Section 21, Part B - Credit Liability - Finance Charges - Fifth Quarter Only

Section 21, Part B asks about finance charges, interest, and late fees paid to credit sources such as gasoline credit cards, store or major credit cards, financial institutions, medical practitioners, and certain types of loans. This section is only asked during the fifth interview.

Now I'm going to ask you about finance charges, interest charges and late fees.

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During the past twelve months have you or any member of your household paid any finance charges, interest charges, or late fees for any of the following? Do not include those for mortgages, home equity loans, automobile loans, or business related loans. Do not include annual fees.

. . . Gasoline credit cards, such as Shell or Exxon?

  1. Yes
  2. No

What was the total amount paid for finance, interest, and late charges for gasoline credit cards? [enter value] ____________

During the past twelve months have you or any member of your household paid any finance charges, interest charges, or late fees for any of the following? Do not include those for mortgages, home equity loans, automobile loans, or business related loans. Do not include annual fees.

...Store credit cards, such as those issued by department, specialty, electronics, or sporting goods stores?

  1. Yes
  2. No

What was the total amount paid for finance, interest, and late charges for store credit cards? [enter value] _______________

During the past twelve months have you or any member of your household paid any finance charges, interest charges, or late fees for any of the following? Do not include those for mortgages, home equity loans, automobile loans, or business related loans. Do not include annual fees.

...Major credit cards, such as VISA, Master Card, American Express, or other revolving credit accounts?

  1. Yes
  2. No

What was the total amount paid for finance, interest, and late charges for major credit cards? [enter value] _______________

During the past twelve months have you or any member of your household paid any finance charges, interest charges, or late fees for any of the following? Do not include those for mortgages, home equity loans, automobile loans, or business related loans. Do not include annual fees.

...Store installment credit accounts?

  1. Yes
  2. No

What was the total amount paid for finance, interest, and late charges for store installment credit accounts? [enter value] _______________

During the past twelve months have you or any member of your household paid any finance charges, interest charges, or late fees for any of the following? Do not include those for mortgages, home equity loans, automobile loans, or business related loans. Do not include annual fees.

...Financial institutions, such as banks, brokerages, savings and loans, credit unions, or insurance companies? Do not include mortgages, home equity loans, car loans or insurance premium payments.

  1. Yes
  2. No

What was the total amount paid for finance, interest, and late charges to financial institutions? [enter value] _______________

During the past twelve months have you or any member of your household paid any finance charges, interest charges, or late fees for any of the following? Do not include those for mortgages, home equity loans, automobile loans, or business related loans. Do not include annual fees.

...Doctors, dentists, hospitals, or other medical practitioners for expenses not covered by insurance?

  1. Yes
  2. No

What was the total amount paid for finance, interest, and late charges for doctors, dentists, hospitals, or other medical practitioners for expenses not covered by insurance? [enter value] _______________

During the past twelve months have you or any member of your household paid any finance charges, interest charges, or late fees for any of the following? Do not include those for mortgages, home equity loans, automobile loans, or business related loans. Do not include annual fees.

...Other credit, such as school loans, personal loans or loans from retirement plans?

  1. Yes
  2. No

What was the total amount paid for finance, interest, and late charges for other credit sources? [enter value] _______________

End of Section 21 B

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Last Modified Date: April 5, 2010