Lewis 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
Lewis County
Utility or Service
Single Family
Monthly Dollar Allowances 2 BR 3 BR
5 BR
35
39
43
128
144
161
177
27
34
41
49
56
0
0
0
0
0
0
7
8
9
10
12
13
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
38
42
51
60
69
79
Air Conditioning
4
4
10
15
20
25
Water Heating a. Natural Gas
7
8
12
16
19
23
b. Bottle Gas
29
34
49
64
79
95
c. Oil / Electric
11
13
16
20
23
27
d. Coal / Other
0
0
0
0
0
0
Water
22
23
32
45
58
70
Sewer
30
32
44
61
79
96
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
23
27
31
b. Bottle Gas
95
112
c. Oil / Electric
25
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
Lewis 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
35
37
39
136
145
154
163
21
27
34
40
46
0
0
0
0
0
0
7
8
9
10
12
13
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
35
38
46
53
61
68
Air Conditioning
5
6
8
11
13
16
Water Heating a. Natural Gas
7
8
12
16
19
23
b. Bottle Gas
29
34
49
64
79
95
c. Oil / Electric
11
13
16
20
23
27
d. Coal / Other
0
0
0
0
0
0
Water
22
23
32
45
58
70
Sewer
30
32
44
61
79
96
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
26
31
33
108
127
c. Oil / Electric
20
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
Lewis County
Date (mm/dd/yyyy)
Larger Apartment Bldgs. (5+ Units)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
24
27
30
90
101
112
124
18
23
27
31
36
0
0
0
0
0
0
7
8
9
10
12
13
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
32
34
41
47
53
59
Air Conditioning
5
5
8
10
12
14
Water Heating a. Natural Gas
6
7
10
12
15
18
23
27
39
51
64
76
c. Oil / Electric
9
10
13
16
19
22
d. Coal / Other
0
0
0
0
0
0
Water
22
23
32
45
58
70
Sewer
30
32
44
61
79
96
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
16
19
22
b. Bottle Gas
67
79
c. Oil / Electric
18
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
Lewis County
Date (mm/dd/yyyy)
Larger Apartments (Energy Star Certified)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
20
22
24
74
83
92
101
15
19
22
26
29
0
0
0
0
0
0
a. Natural Gas
7
7
8
9
11
12
b. Bottle Gas
8
10
14
19
23
27
c. Oil / Electric
3
3
5
7
8
10
d. Coal / Other
0
0
0
0
0
0
30
32
37
42
47
52
Air Conditioning
4
5
6
8
10
11
Water Heating a. Natural Gas
5
5
8
10
13
15
19
22
32
42
52
62
c. Oil / Electric
7
8
11
13
15
18
d. Coal / Other
0
0
0
0
0
0
Water
22
23
32
45
58
70
Sewer
30
32
44
61
79
96
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
13
16
18
b. Bottle Gas
55
64
c. Oil / Electric
14
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
Lewis County
Date (mm/dd/yyyy)
Manufactured Homes 10/1/2017
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
30
33
36
109
123
136
150
34
35
36
36
37
0
0
0
0
0
0
7
8
9
10
12
13
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
38
42
51
60
69
79
Air Conditioning
4
5
9
13
16
20
Water Heating a. Natural Gas
7
8
12
16
19
23
b. Bottle Gas
29
34
49
64
79
95
c. Oil / Electric
11
13
16
20
23
27
d. Coal / Other
0
0
0
0
0
0
Water
22
23
32
45
58
70
Sewer
30
32
44
61
79
96
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
20
23
26
b. Bottle Gas
81
95
c. Oil / Electric
34
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
Lewis County
Utility or Service
Single Family
Monthly Dollar Allowances 2 BR 3 BR
5 BR
35
39
43
128
144
161
177
27
34
41
49
56
0
0
0
0
0
0
7
8
9
10
12
13
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
38
42
51
60
69
79
Air Conditioning
4
4
10
15
20
25
Water Heating a. Natural Gas
7
8
12
16
19
23
b. Bottle Gas
29
34
49
64
79
95
c. Oil / Electric
11
13
16
20
23
27
d. Coal / Other
0
0
0
0
0
0
Water
22
23
32
45
58
70
Sewer
30
32
44
61
79
96
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
23
27
31
b. Bottle Gas
95
112
c. Oil / Electric
25
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
Lewis 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
35
37
39
136
145
154
163
21
27
34
40
46
0
0
0
0
0
0
7
8
9
10
12
13
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
35
38
46
53
61
68
Air Conditioning
5
6
8
11
13
16
Water Heating a. Natural Gas
7
8
12
16
19
23
b. Bottle Gas
29
34
49
64
79
95
c. Oil / Electric
11
13
16
20
23
27
d. Coal / Other
0
0
0
0
0
0
Water
22
23
32
45
58
70
Sewer
30
32
44
61
79
96
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
26
31
33
108
127
c. Oil / Electric
20
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
Lewis County
Date (mm/dd/yyyy)
Larger Apartment Bldgs. (5+ Units)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
24
27
30
90
101
112
124
18
23
27
31
36
0
0
0
0
0
0
7
8
9
10
12
13
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
32
34
41
47
53
59
Air Conditioning
5
5
8
10
12
14
Water Heating a. Natural Gas
6
7
10
12
15
18
23
27
39
51
64
76
c. Oil / Electric
9
10
13
16
19
22
d. Coal / Other
0
0
0
0
0
0
Water
22
23
32
45
58
70
Sewer
30
32
44
61
79
96
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
16
19
22
b. Bottle Gas
67
79
c. Oil / Electric
18
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
Lewis County
Date (mm/dd/yyyy)
Larger Apartments (Energy Star Certified)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
20
22
24
74
83
92
101
15
19
22
26
29
0
0
0
0
0
0
a. Natural Gas
7
7
8
9
11
12
b. Bottle Gas
8
10
14
19
23
27
c. Oil / Electric
3
3
5
7
8
10
d. Coal / Other
0
0
0
0
0
0
30
32
37
42
47
52
Air Conditioning
4
5
6
8
10
11
Water Heating a. Natural Gas
5
5
8
10
13
15
19
22
32
42
52
62
c. Oil / Electric
7
8
11
13
15
18
d. Coal / Other
0
0
0
0
0
0
Water
22
23
32
45
58
70
Sewer
30
32
44
61
79
96
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
13
16
18
b. Bottle Gas
55
64
c. Oil / Electric
14
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
Lewis County
Date (mm/dd/yyyy)
Manufactured Homes 10/1/2017
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
30
33
36
109
123
136
150
34
35
36
36
37
0
0
0
0
0
0
7
8
9
10
12
13
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
38
42
51
60
69
79
Air Conditioning
4
5
9
13
16
20
Water Heating a. Natural Gas
7
8
12
16
19
23
b. Bottle Gas
29
34
49
64
79
95
c. Oil / Electric
11
13
16
20
23
27
d. Coal / Other
0
0
0
0
0
0
Water
22
23
32
45
58
70
Sewer
30
32
44
61
79
96
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
20
23
26
b. Bottle Gas
81
95
c. Oil / Electric
34
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
