Haywood 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

Haywood County

Utility or Service

Single Family

Monthly Dollar Allowances 2 BR 3 BR

5 BR

22

24

26

119

134

148

163

26

33

40

47

54

0

0

0

0

0

0

5

5

6

7

8

9

10

12

17

23

28

33

c. Oil / Electric

4

4

6

8

10

12

d. Coal / Other

0

0

0

0

0

0

27

31

40

49

58

67

Air Conditioning

5

6

13

21

28

36

Water Heating a. Natural Gas

5

6

8

11

13

16

b. Bottle Gas

29

34

49

63

78

93

c. Oil / Electric

11

13

16

20

23

27

d. Coal / Other

0

0

0

0

0

0

Water

13

14

21

30

36

42

Sewer

15

16

24

35

46

57

Trash Collection

20

20

20

20

20

20

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

15

17

19

b. Bottle Gas

89

105

c. Oil / Electric

25

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

Haywood 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

21

23

24

124

133

141

149

21

27

33

39

45

0

0

0

0

0

0

5

5

6

7

8

9

10

12

17

23

28

33

c. Oil / Electric

4

4

6

8

10

12

d. Coal / Other

0

0

0

0

0

0

24

27

34

42

50

57

Air Conditioning

7

8

12

15

19

22

Water Heating a. Natural Gas

5

6

8

11

13

16

b. Bottle Gas

29

34

49

63

78

93

c. Oil / Electric

11

13

16

20

23

27

d. Coal / Other

0

0

0

0

0

0

Water

13

14

21

30

36

42

Sewer

15

16

24

35

46

57

Trash Collection

20

20

20

20

20

20

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

20

b. Bottle Gas

99

116

c. Oil / Electric

19

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

Haywood County

Date (mm/dd/yyyy)

Larger Apartment Bldgs. (5+ Units)

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

15

17

18

84

94

104

114

18

22

26

31

35

0

0

0

0

0

0

5

5

6

7

8

9

10

12

17

23

28

33

c. Oil / Electric

4

4

6

8

10

12

d. Coal / Other

0

0

0

0

0

0

21

23

29

36

42

48

Air Conditioning

7

8

11

14

17

20

Water Heating a. Natural Gas

4

5

7

9

11

13

23

27

39

51

63

75

c. Oil / Electric

9

10

13

16

19

21

d. Coal / Other

0

0

0

0

0

0

Water

13

14

21

30

36

42

Sewer

15

16

24

35

46

57

Trash Collection

20

20

20

20

20

20

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

12

14

b. Bottle Gas

62

74

c. Oil / Electric

17

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

Haywood County

Date (mm/dd/yyyy)

Larger Apartments (Energy Star Certified)

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

13

14

15

69

77

85

93

15

18

22

25

29

0

0

0

0

0

0

a. Natural Gas

4

5

5

6

7

8

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

18

20

25

31

36

41

Air Conditioning

5

6

9

11

14

16

Water Heating a. Natural Gas

4

4

6

7

9

10

19

22

32

42

51

61

c. Oil / Electric

7

8

11

13

15

18

d. Coal / Other

0

0

0

0

0

0

Water

13

14

21

30

36

42

Sewer

15

16

24

35

46

57

Trash Collection

20

20

20

20

20

20

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

9

10

11

b. Bottle Gas

51

60

c. Oil / Electric

14

d. Coal / Other

10/1/2017

a. Natural 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

Haywood County

Date (mm/dd/yyyy)

Manufactured Homes 10/1/2017

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

18

20

22

102

114

126

138

33

34

35

35

36

0

0

0

0

0

0

5

5

6

7

8

9

10

12

17

23

28

33

c. Oil / Electric

4

4

6

8

10

12

d. Coal / Other

0

0

0

0

0

0

27

31

40

49

58

67

Air Conditioning

6

7

12

17

23

28

Water Heating a. Natural Gas

5

6

8

11

13

16

b. Bottle Gas

29

34

49

63

78

93

c. Oil / Electric

11

13

16

20

23

27

d. Coal / Other

0

0

0

0

0

0

Water

13

14

21

30

36

42

Sewer

15

16

24

35

46

57

Trash Collection

20

20

20

20

20

20

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

15

17

b. Bottle Gas

76

89

c. Oil / Electric

33

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