| Name | Relationship | Condition | Age | Rank, Profession or Occupation | Where Born |
|---|---|---|---|---|---|
| Lydia Smith | Head | W | 40 | Landed Proprietor | Surrey Croydon |
| George Smith | Son | 14 | Scholar | Surrey Croydon | |
| Esther Wilks | Sister | U | 21 | Nurse | Surrey Croydon |
| Alfred Ward | Nephew | 7 | Scholar | London St Luke | |
| Elizabeth Eldwin | Orphan | 11 | Surrey Croydon |
| Reference: | HO107/1601/4j/391/12/41 |
| Parish or Township of: | Croydon |
| Ecclesiastical District of: | |
| City or Borough of: | |
| Town of: | Croydon |
| Village of: | |
| Address: | Park Lane 7 |