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Scott County Single Family - Amazon 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
Scott County
Utility or Service
Single Family
Monthly Dollar Allowances 2 BR 3 BR
1 BR
29
34
40
107
126
c. Oil / Electric
36
d. Coal / Other a. Natural Gas
10/1/2017
4 BR
5 BR
45
50
55
145
164
184
203
38
49
60
72
83
0
0
0
0
0
0
8
9
10
12
13
15
10
12
17
23
28
33
c. Oil / Electric
4
5
7
9
12
14
d. Coal / Other
0
0
0
0
0
0
41
45
55
66
77
87
Air Conditioning
3
3
8
12
16
20
Water Heating a. Natural Gas
8
9
14
18
22
26
b. Bottle Gas
30
35
50
66
81
97
c. Oil / Electric
13
15
20
24
28
32
d. Coal / Other
0
0
0
0
0
0
Water
21
23
36
55
74
94
Sewer
29
33
55
87
120
153
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
Date (mm/dd/yyyy)
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
Scott 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
46
49
52
158
169
179
190
29
39
48
58
67
0
0
0
0
0
0
8
9
10
12
13
15
10
12
17
23
28
33
c. Oil / Electric
4
5
7
9
12
14
d. Coal / Other
0
0
0
0
0
0
37
40
49
58
67
76
Air Conditioning
4
5
7
9
11
13
Water Heating a. Natural Gas
8
9
14
18
22
26
b. Bottle Gas
30
35
50
66
81
97
c. Oil / Electric
13
15
20
24
28
32
d. Coal / Other
0
0
0
0
0
0
Water
21
23
36
55
74
94
Sewer
29
33
55
87
120
153
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
34
40
43
125
147
c. Oil / Electric
28
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
Scott County
Date (mm/dd/yyyy)
Larger Apartment Bldgs. (5+ Units)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
31
35
39
102
115
129
142
26
33
39
46
53
0
0
0
0
0
0
8
9
10
12
13
15
10
12
17
23
28
33
c. Oil / Electric
4
5
7
9
12
14
d. Coal / Other
0
0
0
0
0
0
33
36
43
50
58
65
Air Conditioning
4
4
6
8
10
11
Water Heating a. Natural Gas
6
8
11
14
18
21
b. Bottle Gas
24
28
40
53
65
78
c. Oil / Electric
10
12
16
19
23
26
d. Coal / Other
0
0
0
0
0
0
Water
21
23
36
55
74
94
Sewer
29
33
55
87
120
153
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
24
28
b. Bottle Gas
75
88
c. Oil / Electric
25
d. Coal / Other a. Natural Gas
10/1/2017
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
Scott County
Date (mm/dd/yyyy)
Larger Apartments (Energy Star Certified)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
26
29
32
83
94
105
117
21
27
32
38
43
0
0
0
0
0
0
a. Natural Gas
8
8
9
11
12
13
b. Bottle Gas
8
10
14
19
23
27
c. Oil / Electric
3
4
6
8
9
11
d. Coal / Other
0
0
0
0
0
0
30
33
39
44
50
56
Air Conditioning
3
4
5
6
8
9
Water Heating a. Natural Gas
5
6
9
12
15
17
19
23
33
43
53
64
c. Oil / Electric
9
10
13
16
18
21
d. Coal / Other
0
0
0
0
0
0
Water
21
23
36
55
74
94
Sewer
29
33
55
87
120
153
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
17
20
23
b. Bottle Gas
61
72
c. Oil / Electric
20
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
Scott County
Date (mm/dd/yyyy)
Manufactured Homes 10/1/2017
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
38
43
47
123
140
156
173
50
51
52
53
55
0
0
0
0
0
0
8
9
10
12
13
15
10
12
17
23
28
33
c. Oil / Electric
4
5
7
9
12
14
d. Coal / Other
0
0
0
0
0
0
41
45
55
66
77
87
Air Conditioning
4
4
7
10
13
16
Water Heating a. Natural Gas
8
9
14
18
22
26
b. Bottle Gas
30
35
50
66
81
97
c. Oil / Electric
13
15
20
24
28
32
d. Coal / Other
0
0
0
0
0
0
Water
21
23
36
55
74
94
Sewer
29
33
55
87
120
153
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
25
29
34
b. Bottle Gas
91
107
c. Oil / Electric
49
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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