Form LS-3 Person record
What is this person's name?
GuillermoFirst name
PerezLast name
What is this person's date of birth and age?
January 13, 1963Date of birth
63Age
What is this person's sex?
- Male (selected)
- Female
What is this person's race or origin?
- White
- Black or African American
- American Indian or Alaska Native
- Asian
- Hispanic or Latino (selected)
- Two or more races
Where does this person live?
Euless, TXCity and state
UrbanSetting
Is this home owned or rented?
- Owned (selected)
- Rented
CondoKind of home
What is the highest degree or level of school this person has finished?
High School GraduateEducation
Does this person work?
Employed at a small businessWork status
Monday-Friday, 7:00 to 17:00Schedule
What was this person's income in the last 12 months?
$73,383Total income
Is this person now married?
- Now married (selected)
- Not married
Rose Perez, 65Spouse