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Address of the house
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Number of persons in the household
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Names
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Whether a soldier, sailor or marine during the Civil War and
whether Union or Confederate
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Whether the widow of a veteran
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Relationship to head of family
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Race
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Sex
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Age
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Marital status and whether married during the previous year
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If a mother, how many children, and how many living
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Birthplace and birthplace of father and mother
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If foreign born, how many years in the U.S.
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Whether naturalized or in the process of naturalization
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Profession, trade or occupation
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Number of months unemployed during the previous year
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Ability to read and write
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Ability to speak English, if not, language or dialect spoken
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Whether suffering from an acute or chronic disease, if so,
name of disease and length of time afflicted
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Whether defective in mind, sight, hearing, or speech, or
whether crippled, maimed, or deformed, with the name of defect
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Whether a prisoner, convict, homeless child or pauper
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Whether the home was rented or owned and whether it was
mortgaged
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Whether a farmer, and if so, whether rented or owned – if
mortgaged, the post office address of the owner