American Housing Survey - National (AHS-N) and Metropolitan (AHS-MS)

U.S. DEPARTMENT OF COMMERCE

AHS-30
(8/29/06)

Completing the survey will be easier if you
will look up the following bills in your
U.S. CENSUS BUREAU
checkbook or other records before the
interview. Record the amounts for the past
year in the spaces provided, skipping any
costs that do not apply to you. Please keep
AMERICAN HOUSING SURVEY
this worksheet for reference, so you can refer
WORKSHEET
to it when our field representative contacts
you.
Economics and Statistics Administration

Utility

January

April

August

December

Electricity

$

$

$

$

Gas

$

$

$

$

OTHER HOUSING COSTS
Total cost of fuel oil for the past year?

$

Total garbage and trash collection costs for the past year?

$

Total water and sewer costs for the past year?

$

OTHER COSTS FOR HOME OWNERS
Total real estate tax for the past year?

$

Amount borrowed for current mortgage?

$

And current interest rate?
Total amount of the down payment for this house?
(Enter the amount in dollars or as the percent of the
purchase price.)

%
$
or

Percent of
Purchase
Price

This worksheet is not a questionnaire but an aid to help you when our field representative
contacts you.
Do not mail this back to the U.S. Census Bureau. Keep it for your reference.
Thank you again for your time and effort in completing this important survey!

%