Sullivan 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

Sullivan County

Utility or Service

Single Family

Monthly Dollar Allowances 2 BR 3 BR

1 BR

17

20

22

101

119

c. Oil / Electric

29

d. Coal / Other

10/1/2017

4 BR

5 BR

25

28

31

136

154

172

189

31

40

48

57

66

0

0

0

0

0

0

a. Natural Gas

19

19

20

21

22

23

b. Bottle Gas

10

12

17

23

28

33

c. Oil / Electric

4

4

6

8

10

12

d. Coal / Other

0

0

0

0

0

0

28

32

41

50

59

68

Air Conditioning

3

4

9

14

18

23

Water Heating a. Natural Gas

5

6

8

11

13

16

b. Bottle Gas

29

34

50

65

80

96

c. Oil / Electric

11

13

16

20

24

27

d. Coal / Other

0

0

0

0

0

0

Water

9

10

19

32

45

56

Sewer

40

43

62

90

118

146

Trash Collection

8

8

8

8

8

8

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

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

Sullivan 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

26

27

29

146

156

166

176

24

31

39

46

54

0

0

0

0

0

0

a. Natural Gas

19

19

20

21

22

23

b. Bottle Gas

10

12

17

23

28

33

c. Oil / Electric

4

4

6

8

10

12

d. Coal / Other

0

0

0

0

0

0

25

28

35

43

50

58

Air Conditioning

5

5

8

10

12

14

Water Heating a. Natural Gas

5

6

8

11

13

16

b. Bottle Gas

29

34

50

65

80

96

c. Oil / Electric

11

13

16

20

24

27

d. Coal / Other

0

0

0

0

0

0

Water

9

10

19

32

45

56

Sewer

40

43

62

90

118

146

Trash Collection

8

8

8

8

8

8

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

19

22

24

116

137

c. Oil / Electric

22

d. Coal / Other

10/1/2017

a. Natural Gas b. Bottle Gas

Cooking

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

Sullivan County

Date (mm/dd/yyyy)

Larger Apartment Bldgs. (5+ Units)

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

18

20

22

95

108

120

132

21

26

31

37

42

0

0

0

0

0

0

a. Natural Gas

19

19

20

21

22

23

b. Bottle Gas

10

12

17

23

28

33

c. Oil / Electric

4

4

6

8

10

12

d. Coal / Other

0

0

0

0

0

0

22

24

30

37

43

49

Air Conditioning

4

5

7

9

11

13

Water Heating a. Natural Gas

4

5

7

9

11

13

23

28

40

52

64

77

c. Oil / Electric

9

10

13

16

19

22

d. Coal / Other

0

0

0

0

0

0

Water

9

10

19

32

45

56

Sewer

40

43

62

90

118

146

Trash Collection

8

8

8

8

8

8

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

12

14

16

b. Bottle Gas

71

83

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

Sullivan County

Date (mm/dd/yyyy)

Larger Apartments (Energy Star Certified)

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

15

16

18

78

88

98

109

17

22

26

30

34

0

0

0

0

0

0

18

19

19

20

21

22

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

19

21

26

32

37

42

Air Conditioning

3

4

6

7

9

10

Water Heating a. Natural Gas

3

4

5

7

9

10

19

23

33

43

53

63

c. Oil / Electric

7

8

11

13

15

18

d. Coal / Other

0

0

0

0

0

0

Water

9

10

19

32

45

56

Sewer

40

43

62

90

118

146

Trash Collection

8

8

8

8

8

8

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

10

11

13

b. Bottle Gas

58

68

c. Oil / Electric

16

d. Coal / Other a. Natural Gas

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

Sullivan County

Date (mm/dd/yyyy)

Manufactured Homes 10/1/2017

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

22

24

26

116

131

146

161

40

41

42

43

44

0

0

0

0

0

0

a. Natural Gas

19

19

20

21

22

23

b. Bottle Gas

10

12

17

23

28

33

c. Oil / Electric

4

4

6

8

10

12

d. Coal / Other

0

0

0

0

0

0

28

32

41

50

59

68

Air Conditioning

4

5

8

11

15

18

Water Heating a. Natural Gas

5

6

8

11

13

16

b. Bottle Gas

29

34

50

65

80

96

c. Oil / Electric

11

13

16

20

24

27

d. Coal / Other

0

0

0

0

0

0

Water

9

10

19

32

45

56

Sewer

40

43

62

90

118

146

Trash Collection

8

8

8

8

8

8

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

14

17

19

b. Bottle Gas

86

101

c. Oil / Electric

39

d. Coal / Other

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