explain what is on the ground; continue on the back and draw a sketch map if needed.
________________________________________________________________________________________
_____________________________________________________________________ Skip to Question 9
5.
How many housing units were at this basic street address on April 1 st, 2020?
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
(L)
Form D-1340
6.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
Census not a Housing Unit/Two Duplicate Census Addresses (EE/DE/DE)
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the
same housing unit as CENSUS ADDRESS 2?
7.
Enter PES MSN and WMSN
No Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the
map spot number here:
Yes
Look at the Census column of the Housing Unit Reference List. Aside from CENSUS ADDRESS 1
and CENSUS ADDRESS 3 do any other addresses in that column refer to the same housing unit
as CENSUS ADDRESS 2?
8.
Attachment 1
Page XX of XX
Page XX of XX
(D)
Yes
Enter Census ID:
No
Is CENSUS ADDRESS 2 located in BCU XXXXXXX?
(G3)
(B)
Yes
No In what BCU number is CENSUS ADDRESS 2?
SECOND CENSUS DUPLICATE ADDRESS
9.
Do CENSUS ADDRESS 1 and CENSUS ADDRESS 3 refer to the same housing unit?
Yes
a.
What is the correct address?
CENSUS ADDRESS 1
CENSUS ADDRESS 3
Neither address is correct
What is the correct address? ___________________________________________________
b. What is the correct BCU?
10.
(C2)
XXXXXXX
Other
__________________________________________________
No Skip to Question 11
How many housing units were at this basic street address on April 1st, 2020?
(C1)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
SKIP to Question 16 if you answered “Yes” to Question 9
(L)
Form D-1340
11.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
Census not a Housing Unit/Two Duplicate Census Addresses (EE/DE/DE)
THIRD CENSUS ADDRESS
Attachment 1
Page XX of XX
Page XX of XX
Was there a housing unit at CENSUS ADDRESS 3 on April 1st, 2020?
(A)
Yes, and address is correct
Yes, but address needs correction
(Write correct address here): ____________________________________________________________________
No Please describe the status of CENSUS ADDRESS 3
Under construction (doors, windows, or floors NOT in place)……………………………………….……. ….
Future construction………………………………………………………………………………………………….
Uninhabitable (condemned or open to the elements) and unoccupied…………………………………..
Demolished or burned down………………………………………………………………………………………..
Boarded up…………………………………………………………………………………………………..………
Unit used for storage of non-household goods…………………………………………………………….……
Skip to
Empty trailer lot/site or trailer/house has been moved…………………………………………………………
Question 15
Group quarters
Enter facility name: __________________________________________________
Describe facility: __________________________________________________
_________________________________________________
Business………………………………………………………………………………………………………….
Other Explain what is on the ground; continue on back and draw sketch map if needed
________________________________________________________________________________
Cannot locate Explain what is on the ground; continue on the back and draw a sketch map if needed.
________________________________________________________________________________________
_____________________________________________________________________ Skip to Question 16
12.
How many housing units were at this basic street address on April 1 st, 2020?
(L)
One
More than one How many? ____________
List all unit designations (e.g., Apt. 12A, 12B, or for several units list ranges of all units,
e.g., Apts. 101-106, 201-206, 301-306) continue in Notes and on the back if necessary:
______________________________________________________________________
______________________________________________________________________
13.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the
same housing unit as CENSUS ADDRESS 3?
14.
Enter PES MSN and WMSN
No Add new map spot to the PES BCU Map ONLY if this address is a housing unit, then enter the map
spot number here:
Yes
Look at the Census column of the Housing Unit Reference List. Aside from CENSUS ADDRESS 1
and CENSUS ADDRESS 2, do any other addresses in that column refer to the same housing unit
as CENSUS ADDRESS 3?
(D)
Yes
No
Enter Census ID:
(G3)
Form D-1340
15.
16.
OMB No. 0607-1010
EXPIRES: 11/30/2022
.
Census not a Housing Unit/Two Duplicate Census Addresses (EE/DE/DE)
Is CENSUS ADDRESS 3 located in BCU XXXXXXX?
Attachment 1
Page XX of XX
Page XX of XX
(B)
Yes
No In what BCU number is CENSUS ADDRESS 3?
Main source of information you used to fill out questions:
(N)
Household member
Building manager or landlord
Proxy
Observation
Notes: _____________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
STOP – Go to Next Form
FS
FOR QC USE ONLY
QC
QC
QC
Correct
Incorrect
FS
QC
OE
Form D-1340
Page XX of XX
OMB No. 0607-1010
EXPIRES: 11/30/2022
Attachment 1
.
Census not a Housing Unit/Two Duplicate Census Addresses (EE/DE/DE)
Page XX of XX
| File Type | application/pdf |
| Subject | Computer Generating Initial Housing Unit Followup Forms from the Initial Housing Unit Matching Review and Coding System for the |
| Author | U S C E N S U S B U R E A U |
| File Modified | 2021-08-24 |
| File Created | 2020-10-13 |