| Name and Surname | Marcella Boyd | George Boyd |
| Relation to Head of Family | Head of Family | Son |
| Religious Profession | Church of Ireland | Church of Ireland |
| Education | Read and Write | Read and Write |
| Age | 63 | 25 |
| Sex | F | M |
| Rank, Profession or Occupation | Farmers wife | Farmers son |
| Particulars as to Marriage | Widow | Not Married |
| Where Born | Co Roscommon | Co Mayo |
| Irish Language | ||
| Deaf, Dumb, etc. |
| County | Mayo |
| Parliamentary Division | South Mayo |
| Poor Law Union | Swinford |
| District Electoral Division | Loughanboy |
| Townland | Coolnarna |
| Barony | Costello |
| Parish | Annagh |
| No of House | 3 | |
| Whether Built or Building | Built | |
| Private Dwelling etc | Private Dwelling | |
| Number of Out-Offices and Farmsteadings as returned on Form B.2 | 3 | |
| Is House Inhabited? | Yes | |
| Particulars of Inhabited Houses | Walls | Son, Brick or Concrete |
| Roof | Thatch, Wood or other perishable material | |
| Rooms | 2, 3, or 4 rooms | |
| Windows in Front | 3 | |
| Total | 6 | |
| Class of House | 2nd | |
| Families | No of distinct families | 1 |
| Name of the Head of each Family | Marcella Boyd | |
| Number of Rooms occupied | 3 [sic] | |
| Number of Persons in each Family | 2 | |
| Date on which Forma A was collected | April 16th. | |
| Number of Persons who were sick on 2nd April 1911 | ||
| Name of the Landholder | ||
| No. of Form M.1 | 10 | |
| Number on Form B.1 | 12 |
| Stable | 3 |
| Coach House | |
| Harness Room | |
| Cow House | 1 |
| Calf House | |
| Dairy | |
| Piggery | 1 |
| Fowl House | |
| Boiling House | |
| Barn | 1 |
| Turf House | |
| Potato House | |
| Workshop | |
| Shed | |
| Store | |
| Forge | |
| Laundry | |
| Other Out-Offices | [None Listed] |
| Total Number of Out-offices and Farm-Steadings | 3 |
Source: National Archives of Ireland