Literal question
<span class="h3">Family return - From A </span></p>
<p>____ County
<br />____ Poor law union
<br />____ District electoral division
<br />____ Barony
<br />____ Parish
<br />____ Townland
<br />____ City
<br />____ Borough
<br />____ Division
<br />____ Urban district
<br />____ Town or Village
<br />____ Street etc. with No. of house
<br />____ Name of head of family</p>
<p>____ No. on Form B.