Investor Presentaiton
SAMPLE FORM
Start here or go online at [url removed] to complete your 2020 Census questionnaire.
Use a blue or black pen.
Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.
Count all people, including babies, who live and sleep here
most of the time.
If no one lives and sleeps at this address most of the time, go
online at [url removed] or call the number on page 8.
The census must also include people without a permanent
place to live, so:
If someone who does not have a permanent place to live is
staying here on April 1, 2020, count that person.
The Census Bureau also conducts counts in institutions and
other places, so:
Do not count anyone living away from here, either at college
or in the Armed Forces.
• Do not count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home,
the military, jail, etc. Otherwise, they may be counted twice.
1. How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number of people =
2. Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?
Mark X all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children
Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily
No additional people
3. Is this house, apartment, or mobile home - Mark ONE box.
Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.
Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?
4. What is your telephone number?
We will only contact you if needed for official Census Bureau
business.
Telephone Number
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