Marion County Single Family Simple Storage Service (S3)

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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

Marion County

Utility or Service

Single Family

Monthly Dollar Allowances 2 BR 3 BR

5 BR

34

37

41

123

138

153

168

29

37

44

52

60

0

0

0

0

0

0

4

4

6

7

9

10

10

12

17

23

28

33

c. Oil / Electric

4

5

7

9

11

13

d. Coal / Other

0

0

0

0

0

0

43

47

57

67

76

86

Air Conditioning

4

5

11

17

23

30

Water Heating a. Natural Gas

7

9

13

16

20

24

b. Bottle Gas

29

34

49

64

79

94

c. Oil / Electric

12

14

17

21

25

29

d. Coal / Other

0

0

0

0

0

0

Water

11

13

21

34

46

59

Sewer

19

20

30

46

61

76

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

30

b. Bottle Gas

91

108

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

Marion 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

34

36

38

129

137

145

154

23

29

36

43

49

0

0

0

0

0

0

4

4

6

7

9

10

10

12

17

23

28

33

c. Oil / Electric

4

5

7

9

11

13

d. Coal / Other

0

0

0

0

0

0

40

43

51

59

67

75

Air Conditioning

6

7

10

13

15

18

Water Heating a. Natural Gas

7

9

13

16

20

24

b. Bottle Gas

29

34

49

64

79

94

c. Oil / Electric

12

14

17

21

25

29

d. Coal / Other

0

0

0

0

0

0

Water

11

13

21

34

46

59

Sewer

19

20

30

46

61

76

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

25

30

32

102

120

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

Marion 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

26

29

86

96

107

118

20

24

29

34

38

0

0

0

0

0

0

4

4

6

7

9

10

10

12

17

23

28

33

c. Oil / Electric

4

5

7

9

11

13

d. Coal / Other

0

0

0

0

0

0

36

39

46

52

59

66

Air Conditioning

5

6

9

11

14

16

Water Heating a. Natural Gas

6

7

10

13

16

19

23

27

39

51

63

75

c. Oil / Electric

9

11

14

17

20

23

d. Coal / Other

0

0

0

0

0

0

Water

11

13

21

34

46

59

Sewer

19

20

30

46

61

76

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

21

b. Bottle Gas

64

75

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

Marion 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

70

79

88

96

16

20

24

28

31

0

0

0

0

0

0

a. Natural Gas

4

4

5

6

7

9

b. Bottle Gas

8

10

14

19

23

27

c. Oil / Electric

3

4

5

7

9

10

d. Coal / Other

0

0

0

0

0

0

34

36

41

47

52

58

Air Conditioning

4

5

7

9

11

13

Water Heating a. Natural Gas

4

5

8

11

13

16

19

22

32

42

52

62

c. Oil / Electric

8

9

11

14

16

19

d. Coal / Other

0

0

0

0

0

0

Water

11

13

21

34

46

59

Sewer

19

20

30

46

61

76

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

53

62

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

Marion County

Date (mm/dd/yyyy)

Manufactured Homes 10/1/2017

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

29

32

35

104

117

130

143

36

37

38

39

40

0

0

0

0

0

0

4

4

6

7

9

10

10

12

17

23

28

33

c. Oil / Electric

4

5

7

9

11

13

d. Coal / Other

0

0

0

0

0

0

43

47

57

67

76

86

Air Conditioning

5

6

10

15

19

23

Water Heating a. Natural Gas

7

9

13

16

20

24

b. Bottle Gas

29

34

49

64

79

94

c. Oil / Electric

12

14

17

21

25

29

d. Coal / Other

0

0

0

0

0

0

Water

11

13

21

34

46

59

Sewer

19

20

30

46

61

76

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

19

23

26

b. Bottle Gas

78

91

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