Please start with Question 1 by listing names.
1) Print the names of usual residents of this dwelling on June 1, 1971.
a. Present in this dwelling
b. Temporarily away
Include persons with no other home.
For definitions and order of listing see Instruction Booklet.
Last name ____
First name ____
Initial ____
2. Relationship to head of household
The head of household is the husband rather than the wife; the parent where there is one parent only with unmarried children, or any member of a group sharing a dwelling equally.
Fill one circle only.
[] Head of household
[] Wife of head
[] Son or daughter of head
[] Father or mother
[] Brother or sister
[] Son-in-law /daughter-in-law
[] Father-in-law/mother-in-law
[] Brother-in-law/sister-in-law
[] Grandchild
[] Lodger
[] Lodger's wife
[] Lodger's child
[] Nephew or nice
[] Other, specify as uncle, aunt, employee, employee's wife, employee's child, partner ____