Download:
pdf |
pdfPage 1 of 41
Cover Page 1 of 1
Ë7c+C#?%Ug!!uÌ
Form
D-1303
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)
Initial Housing Unit Followup (IHUFU) 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-1303
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
Unit Status
# Units
00010
Multi
Occ or Vac
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
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).
(H)
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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-1303
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
Unit Status
# Units
00010
Multi
Occ or Vac
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
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).
(H)
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 4
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-1303
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update (M*)
1111.12345678
Page 2 of 2
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00017
Multi
Occ or Vac
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-1303
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Duplicate Census Address (M*/DE)
1111.12345678
Page 2 of 4
Is there a housing unit at 114 TAYLOR LN APT 1?
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
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 114 TAYLOR LN APT 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 A
(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
Describe facility:
Skip to
Question 10
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-1303
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Duplicate Census Address (M*/DE)
1111.12345678
Page 4 of 4
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
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-1303
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
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 7423 APPLE GROVE APT 1A?
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
(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
Describe facility:
Skip to
Question 10
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
(B)
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-1303
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.
Is there a housing unit at 7423 APPLE GROVE 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
(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
Describe facility:
Skip to
Question 16
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
Multi
413 DELL CT APT 3
Occ or Vac
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-1303
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Unit Status Update/Duplicate PES Address (M*/DI)
1111.12345678
Page 2 of 4
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 413 DELL CT C APT C?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
(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
Describe facility:
Skip to
Question 10
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-1303
7.
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Occ or Vac
9
Occ or Vac
9
APPLES GROVE APTS APT 1
00029
0001
Multi
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-1303
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
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at APPLES GROVE APTS APT 1?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
(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
Describe facility:
Skip to
Question 10
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
(B)
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-1303
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.
Is there a housing unit at 7423 MAIN ST. 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
(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
Describe facility:
Skip to
Question 16
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(Continued ® )
Page 29 of 222
Form D-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 4
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-1303
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match (M*)
1111.12345678
Page 2 of 2
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00017
Multi
Occ or Vac
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-1303
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate Census Address (M*/DE)
1111.12345678
Page 2 of 4
Is there a housing unit at 114 TAYLOR LN APT 1?
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
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 114 TAYLOR LN APT 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 A
(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
Describe facility:
Skip to
Question 10
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-1303
7.
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
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-1303
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
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 7423 APPLE GROVE APT 1A?
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
(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
Describe facility:
Skip to
Question 10
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
(B)
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-1303
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.
Is there a housing unit at 7423 APPLE GROVE 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
(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
Describe facility:
Skip to
Question 16
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
Multi
413 DELL CT APT 3
Occ or Vac
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-1303
2.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Duplicate PES Address (M*/DI)
1111.12345678
Page 2 of 4
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 413 DELL CT C APT C?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
(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
Describe facility:
Skip to
Question 10
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-1303
7.
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Occ or Vac
9
Occ or Vac
9
APPLES GROVE APTS APT 1
00029
0001
Multi
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-1303
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
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at APPLES GROVE APTS APT 1?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
(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
Describe facility:
Skip to
Question 10
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
(B)
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-1303
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.
Is there a housing unit at 7423 MAIN ST. 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
(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
Describe facility:
Skip to
Question 16
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(Continued ® )
Page 51 of 222
Form D-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 4
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-1303
3.
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00017
Multi
Occ or Vac
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-1303
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
Is there a housing unit at 114 TAYLOR LN APT 1?
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
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 114 TAYLOR LN APT 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 A
(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
Describe facility:
Skip to
Question 10
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
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-1303
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
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 7423 APPLE GROVE APT 1A?
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
(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
Describe facility:
Skip to
Question 10
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
(B)
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-1303
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.
Is there a housing unit at 7423 APPLE GROVE 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
(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
Describe facility:
Skip to
Question 16
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
Multi
413 DELL CT APT 3
Occ or Vac
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-1303
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
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 413 DELL CT C APT C?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
(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
Describe facility:
Skip to
Question 10
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Occ or Vac
9
Occ or Vac
9
APPLES GROVE APTS APT 1
00029
0001
Multi
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-1303
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
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 4
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at APPLES GROVE APTS APT 1?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
(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
Describe facility:
Skip to
Question 10
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-1303
7.
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 4 of 6
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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.
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
(B)
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-1303
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.
Is there a housing unit at 7423 MAIN ST. 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
(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
Describe facility:
Skip to
Question 16
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(Continued ® )
Page 73 of 222
Form D-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00017
Multi
Occ or Vac
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?
41370
No
®
(C2)
Other
Skip to Question 5
(Continued ® )
Page 75 of 222
Form D-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is there a housing unit at 114 TAYLOR LN APT 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 A
(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-1303
6.
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
# Units
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?
41370
No
®
(C2)
Other
Skip to Question 4
(Continued ® )
Page 78 of 222
Form D-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is there a housing unit at 7423 APPLE GROVE APT 1A?
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
(A)
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
Describe facility:
Skip to
Question 8
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 are at this basic street address?
One
More than one ® How many?
(L)
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?
Yes ® Enter PES MSN:
No
(D)
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:
(Continued ® )
Page 79 of 222
Form D-1303
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.
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
(B)
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 7423 APPLE GROVE 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
(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
Describe facility:
Skip to
Question 15
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
413 DELL CT APT 3
Multi
Occ or Vac
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?
41370
No
®
(C2)
Other
Skip to Question 5
(Continued ® )
Page 83 of 222
Form D-1303
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES-Census Match/Duplicate PES Address (M/DI)
1111.12345678
Page 2 of 3
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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.
Is there a housing unit at 413 DELL CT APT C?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT APT C
(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 84 of 222
Form D-1303
6.
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
TOA
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Occ or Vac
9
Occ or Vac
9
APPLE GROVE APTS APT 1
00029
0001
Multi
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?
41370
No
®
(C2)
Other
Skip to Question 4
(Continued ® )
Page 86 of 222
Form D-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is there a housing unit at APPLE GROVE APTS APT 1?
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
(A)
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
Describe facility:
Skip to
Question 8
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is APPLE GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLE GROVE APTS APT 1?
(B)
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 7423 MAIN ST 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST 1st FLOOR
(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
Describe facility:
Skip to
Question 15
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 MAIN ST 1st FLOOR?
(Continued ® )
Page 89 of 222
Form D-1303
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-1303
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
Unit Status
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.
Is there a housing unit at 1714 N LOGAN BLVD?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 1714 N LOGAN BLVD
(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
Describe facility:
Skip to
Question 6
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-1303
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Census Nonmatched Address (NE)
1111.12345678
Page 2 of 2
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
TOA
Census Address(es)
Unit Status
# 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?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 93 of 222
Form D-1303
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.
Is there a housing unit at 4116 FELDON DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 4116 FELDON DR
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 4116 FELDON DR?
(Continued ® )
Page 94 of 222
Form D-1303
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.
Is there a housing unit at 4116 FELDOR DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 4116 FELDOR DR
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 4116 FELDOR DR?
(Continued ® )
Page 95 of 222
Form D-1303
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-1303
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
TOA
Census Address(es)
Unit Status
# 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?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 97 of 222
Form D-1303
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.
Is there a housing unit at 4116 WALDON DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 4116 WALDON DR
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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?
(B)
Yes
No ® In what BCU number is 4116 WALDON DR?
(Continued ® )
Page 98 of 222
Form D-1303
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.
Is there a housing unit at 4116 FELDOR ST?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 4116 FELDOR ST
(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
Describe facility:
Skip to
Question 13
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is 4116 FELDOR ST located in BCU 41370?
Yes
No ® In what BCU number is 4116 FELDOR ST?
(B)
CENSUS NONMATCH ADDRESS
14.
Is there a housing unit at 4116 WALDO DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 4116 WALDO DR
(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 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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
00003
Multi
Occ or Vac
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.
Is there a housing unit at 927 WITNER DR APT 112?
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
(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
Describe facility:
Skip to
Question 6
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-1303
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched Address (NI)
1111.12345678
Page 2 of 2
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
TOA
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
BCU
Census ID
MSN
416A CHADWICK CT
00014
0001
Multi
Occ or Vac
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?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 104 of 222
Form D-1303
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.
Is there a housing unit at 416 CHADWICK CT APT A?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 416 CHADWICK CT APT A
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 416A CHADWICK CT?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 416A CHADWICK CT
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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-1303
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
TOA
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
BCU
Census ID
MSN
416A ARDWICK CT
00134
0001
Multi
Occ or Vac
4
Occ or Vac
4
416 ARDWICK CT APT A
00135
0001
Multi
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?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 108 of 222
Form D-1303
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.
Is there a housing unit at 416 ARDWICK CT APT A?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 416 ARDWICK CT APT A
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 416 ARDWICK CT APT A?
(Continued ® )
Page 109 of 222
Form D-1303
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.
Is there a housing unit at 416 CHADWICK CT APT 1?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 416 CHADWICK CT APT 1
(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
Describe facility:
Skip to
Question 13
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-1303
10.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched/Two Duplicate PES Addresses (NI/DI/DI)
1111.12345678
Page 4 of 5
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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.
Is 416 CHADWICK CT APT 1 located in BCU 41370?
Yes
No ® In what BCU number is 416 CHADWICK CT APT 1?
(B)
PES NONMATCH ADDRESS
14.
Is there a housing unit at 416A ARDWICK CT?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 416A ARDWICK CT
(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 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-1303
15.
OMB No. 0607-1010
EXPIRES: 11/30/2022
PES Nonmatched/Two Duplicate PES Addresses (NI/DI/DI)
1111.12345678
Page 5 of 5
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 112 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match (P)
1111.12345678
Page 1 of 4
Possible PES-Census Match (P)
The PES and Census addresses are possible matches. Determine if the PES and Census addresses are the same.
PES Address
MSN WMSN
00011
0000
TOA
Unit Status
Single
Occ or Vac
Census Address
# Units
126 OAK ST
BCU
Census ID
MSN
41370
10000000000412
00005
126 OAKE 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 126 OAK ST. Did or does the
house/apartment at 126 OAK ST ever use a different address?
1.
Go to next question.
(M)
2.
Do 126 OAK ST and 126 OAKE ST refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
126 OAK ST
126 OAKE ST
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
No
3.
®
(C2)
Other
Skip to Question 5
How many housing units are at this basic street address?
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 113 of 222
Form D-1303
4.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match (P)
1111.12345678
Page 2 of 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
PES ADDRESS
5.
Is there a housing unit at 126 OAK ST?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 126 OAK ST
(A)
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
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Describe facility:
Skip to
Question 9
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.
®
6.
Skip to Question 10
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 126 OAK ST?
(E)
Yes ® Enter Census ID:
No
(Continued ® )
Page 114 of 222
Form D-1303
8.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match (P)
1111.12345678
Page 3 of 4
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 126 OAK ST?
Yes ® Enter PES MSN
(F1)
and WMSN
No
9.
Is 126 OAK ST located in BCU 41370?
Yes
No ® In what BCU number is 126 OAK ST?
(B)
CENSUS ADDRESS
10.
Is there a housing unit at 126 OAKE ST?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 126 OAKE ST
(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
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Skip to
Question 14
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.
®
11.
Skip to Question 15
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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:
12.
Look at the PES column of the Housing Unit Reference List. Do any addresses in that column refer to the same housing
unit as 126 OAKE 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:
(Continued ® )
Page 115 of 222
Form D-1303
13.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match (P)
1111.12345678
Page 4 of 4
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 126 OAKE ST?
(G1)
14.
Yes ® Enter Census ID:
No
Is 126 OAKE ST located in BCU 41370?
Yes
No ® In what BCU number is 126 OAKE ST?
(B)
15.
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
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-1303
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 413 DELL CT APT 3?
(Continued ® )
Page 119 of 222
Form D-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00017
Multi
Occ or Vac
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-1303
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.
Is there a housing unit at 114 TAYLOR LN APT 1?
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
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 114 TAYLOR LN APT 1?
(Continued ® )
Page 122 of 222
Form D-1303
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.
Is there a housing unit at 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1,1 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . 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
Describe facility:
(A)
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
(Continued ® )
Page 123 of 222
Form D-1303
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.
Is there a housing unit at 114 TAYLOR LN APT 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 A
(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
Describe facility:
Skip to
Question 18
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
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?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 126 of 222
Form D-1303
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.
Is there a housing unit at 7423 APPLE GROVE?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 APPLES GROVE DR?
(Continued ® )
Page 128 of 222
Form D-1303
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.
Is there a housing unit at 7423 APPLE GROVE APT 1A?
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
(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
Describe facility:
Skip to
Question 18
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-1303
15.
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 5 of 7
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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.
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
(B)
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-1303
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.
Is there a housing unit at 7423 APPLE GROVE 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
(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
Describe facility:
Skip to
Question 24
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
413 DELL CT APT 3
Multi
Occ or Vac
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-1303
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 413 DELL CT C APT C?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
(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
Describe facility:
Skip to
Question 18
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Occ or Vac
9
Occ or Vac
9
APPLES GROVE APTS APT 1
00029
0001
Multi
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?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 138 of 222
Form D-1303
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.
Is there a housing unit at 7423 APPLE GROVE?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 APPLES GROVE DR?
(Continued ® )
Page 140 of 222
Form D-1303
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.
Is there a housing unit at APPLES GROVE APTS APT 1?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
(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
Describe facility:
Skip to
Question 18
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
(B)
SECOND CCM 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-1303
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.
Is there a housing unit at 7423 MAIN ST. 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
(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
Describe facility:
Skip to
Question 24
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(Continued ® )
Page 143 of 222
Form D-1303
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 144 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Possible PES-Census Match (P*)
1111.12345678
Page 1 of 4
Surrounding BCU Match/Possible PES-Census Match (P*)
The PES and Census addresses are possible matches, and the BCUs for the two addresses are different. Determine if the
addresses are the same and the correct BCU.
PES Address
Census Address
MSN WMSN
TOA
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
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 145 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Possible PES-Census Match (P*)
1111.12345678
Page 2 of 4
CENSUS ADDRESS
3.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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 146 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/Possible PES-Census Match (P*)
1111.12345678
Page 3 of 4
PES ADDRESS
8.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 413 DELL CT APT 3?
(Continued ® )
Page 147 of 222
Form D-1303
13.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Surrounding BCU Match/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 148 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 1 of 5
Surrounding BCU Match/Possible PES-Census Match/Duplicate Census
Address (P*/DE)
The PES and Census addresses are possible matches, and the BCUs for the two addresses are different. Determine if the
addresses are the same, the correct BCU, and if the addresses on the Census list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
Unit Status
# Units
BCU
Census ID
MSN
00017
Multi
Occ or Vac
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 149 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 2 of 5
FIRST CENSUS ADDRESS
3.
Is there a housing unit at 114 TAYLOR LN APT 1?
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
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 114 TAYLOR LN APT 1?
(Continued ® )
Page 150 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 3 of 5
PES ADDRESS
8.
Is there a housing unit at 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1,1 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . 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
Describe facility:
(A)
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
(Continued ® )
Page 151 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
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.
Is there a housing unit at 114 TAYLOR LN APT 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 A
(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
Describe facility:
Skip to
Question 18
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 152 of 222
Form D-1303
15.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Duplicate Census Address (P*/DE)
Page 5 of 5
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 153 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 1 of 7
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census
Addresses (P*/DE/DE)
The PES and Census addresses are possible matches, and the BCUs for the two addresses are different. Determine if the
addresses are the same, the correct BCU, and if the addresses on the Census list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
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?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 154 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 2 of 7
CENSUS ADDRESS
3.
Is there a housing unit at 7423 APPLE GROVE?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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 155 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
Page 3 of 7
PES ADDRESS
8.
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 APPLES GROVE DR?
(Continued ® )
Page 156 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
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.
Is there a housing unit at 7423 APPLE GROVE APT 1A?
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
(A)
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
Describe facility:
Skip to
Question 18
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 are at this basic street address?
One
More than one ® How many?
(L)
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 157 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
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.
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
(B)
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 158 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate Census Addresses (P*/DE/DE)
20.
Page 6 of 7
Is there a housing unit at 7423 APPLE GROVE 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
(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
Describe facility:
Skip to
Question 24
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(Continued ® )
Page 159 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
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 160 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 1 of 5
Surrounding BCU Match/Possible PES-Census Match/Duplicate PES
Address (P*/DI)
The PES and Census addresses are possible matches, 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 correct BCU, and if the addresses on
the PES list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
413 DELL CT APT 3
Multi
Occ or Vac
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 161 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 2 of 5
CENSUS ADDRESS
3.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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 162 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 3 of 5
FIRST PES ADDRESS
8.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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 163 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
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.
Is there a housing unit at 413 DELL CT C APT C?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
(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
Describe facility:
Skip to
Question 18
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 164 of 222
Form D-1303
15.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Duplicate PES Address (P*/DI)
Page 5 of 5
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 165 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 1 of 7
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES
Addresses (P*/DI/DI)
The PES and Census addresses are possible matches, 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 correct BCU, and if the addresses on
the PES list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Occ or Vac
9
Occ or Vac
9
APPLES GROVE APTS APT 1
00029
0001
Multi
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?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 166 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 2 of 7
CENSUS ADDRESS
3.
Is there a housing unit at 7423 APPLE GROVE?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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 167 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 3 of 7
FIRST PES ADDRESS
8.
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 APPLES GROVE DR?
(Continued ® )
Page 168 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
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.
Is there a housing unit at APPLES GROVE APTS APT 1?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
(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
Describe facility:
Skip to
Question 18
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 169 of 222
Form D-1303
15.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 5 of 7
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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.
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
(B)
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 170 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/Possible PES-Census Match/Two Duplicate PES Addresses (P*/DI/DI)
Page 6 of 7
THIRD PES ADDRESS
20.
Is there a housing unit at 7423 MAIN ST. 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
(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
Describe facility:
Skip to
Question 24
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(Continued ® )
Page 171 of 222
Form D-1303
25.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Surrounding BCU Match/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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
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-1303
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 413 DELL CT APT 3?
(Continued ® )
Page 175 of 222
Form D-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00017
Multi
Occ or Vac
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-1303
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.
Is there a housing unit at 114 TAYLOR LN APT 1?
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
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 114 TAYLOR LN APT 1?
(Continued ® )
Page 178 of 222
Form D-1303
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.
Is there a housing unit at 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 114 TAYLOR LN APT 1,1 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
. . . . . . 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
Describe facility:
(A)
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 114 TAYLOR LN APT 1,1 1/4 mile from intersection of route 54 and Taylor LN?
(Continued ® )
Page 179 of 222
Form D-1303
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.
Is there a housing unit at 114 TAYLOR LN APT 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 A
(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
Describe facility:
Skip to
Question 18
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
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?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 182 of 222
Form D-1303
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.
Is there a housing unit at 7423 APPLE GROVE?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 APPLES GROVE DR?
(Continued ® )
Page 184 of 222
Form D-1303
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.
Is there a housing unit at 7423 APPLE GROVE APT 1A?
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
(A)
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
Describe facility:
Skip to
Question 18
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
(B)
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-1303
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
Is there a housing unit at 7423 APPLE GROVE 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
(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
Describe facility:
Skip to
Question 24
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(Continued ® )
Page 187 of 222
Form D-1303
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-1303
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
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
413 DELL CT APT 3
Multi
Occ or Vac
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-1303
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 413 DELL CT C APT C?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
(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
Describe facility:
Skip to
Question 18
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Occ or Vac
9
Occ or Vac
9
APPLES GROVE APTS APT 1
00029
0001
Multi
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?
41370
Other
(C2)
®
Skip to Question 8
®
Skip to Question 8
No
(Continued ® )
Page 194 of 222
Form D-1303
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.
Is there a housing unit at 7423 APPLE GROVE?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
(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
Describe facility:
Skip to
Question 7
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 are at this basic street address?
One
More than one ® How many?
(L)
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-1303
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.
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(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
Describe facility:
Skip to
Question 12
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 APPLES GROVE DR?
(Continued ® )
Page 196 of 222
Form D-1303
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.
Is there a housing unit at APPLES GROVE APTS APT 1?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of APPLES GROVE APTS APT 1
(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
Describe facility:
Skip to
Question 18
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-1303
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 are at this basic street address?
One
More than one ® How many?
(L)
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.
Is APPLES GROVE APTS APT 1 located in BCU 41370?
Yes
No ® In what BCU number is APPLES GROVE APTS APT 1?
(B)
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-1303
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.
Is there a housing unit at 7423 MAIN ST. 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST. 1st FLOOR
(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
Describe facility:
Skip to
Question 24
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 are at this basic street address?
One
More than one ® How many?
(L)
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
(B)
No ® In what BCU number is 7423 MAIN ST. 1st FLOOR?
(Continued ® )
Page 199 of 222
Form D-1303
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 200 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Duplicate Census Address(P/DE)
1111.12345678
Page 1 of 5
Possible PES-Census Match/Duplicate Census Address(P/DE)
The PES and Census addresses are possible matches. The Census address is a possible duplicate with another census address.
Determine if the PES and Census addresses are the same and if the addresses on the Census list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
Unit Status
# Units
BCU
Census ID
MSN
00017
Multi
Occ or Vac
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)
2.
Do 114 TAYLOR LN APT 1 and 114 TAYLORY LN APT 1 refer to the same housing unit?
(C1)
Yes
® a. What is the correct address?
114 TAYLOR LN APT 1
114 TAYLORY LN APT 1
Neither address is correct
®
What is the correct address?
b. What is the correct BCU?
41370
No
3.
®
(C2)
Other
Skip to Question 4
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 201 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Duplicate Census Address(P/DE)
1111.12345678
Page 2 of 5
SKIP to Question 14 if you answered "Yes" to Question 2
PES ADDRESS
4.
Is there a housing unit at 114 TAYLOR LN APT 1?
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
(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 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 are at this basic street address?
One
More than one ® How many?
(L)
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 114 TAYLOR LN APT 1?
(E)
Yes ® Enter Census ID:
No
7.
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?
Yes ® Enter PES MSN
(F1)
and WMSN
No
(Continued ® )
Page 202 of 222
Form D-1303
8.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Duplicate Census Address(P/DE)
1111.12345678
Page 3 of 5
Is 114 TAYLOR LN APT 1 located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLOR LN APT 1?
(B)
FIRST CENSUS ADDRESS
9.
Is there a housing unit at 114 TAYLORY LN APT 1?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 114 TAYLORY LN APT 1
(A)
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
. . . . . .Trailer
. . . . . lot / site or trailer / house has been moved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empty
.
.
.
.
.
.
. . . . . . . .®
. . Enter
. . . facility name:
Group Quarters
Describe facility:
Skip to
Question 13
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.
®
10.
Skip to Question 14
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 114 TAYLORY 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:
12.
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 TAYLORY LN APT 1?
(G2)
Yes ® Enter Census ID:
No
(Continued ® )
Page 203 of 222
Form D-1303
13.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Duplicate Census Address(P/DE)
1111.12345678
Page 4 of 5
Is 114 TAYLORY LN APT 1 located in BCU 41370?
Yes
No ® In what BCU number is 114 TAYLORY LN APT 1?
(B)
CENSUS DUPLICATE ADDRESS
14.
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?
(C2)
41370
®
Skip to Question 20
Other
®
Skip to Question 20
No
SECOND CENSUS ADDRESS
15.
Is there a housing unit at 114 TAYLOR LN APT 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 A
(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
Describe facility:
Skip to
Question 19
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 20
(Continued ® )
Page 204 of 222
Form D-1303
16.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Duplicate Census Address(P/DE)
1111.12345678
Page 5 of 5
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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:
17.
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:
18.
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:
19.
20.
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 205 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Possible PES-Census Match/Two Duplicate Census Addresses(P/DE/DE)
Page 1 of 7
Possible PES-Census Match/Two Duplicate Census Addresses(P/DE/DE)
The PES and Census addresses are possible matches. The Census addresses are possible duplicates with other census
addresses. Determine if the PES and Census addresses are the same and if the addresses on the Census list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
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?
41370
No
®
(C2)
Other
Skip to Question 4
(Continued ® )
Page 206 of 222
Form D-1303
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Possible PES-Census Match/Two Duplicate Census Addresses(P/DE/DE)
Page 2 of 7
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 14 if you answered "Yes" to Question 2
PES ADDRESS
4.
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(A)
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
Describe facility:
Skip to
Question 8
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 are at this basic street address?
One
More than one ® How many?
(L)
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 7423 APPLES GROVE DR?
(E)
Yes ® Enter Census ID:
No
(Continued ® )
Page 207 of 222
Form D-1303
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Possible PES-Census Match/Two Duplicate Census Addresses(P/DE/DE)
Page 3 of 7
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
8.
Is 7423 APPLES GROVE DR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLES GROVE DR?
(B)
FIRST CENSUS ADDRESS
9.
Is there a housing unit at 7423 APPLE GROVE?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
(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
. . . . . .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.
®
10.
Skip to Question 14
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 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:
(Continued ® )
Page 208 of 222
Form D-1303
12.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Possible PES-Census Match/Two Duplicate Census Addresses(P/DE/DE)
Page 4 of 7
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
13.
Is 7423 APPLE GROVE located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE?
(B)
FIRST CENSUS DUPLICATE ADDRESS
14.
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 20
®
Skip to Question 20
No
(Continued ® )
Page 209 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Possible PES-Census Match/Two Duplicate Census Addresses(P/DE/DE)
Page 5 of 7
SECOND CENSUS ADDRESS
15.
Is there a housing unit at 7423 APPLE GROVE APT 1A?
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
(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
Describe facility:
Skip to
Question 19
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.
®
16.
Skip to Question 20
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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:
17.
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:
18.
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
19.
Is 7423 APPLE GROVE APT 1A located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE APT 1A?
(B)
(Continued ® )
Page 210 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Possible PES-Census Match/Two Duplicate Census Addresses(P/DE/DE)
Page 6 of 7
SECOND CENSUS DUPLICATE ADDRESS
20.
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 26
®
Skip to Question 26
No
THIRD CENSUS ADDRESS
21.
Is there a housing unit at 7423 APPLE GROVE 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE 1st FLOOR
(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
Describe facility:
Skip to
Question 25
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 26
(Continued ® )
Page 211 of 222
Form D-1303
22.
OMB No. 0607-1010
EXPIRES: 11/30/2022
1111.12345678
Possible PES-Census Match/Two Duplicate Census Addresses(P/DE/DE)
Page 7 of 7
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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:
23.
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:
24.
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
25.
Is 7423 APPLE GROVE 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLE GROVE 1st FLOOR?
(B)
26.
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 212 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Duplicate PES Address(P/DI)
1111.12345678
Page 1 of 5
Possible PES-Census Match/Duplicate PES Address(P/DI)
The PES and Census addresses are possible matches. The PES address is a possible duplicate with another PES address.
Determine if the PES and Census addresses are the same and if the addresses on the PES list are the same.
PES Address(es)
Census Address(es)
MSN WMSN
TOA
Unit Status
# Units
BCU
Census ID
MSN
00031
Multi
Occ or Vac
4
41370
10000000003156
00045
0003
413 DELL CT APT 3
00042
0003
413 DELL CT APT 3
Multi
Occ or Vac
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
No
3.
®
(C2)
Other
Skip to Question 4
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 14 if you answered "Yes" to Question 2
(Continued ® )
Page 213 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Duplicate PES Address(P/DI)
1111.12345678
Page 2 of 5
FIRST PES ADDRESS
4.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 8
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 are at this basic street address?
One
More than one ® How many?
(L)
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 413 DELL CT APT 3?
(E)
Yes ® Enter Census ID:
No
7.
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
8.
(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 214 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Duplicate PES Address(P/DI)
1111.12345678
Page 3 of 5
CENSUS ADDRESS
9.
Is there a housing unit at 413 DELL CT APT 3?
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
(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
Describe facility:
Skip to
Question 13
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.
®
10.
Skip to Question 14
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 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:
12.
13.
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 215 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Duplicate PES Address(P/DI)
1111.12345678
Page 4 of 5
PES DUPLICATE ADDRESS
14.
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 20
®
Skip to Question 20
No
SECOND PES ADDRESS
15.
Is there a housing unit at 413 DELL CT C APT C?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 413 DELL CT C APT C
(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
Describe facility:
Skip to
Question 19
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 20
(Continued ® )
Page 216 of 222
Form D-1303
16.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Duplicate PES Address(P/DI)
1111.12345678
Page 5 of 5
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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:
17.
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
18.
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
19.
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)
20.
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 217 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Two Duplicate PES Addresses(P/DI/DI)
1111.12345678
Page 1 of 7
Possible PES-Census Match/Two Duplicate PES Addresses(P/DI/DI)
The PES and Census addresses are possible matches. The PES addresses are possible duplicate with other PES address.
Determine if the PES and Census addresses are the same and if the addresses on the PES list are the same.
PES Address(es)
MSN WMSN
00001
0000
TOA
Unit Status
Single
Occ or Vac
Census Address(es)
# Units
7423 APPLES GROVE DR
00024
0001
Multi
BCU
Census ID
MSN
41370
10000000000111
00072
7423 APPLE GROVE
Occ or Vac
9
Occ or Vac
9
APPLE GROVE APTS APT 1
00029
0001
Multi
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?
41370
No
®
(C2)
Other
Skip to Question 4
(Continued ® )
Page 218 of 222
Form D-1303
3.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Two Duplicate PES Addresses(P/DI/DI)
1111.12345678
Page 2 of 7
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 14 if you answered "Yes" to Question 2
FIRST PES ADDRESS
4.
Is there a housing unit at 7423 APPLES GROVE DR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLES GROVE DR
(A)
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
Describe facility:
Skip to
Question 8
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 are at this basic street address?
One
More than one ® How many?
(L)
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 7423 APPLES GROVE DR?
(E)
Yes ® Enter Census ID:
No
(Continued ® )
Page 219 of 222
Form D-1303
7.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Two Duplicate PES Addresses(P/DI/DI)
1111.12345678
Page 3 of 7
Look at the PES column of the Housing Unit Reference List. Aside from APPLE GROVE APTS APT 1 and 7423 MAIN
ST 1st FLOOR, do any other addresses in that column refer to the same housing unit as 7423 APPLES GROVE DR?
Yes ® Enter PES MSN
(F3)
and WMSN
No
8.
Is 7423 APPLES GROVE DR located in BCU 41370?
Yes
No ® In what BCU number is 7423 APPLES GROVE DR?
(B)
CENSUS ADDRESS
9.
Is there a housing unit at 7423 APPLE GROVE?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 APPLE GROVE
(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
Describe facility:
Skip to
Question 13
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.
®
10.
Skip to Question 14
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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 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:
(Continued ® )
Page 220 of 222
Form D-1303
12.
13.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Two Duplicate PES Addresses(P/DI/DI)
1111.12345678
Page 4 of 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)
FIRST PES DUPLICATE ADDRESS
14.
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?
41370
Other
(C2)
®
Skip to Question 20
®
Skip to Question 20
No
(Continued ® )
Page 221 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Two Duplicate PES Addresses(P/DI/DI)
1111.12345678
Page 5 of 7
SECOND PES ADDRESS
15.
Is there a housing unit at APPLE GROVE APTS APT 1?
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
(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
Describe facility:
Skip to
Question 19
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.
®
16.
Skip to Question 20
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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:
17.
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
18.
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
19.
Is APPLE GROVE APTS APT 1 located in BCU 41370?
Yes
(B)
No ® In what BCU number is APPLE GROVE APTS APT 1?
(Continued ® )
Page 222 of 222
Form D-1303
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Two Duplicate PES Addresses(P/DI/DI)
1111.12345678
Page 6 of 7
SECOND PES DUPLICATE ADDRESS
20.
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 26
®
Skip to Question 26
No
THIRD PES ADDRESS
21.
Is there a housing unit at 7423 MAIN ST 1st FLOOR?
Yes, and address is correct
Yes, but address needs correction
(Write correct address here):
No ® Please describe the status of 7423 MAIN ST 1st FLOOR
(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
Describe facility:
Skip to
Question 25
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 26
(Continued ® )
Page 223 of 222
Form D-1303
22.
OMB No. 0607-1010
EXPIRES: 11/30/2022
Possible PES-Census Match/Two Duplicate PES Addresses(P/DI/DI)
1111.12345678
Page 7 of 7
How many housing units are at this basic street address?
One
More than one ® How many?
(L)
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:
23.
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
24.
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
25.
Is 7423 MAIN ST 1st FLOOR located in BCU 41370?
Yes
No ® In what BCU number is 7423 MAIN ST 1st FLOOR?
(B)
26.
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
| 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 | 2020-03-30 |
| File Created | 2020-03-30 |