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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
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