Henry County Single Family - Amazon Simple Storage Service (S3)
OMB Approval No. 2577-0169 (exp. 04/30/2018)
U.S. Department of Housing and Urban Development Office of Public and Indian Housing
Allowances for TenantFurnished Utilities and Other Services See Public Reporting Statement and Instructions on back Locality
Unit Type
Henry County
Utility or Service
Single Family
Monthly Dollar Allowances 2 BR 3 BR
5 BR
33
36
40
132
149
166
183
29
37
45
53
61
0
0
0
0
0
0
7
7
8
9
11
12
10
12
17
23
28
33
c. Oil / Electric
3
4
6
8
9
11
d. Coal / Other
0
0
0
0
0
0
35
39
47
56
65
74
Air Conditioning
4
4
10
15
21
26
Water Heating a. Natural Gas
6
7
11
14
17
21
b. Bottle Gas
29
34
49
65
80
95
c. Oil / Electric
10
12
16
19
23
26
d. Coal / Other
0
0
0
0
0
0
Water
20
21
28
37
46
56
Sewer
21
22
30
42
54
66
Trash Collection
12
12
12
12
12
12
Range/Microwave
7
7
7
7
7
7
Refrigerator
8
8
8
8
8
8
Other -- specify
0
0
0
0
0
0
Cooking
1 BR
a. Natural Gas
21
25
29
b. Bottle Gas
98
116
c. Oil / Electric
27
d. Coal / Other a. Natural Gas
10/1/2017
4 BR
Heating
0 BR
Date (mm/dd/yyyy)
b. Bottle Gas
Other Electric
Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family
Address of Unit
Number of Bedrooms
Previous editions are obsolete
Page 1 of 1
Utility or Service Heating Cooking Other Electric Air Conditioning Water Heating Water Sewer Trash Collection Range/Microwave Refrigerator Other
per month cost $
Total
$ form HUD-52667 (04/15) ref. Handbook 7420.8
OMB Approval No. 2577-0169 (exp. 04/30/2018)
U.S. Department of Housing and Urban Development Office of Public and Indian Housing
Allowances for TenantFurnished Utilities and Other Services See Public Reporting Statement and Instructions on back Locality
Unit Type
Henry County
Date (mm/dd/yyyy)
Low Rise Apartment (2-4 Units)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
33
35
37
141
151
160
170
22
29
36
43
49
0
0
0
0
0
0
7
7
8
9
11
12
10
12
17
23
28
33
c. Oil / Electric
3
4
6
8
9
11
d. Coal / Other
0
0
0
0
0
0
32
35
42
49
57
64
Air Conditioning
5
6
9
11
14
16
Water Heating a. Natural Gas
6
7
11
14
17
21
b. Bottle Gas
29
34
49
65
80
95
c. Oil / Electric
10
12
16
19
23
26
d. Coal / Other
0
0
0
0
0
0
Water
20
21
28
37
46
56
Sewer
21
22
30
42
54
66
Trash Collection
12
12
12
12
12
12
Range/Microwave
7
7
7
7
7
7
Refrigerator
8
8
8
8
8
8
Other -- specify
0
0
0
0
0
0
Heating
0 BR
1 BR
24
29
31
112
132
c. Oil / Electric
21
d. Coal / Other a. Natural Gas
10/1/2017
a. Natural Gas b. Bottle Gas
Cooking
b. Bottle Gas
Other Electric
Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family
Address of Unit
Number of Bedrooms
Previous editions are obsolete
Page 1 of 1
Utility or Service Heating Cooking Other Electric Air Conditioning Water Heating Water Sewer Trash Collection Range/Microwave Refrigerator Other
per month cost $
Total
$ form HUD-52667 (04/15) ref. Handbook 7420.8
OMB Approval No. 2577-0169 (exp. 04/30/2018)
U.S. Department of Housing and Urban Development Office of Public and Indian Housing
Allowances for TenantFurnished Utilities and Other Services See Public Reporting Statement and Instructions on back Locality
Unit Type
Henry County
Date (mm/dd/yyyy)
Larger Apartment Bldgs. (5+ Units)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
23
25
28
93
105
116
128
19
24
29
34
39
0
0
0
0
0
0
7
7
8
9
11
12
10
12
17
23
28
33
c. Oil / Electric
3
4
6
8
9
11
d. Coal / Other
0
0
0
0
0
0
29
32
37
43
49
55
Air Conditioning
5
6
8
10
12
14
Water Heating a. Natural Gas
5
6
9
11
14
17
23
27
40
52
64
76
c. Oil / Electric
8
10
13
15
18
21
d. Coal / Other
0
0
0
0
0
0
Water
20
21
28
37
46
56
Sewer
21
22
30
42
54
66
Trash Collection
12
12
12
12
12
12
Range/Microwave
7
7
7
7
7
7
Refrigerator
8
8
8
8
8
8
Other -- specify
0
0
0
0
0
0
Heating
Cooking
0 BR
1 BR
a. Natural Gas
15
18
20
b. Bottle Gas
69
81
c. Oil / Electric
19
d. Coal / Other a. Natural Gas
10/1/2017
b. Bottle Gas
Other Electric
b. Bottle Gas
Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family
Address of Unit
Number of Bedrooms
Previous editions are obsolete
Page 1 of 1
Utility or Service Heating Cooking Other Electric Air Conditioning Water Heating Water Sewer Trash Collection Range/Microwave Refrigerator Other
per month cost $
Total
$ form HUD-52667 (04/15) ref. Handbook 7420.8
OMB Approval No. 2577-0169 (exp. 04/30/2018)
U.S. Department of Housing and Urban Development Office of Public and Indian Housing
Allowances for TenantFurnished Utilities and Other Services See Public Reporting Statement and Instructions on back Locality
Unit Type
Henry County
Date (mm/dd/yyyy)
Larger Apartments (Energy Star Certified)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
19
21
23
76
86
95
105
16
20
24
28
32
0
0
0
0
0
0
a. Natural Gas
6
7
8
9
9
10
b. Bottle Gas
8
10
14
19
23
27
c. Oil / Electric
3
3
5
6
8
9
d. Coal / Other
0
0
0
0
0
0
27
29
34
39
43
48
Air Conditioning
4
5
6
8
10
12
Water Heating a. Natural Gas
4
5
7
9
11
14
19
22
32
42
52
62
c. Oil / Electric
7
8
10
13
15
17
d. Coal / Other
0
0
0
0
0
0
Water
20
21
28
37
46
56
Sewer
21
22
30
42
54
66
Trash Collection
12
12
12
12
12
12
Range/Microwave
7
7
7
7
7
7
Refrigerator
8
8
8
8
8
8
Other -- specify
0
0
0
0
0
0
Heating
Cooking
0 BR
1 BR
a. Natural Gas
12
14
17
b. Bottle Gas
56
66
c. Oil / Electric
15
d. Coal / Other
10/1/2017
Other Electric
b. Bottle Gas
Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family
Address of Unit
Number of Bedrooms
Previous editions are obsolete
Page 1 of 1
Utility or Service Heating Cooking Other Electric Air Conditioning Water Heating Water Sewer Trash Collection Range/Microwave Refrigerator Other
per month cost $
Total
$ form HUD-52667 (04/15) ref. Handbook 7420.8
OMB Approval No. 2577-0169 (exp. 04/30/2018)
U.S. Department of Housing and Urban Development Office of Public and Indian Housing
Allowances for TenantFurnished Utilities and Other Services See Public Reporting Statement and Instructions on back Locality
Unit Type
Henry County
Date (mm/dd/yyyy)
Manufactured Homes 10/1/2017
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
28
31
34
113
127
141
156
37
37
38
39
40
0
0
0
0
0
0
7
7
8
9
11
12
10
12
17
23
28
33
c. Oil / Electric
3
4
6
8
9
11
d. Coal / Other
0
0
0
0
0
0
35
39
47
56
65
74
Air Conditioning
5
5
9
13
17
20
Water Heating a. Natural Gas
6
7
11
14
17
21
b. Bottle Gas
29
34
49
65
80
95
c. Oil / Electric
10
12
16
19
23
26
d. Coal / Other
0
0
0
0
0
0
Water
20
21
28
37
46
56
Sewer
21
22
30
42
54
66
Trash Collection
12
12
12
12
12
12
Range/Microwave
7
7
7
7
7
7
Refrigerator
8
8
8
8
8
8
Other -- specify
0
0
0
0
0
0
Heating
Cooking
0 BR
1 BR
a. Natural Gas
18
21
25
b. Bottle Gas
84
98
c. Oil / Electric
36
d. Coal / Other a. Natural Gas b. Bottle Gas
Other Electric
Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family
Address of Unit
Number of Bedrooms
Previous editions are obsolete
Page 1 of 1
Utility or Service Heating Cooking Other Electric Air Conditioning Water Heating Water Sewer Trash Collection Range/Microwave Refrigerator Other
per month cost $
Total
$ form HUD-52667 (04/15) ref. Handbook 7420.8
U.S. Department of Housing and Urban Development Office of Public and Indian Housing
Allowances for TenantFurnished Utilities and Other Services See Public Reporting Statement and Instructions on back Locality
Unit Type
Henry County
Utility or Service
Single Family
Monthly Dollar Allowances 2 BR 3 BR
5 BR
33
36
40
132
149
166
183
29
37
45
53
61
0
0
0
0
0
0
7
7
8
9
11
12
10
12
17
23
28
33
c. Oil / Electric
3
4
6
8
9
11
d. Coal / Other
0
0
0
0
0
0
35
39
47
56
65
74
Air Conditioning
4
4
10
15
21
26
Water Heating a. Natural Gas
6
7
11
14
17
21
b. Bottle Gas
29
34
49
65
80
95
c. Oil / Electric
10
12
16
19
23
26
d. Coal / Other
0
0
0
0
0
0
Water
20
21
28
37
46
56
Sewer
21
22
30
42
54
66
Trash Collection
12
12
12
12
12
12
Range/Microwave
7
7
7
7
7
7
Refrigerator
8
8
8
8
8
8
Other -- specify
0
0
0
0
0
0
Cooking
1 BR
a. Natural Gas
21
25
29
b. Bottle Gas
98
116
c. Oil / Electric
27
d. Coal / Other a. Natural Gas
10/1/2017
4 BR
Heating
0 BR
Date (mm/dd/yyyy)
b. Bottle Gas
Other Electric
Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family
Address of Unit
Number of Bedrooms
Previous editions are obsolete
Page 1 of 1
Utility or Service Heating Cooking Other Electric Air Conditioning Water Heating Water Sewer Trash Collection Range/Microwave Refrigerator Other
per month cost $
Total
$ form HUD-52667 (04/15) ref. Handbook 7420.8
OMB Approval No. 2577-0169 (exp. 04/30/2018)
U.S. Department of Housing and Urban Development Office of Public and Indian Housing
Allowances for TenantFurnished Utilities and Other Services See Public Reporting Statement and Instructions on back Locality
Unit Type
Henry County
Date (mm/dd/yyyy)
Low Rise Apartment (2-4 Units)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
33
35
37
141
151
160
170
22
29
36
43
49
0
0
0
0
0
0
7
7
8
9
11
12
10
12
17
23
28
33
c. Oil / Electric
3
4
6
8
9
11
d. Coal / Other
0
0
0
0
0
0
32
35
42
49
57
64
Air Conditioning
5
6
9
11
14
16
Water Heating a. Natural Gas
6
7
11
14
17
21
b. Bottle Gas
29
34
49
65
80
95
c. Oil / Electric
10
12
16
19
23
26
d. Coal / Other
0
0
0
0
0
0
Water
20
21
28
37
46
56
Sewer
21
22
30
42
54
66
Trash Collection
12
12
12
12
12
12
Range/Microwave
7
7
7
7
7
7
Refrigerator
8
8
8
8
8
8
Other -- specify
0
0
0
0
0
0
Heating
0 BR
1 BR
24
29
31
112
132
c. Oil / Electric
21
d. Coal / Other a. Natural Gas
10/1/2017
a. Natural Gas b. Bottle Gas
Cooking
b. Bottle Gas
Other Electric
Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family
Address of Unit
Number of Bedrooms
Previous editions are obsolete
Page 1 of 1
Utility or Service Heating Cooking Other Electric Air Conditioning Water Heating Water Sewer Trash Collection Range/Microwave Refrigerator Other
per month cost $
Total
$ form HUD-52667 (04/15) ref. Handbook 7420.8
OMB Approval No. 2577-0169 (exp. 04/30/2018)
U.S. Department of Housing and Urban Development Office of Public and Indian Housing
Allowances for TenantFurnished Utilities and Other Services See Public Reporting Statement and Instructions on back Locality
Unit Type
Henry County
Date (mm/dd/yyyy)
Larger Apartment Bldgs. (5+ Units)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
23
25
28
93
105
116
128
19
24
29
34
39
0
0
0
0
0
0
7
7
8
9
11
12
10
12
17
23
28
33
c. Oil / Electric
3
4
6
8
9
11
d. Coal / Other
0
0
0
0
0
0
29
32
37
43
49
55
Air Conditioning
5
6
8
10
12
14
Water Heating a. Natural Gas
5
6
9
11
14
17
23
27
40
52
64
76
c. Oil / Electric
8
10
13
15
18
21
d. Coal / Other
0
0
0
0
0
0
Water
20
21
28
37
46
56
Sewer
21
22
30
42
54
66
Trash Collection
12
12
12
12
12
12
Range/Microwave
7
7
7
7
7
7
Refrigerator
8
8
8
8
8
8
Other -- specify
0
0
0
0
0
0
Heating
Cooking
0 BR
1 BR
a. Natural Gas
15
18
20
b. Bottle Gas
69
81
c. Oil / Electric
19
d. Coal / Other a. Natural Gas
10/1/2017
b. Bottle Gas
Other Electric
b. Bottle Gas
Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family
Address of Unit
Number of Bedrooms
Previous editions are obsolete
Page 1 of 1
Utility or Service Heating Cooking Other Electric Air Conditioning Water Heating Water Sewer Trash Collection Range/Microwave Refrigerator Other
per month cost $
Total
$ form HUD-52667 (04/15) ref. Handbook 7420.8
OMB Approval No. 2577-0169 (exp. 04/30/2018)
U.S. Department of Housing and Urban Development Office of Public and Indian Housing
Allowances for TenantFurnished Utilities and Other Services See Public Reporting Statement and Instructions on back Locality
Unit Type
Henry County
Date (mm/dd/yyyy)
Larger Apartments (Energy Star Certified)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
19
21
23
76
86
95
105
16
20
24
28
32
0
0
0
0
0
0
a. Natural Gas
6
7
8
9
9
10
b. Bottle Gas
8
10
14
19
23
27
c. Oil / Electric
3
3
5
6
8
9
d. Coal / Other
0
0
0
0
0
0
27
29
34
39
43
48
Air Conditioning
4
5
6
8
10
12
Water Heating a. Natural Gas
4
5
7
9
11
14
19
22
32
42
52
62
c. Oil / Electric
7
8
10
13
15
17
d. Coal / Other
0
0
0
0
0
0
Water
20
21
28
37
46
56
Sewer
21
22
30
42
54
66
Trash Collection
12
12
12
12
12
12
Range/Microwave
7
7
7
7
7
7
Refrigerator
8
8
8
8
8
8
Other -- specify
0
0
0
0
0
0
Heating
Cooking
0 BR
1 BR
a. Natural Gas
12
14
17
b. Bottle Gas
56
66
c. Oil / Electric
15
d. Coal / Other
10/1/2017
Other Electric
b. Bottle Gas
Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family
Address of Unit
Number of Bedrooms
Previous editions are obsolete
Page 1 of 1
Utility or Service Heating Cooking Other Electric Air Conditioning Water Heating Water Sewer Trash Collection Range/Microwave Refrigerator Other
per month cost $
Total
$ form HUD-52667 (04/15) ref. Handbook 7420.8
OMB Approval No. 2577-0169 (exp. 04/30/2018)
U.S. Department of Housing and Urban Development Office of Public and Indian Housing
Allowances for TenantFurnished Utilities and Other Services See Public Reporting Statement and Instructions on back Locality
Unit Type
Henry County
Date (mm/dd/yyyy)
Manufactured Homes 10/1/2017
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
28
31
34
113
127
141
156
37
37
38
39
40
0
0
0
0
0
0
7
7
8
9
11
12
10
12
17
23
28
33
c. Oil / Electric
3
4
6
8
9
11
d. Coal / Other
0
0
0
0
0
0
35
39
47
56
65
74
Air Conditioning
5
5
9
13
17
20
Water Heating a. Natural Gas
6
7
11
14
17
21
b. Bottle Gas
29
34
49
65
80
95
c. Oil / Electric
10
12
16
19
23
26
d. Coal / Other
0
0
0
0
0
0
Water
20
21
28
37
46
56
Sewer
21
22
30
42
54
66
Trash Collection
12
12
12
12
12
12
Range/Microwave
7
7
7
7
7
7
Refrigerator
8
8
8
8
8
8
Other -- specify
0
0
0
0
0
0
Heating
Cooking
0 BR
1 BR
a. Natural Gas
18
21
25
b. Bottle Gas
84
98
c. Oil / Electric
36
d. Coal / Other a. Natural Gas b. Bottle Gas
Other Electric
Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family
Address of Unit
Number of Bedrooms
Previous editions are obsolete
Page 1 of 1
Utility or Service Heating Cooking Other Electric Air Conditioning Water Heating Water Sewer Trash Collection Range/Microwave Refrigerator Other
per month cost $
Total
$ form HUD-52667 (04/15) ref. Handbook 7420.8
