Monroe County Single Family

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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

Monroe County

Utility or Service

Single Family

Monthly Dollar Allowances 2 BR 3 BR

1 BR

37

44

50

105

123

c. Oil / Electric

28

d. Coal / Other a. Natural Gas

10/1/2015

4 BR

5 BR

56

62

68

141

158

175

192

30

38

47

55

63

0

0

0

0

0

0

8

9

10

11

12

14

12

14

18

21

25

29

c. Oil / Electric

5

6

7

9

10

12

d. Coal / Other

0

0

0

0

0

0

47

51

60

69

78

86

6

7

10

14

18

22

11

13

19

23

27

30

b. Bottle Gas

32

37

53

66

76

84

c. Oil / Electric

11

13

19

23

27

30

d. Coal / Other

0

0

0

0

0

0

Water

32

35

44

54

63

72

Sewer

29

32

41

49

57

66

Trash Collection

16

16

16

16

16

16

Range/Microwave

10

10

10

10

10

10

Refrigerator

7

7

7

7

7

7

Other -- specify

0

0

0

0

0

0

Heating

0 BR

Date (mm/dd/yyyy)

a. Natural Gas b. Bottle Gas

Cooking

b. Bottle Gas

Other Electric Air Conditioning Water Heating a. Natural 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

Monroe 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

54

59

64

140

153

167

181

23

30

38

45

52

0

0

0

0

0

0

8

9

10

11

12

14

12

14

18

21

25

29

c. Oil / Electric

5

6

7

9

10

12

d. Coal / Other

0

0

0

0

0

0

40

43

51

60

69

77

4

4

7

10

12

15

11

13

19

23

27

30

b. Bottle Gas

32

37

53

66

76

84

c. Oil / Electric

11

13

19

23

27

30

d. Coal / Other

0

0

0

0

0

0

Water

32

35

44

54

63

72

Sewer

29

32

41

49

57

66

Trash Collection

16

16

16

16

16

16

Range/Microwave

10

10

10

10

10

10

Refrigerator

7

7

7

7

7

7

Other -- specify

0

0

0

0

0

0

Heating

0 BR

1 BR

38

45

50

107

126

c. Oil / Electric

22

d. Coal / Other a. Natural Gas

10/1/2015

a. Natural Gas b. Bottle Gas

Cooking

b. Bottle Gas

Other Electric Air Conditioning Water Heating a. Natural 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

Monroe County

Date (mm/dd/yyyy)

Larger Apartment Bldgs. (5+ Units)

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

28

32

35

70

80

90

100

21

25

30

35

40

0

0

0

0

0

0

8

9

10

11

12

14

12

14

18

21

25

29

c. Oil / Electric

5

6

7

9

10

12

d. Coal / Other

0

0

0

0

0

0

40

43

49

55

61

68

4

4

7

10

12

15

11

13

19

23

27

30

b. Bottle Gas

32

37

53

66

76

84

c. Oil / Electric

11

13

19

23

27

30

d. Coal / Other

0

0

0

0

0

0

Water

32

35

44

54

63

72

Sewer

29

32

41

49

57

66

Trash Collection

16

16

16

16

16

16

Range/Microwave

10

10

10

10

10

10

Refrigerator

7

7

7

7

7

7

Other -- specify

0

0

0

0

0

0

Heating

Cooking

0 BR

1 BR

a. Natural Gas

18

21

25

b. Bottle Gas

51

60

c. Oil / Electric

20

d. Coal / Other a. Natural Gas

10/1/2015

b. Bottle Gas

Other Electric Air Conditioning Water Heating a. Natural 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

Monroe County

Date (mm/dd/yyyy)

Larger Apartments (Energy Star Certified)

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

23

26

29

58

66

74

82

17

21

25

29

33

0

0

0

0

0

0

7

8

9

10

11

12

10

12

15

18

20

23

c. Oil / Electric

4

5

6

7

8

10

d. Coal / Other

0

0

0

0

0

0

36

39

44

49

54

60

Air Conditioning

3

4

6

8

10

12

Water Heating a. Natural Gas

9

11

15

19

22

24

26

31

43

54

62

69

c. Oil / Electric

9

11

15

19

22

24

d. Coal / Other

0

0

0

0

0

0

Water

32

35

44

54

63

72

Sewer

29

32

41

49

57

66

Trash Collection

16

16

16

16

16

16

Range/Microwave

10

10

10

10

10

10

Refrigerator

7

7

7

7

7

7

Other -- specify

0

0

0

0

0

0

Heating

Cooking

0 BR

1 BR

a. Natural Gas

15

18

20

b. Bottle Gas

42

50

c. Oil / Electric

16

d. Coal / Other a. Natural Gas

10/1/2015

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

Monroe County

Date (mm/dd/yyyy)

Manufactured Homes 10/1/2015

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

48

53

59

121

136

151

166

38

39

40

41

42

0

0

0

0

0

0

8

9

10

11

12

14

12

14

18

21

25

29

c. Oil / Electric

5

6

7

9

10

12

d. Coal / Other

0

0

0

0

0

0

44

48

59

70

81

92

5

6

9

12

15

19

11

13

19

23

27

30

b. Bottle Gas

32

37

53

66

76

84

c. Oil / Electric

11

13

19

23

27

30

d. Coal / Other

0

0

0

0

0

0

Water

32

35

44

54

63

72

Sewer

29

32

41

49

57

66

Trash Collection

16

16

16

16

16

16

Range/Microwave

10

10

10

10

10

10

Refrigerator

7

7

7

7

7

7

Other -- specify

0

0

0

0

0

0

Heating

Cooking

0 BR

1 BR

a. Natural Gas

32

38

43

b. Bottle Gas

90

106

c. Oil / Electric

38

d. Coal / Other a. Natural Gas b. Bottle Gas

Other Electric Air Conditioning Water Heating a. Natural 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