| Name | Relationship | Condition | Age | Rank, Profession or Occupation | Where Born |
|---|---|---|---|---|---|
| Samuel Smith | Head | Mar | 48 | Proprietor of Houses | Surrey Croydon |
| Sarah A Smith | Wife | Mar | 48 | Middlesex St. Anns Soho | |
| Charles Smith | Son | U | 24 | Surrey Mitcham | |
| Mary Ann Smith | Dau | U | 11 | Scholar | Surrey Croydon |
| Robert Smith | Son | 7 | Scholar | Surrey Croydon | |
| Sophia Jupp | Serv | U | 39 | House Servt. | Surrey Limpsfield |
| Reference: | HO107/1601/4k/409/10/29 |
| Registration District: | Croydon |
| Sub-registration District: | Croydon |
| Parish of: | Croydon |
| Ecclesiastical District of: | St. James's |
| City or Borough of: | |
| Town of: | Croydon |
| Village of: | |
| Address: | 3 Addiscombe Road |