Section 2 - Rented Living Quarters

Section 2 in a first interview asks if there are any rented living quarters, and then collects expense information.

Since the first of the "reference month" have you rented any houses, apartments, or temporary living quarters NOT used entirely for business or vacation?

* Do NOT include college or university regulated housing.

1. Yes
2. No

What was your total rental payment for the "reference month" for this unit?
Include any extra charges for garage or parking facilities, but do not include direct payments by local, state. or federal agencies. [enter value] __________

What was the total rental payment for "two months ago" for this unit?
[enter value] __________

What was your total rental payment for "last month" for this unit?
Include any extra charges for garage or parking facilities, but do not include direct payments by local, state. or federal agencies. [enter value] __________

Does the rental payment include the cost of -
. . .Electricity?

1. Yes
2. No

Does the rental payment include the cost of -
. . . .Gas?

1. Yes
2. No

Does the rental payment include the cost of -
. . .Piped in water?

1. Yes
2. No

Does the rental payment include the cost of -
. . . .Heating?

1. Yes
2. No

Does the rental payment include the cost of -
. . .Trash/garbage collection?

1. Yes
2. No

Does the rental payment include the cost of -
. . .Garage and parking facilities?

1. Yes
2. No

Does the rental payment include the cost of -
. . . Telephone services?

1. Yes
2. No

Does the rental payment include the cost of -
. . . Television services?

1. Yes
2. No

Does the rental payment include the cost of -
. . . Internet services?

1. Yes
2. No

Does the rental payment include the cost of -
. . . Furniture?

1. Yes
2. No

Did you receive any reduced or free rent for this unit as a form of pay since the first of the "reference month"?

1. Yes
2. No

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What is the current monthly rental charge to another tenant for a similar unit? [enter value] __________

What is your regular rental payment? [enter value] ___________

Is any portion of this unit used for your own business?

1. Yes
2. No

What percent of the rental payment is counted as a business expense? [enter value] _________

* Enter to the nearest whole percent.

Is this unit under rent control?

1. Yes
2. No

Since the first of the "reference month", have you rented any other houses, apartments, or temporary living quarters NOT used for business or vacation?
* Do NOT include college or university regulated housing.

1. Yes
2. No

End of Section 2

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Last Modified Date: April 7,2016