Lewis County Single Family
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
Lewis County
Utility or Service
Single Family
Monthly Dollar Allowances 2 BR 3 BR
1 BR
29
34
39
107
126
c. Oil / Electric
25
d. Coal / Other a. Natural Gas
10/1/2015
4 BR
5 BR
44
48
53
144
162
180
198
27
34
41
49
56
0
0
0
0
0
0
8
9
10
11
12
13
12
14
18
21
25
29
c. Oil / Electric
5
6
7
8
10
11
d. Coal / Other
0
0
0
0
0
0
42
46
54
63
71
80
Air Conditioning
5
6
10
14
18
21
Water Heating a. Natural Gas
9
10
14
18
21
23
b. Bottle Gas
32
38
53
66
77
84
c. Oil / Electric
11
12
18
22
26
28
d. Coal / Other
0
0
0
0
0
0
Water
22
23
28
32
37
41
Sewer
29
31
37
43
49
56
Trash Collection
12
12
12
12
12
12
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
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
Lewis 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
43
46
50
144
158
172
186
21
27
34
40
46
0
0
0
0
0
0
8
9
10
11
12
13
12
14
18
21
25
29
c. Oil / Electric
5
6
7
8
10
11
d. Coal / Other
0
0
0
0
0
0
35
38
46
54
63
71
Air Conditioning
4
4
7
10
12
15
Water Heating a. Natural Gas
9
10
14
18
21
23
b. Bottle Gas
32
38
53
66
77
84
c. Oil / Electric
11
12
18
22
26
28
d. Coal / Other
0
0
0
0
0
0
Water
22
23
28
32
37
41
Sewer
29
31
37
43
49
56
Trash Collection
12
12
12
12
12
12
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
30
35
39
110
130
c. Oil / Electric
20
d. Coal / Other a. Natural Gas
10/1/2015
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
Lewis County
Date (mm/dd/yyyy)
Larger Apartment Bldgs. (5+ Units)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
22
25
28
72
83
93
103
18
23
27
31
36
0
0
0
0
0
0
8
9
10
11
12
13
12
14
18
21
25
29
c. Oil / Electric
5
6
7
8
10
11
d. Coal / Other
0
0
0
0
0
0
35
38
44
50
56
62
Air Conditioning
4
4
7
10
12
15
Water Heating a. Natural Gas
9
10
14
18
21
23
b. Bottle Gas
32
38
53
66
77
84
c. Oil / Electric
11
12
18
22
26
28
d. Coal / Other
0
0
0
0
0
0
Water
22
23
28
32
37
41
Sewer
29
31
37
43
49
56
Trash Collection
12
12
12
12
12
12
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
14
17
19
b. Bottle Gas
53
62
c. Oil / Electric
18
d. Coal / Other a. Natural Gas
10/1/2015
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
Lewis County
Date (mm/dd/yyyy)
Larger Apartments (Energy Star Certified)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
18
20
23
59
68
76
84
15
19
22
26
29
0
0
0
0
0
0
8
8
9
10
11
11
10
12
15
18
20
23
c. Oil / Electric
4
5
6
7
8
9
d. Coal / Other
0
0
0
0
0
0
32
34
39
44
49
54
Air Conditioning
3
4
6
8
10
12
Water Heating a. Natural Gas
7
8
12
15
17
19
26
31
44
54
63
69
c. Oil / Electric
9
10
15
18
21
23
d. Coal / Other
0
0
0
0
0
0
Water
22
23
28
32
37
41
Sewer
29
31
37
43
49
56
Trash Collection
12
12
12
12
12
12
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
12
14
16
b. Bottle Gas
43
51
c. Oil / Electric
14
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
Lewis County
Date (mm/dd/yyyy)
Manufactured Homes 10/1/2015
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
37
42
46
124
139
155
170
34
35
36
36
37
0
0
0
0
0
0
8
9
10
11
12
13
12
14
18
21
25
29
c. Oil / Electric
5
6
7
8
10
11
d. Coal / Other
0
0
0
0
0
0
39
43
53
64
74
85
Air Conditioning
5
6
9
12
15
18
Water Heating a. Natural Gas
9
10
14
18
21
23
b. Bottle Gas
32
38
53
66
77
84
c. Oil / Electric
11
12
18
22
26
28
d. Coal / Other
0
0
0
0
0
0
Water
22
23
28
32
37
41
Sewer
29
31
37
43
49
56
Trash Collection
12
12
12
12
12
12
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
25
29
33
b. Bottle Gas
92
109
c. Oil / Electric
34
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
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
Lewis County
Utility or Service
Single Family
Monthly Dollar Allowances 2 BR 3 BR
1 BR
29
34
39
107
126
c. Oil / Electric
25
d. Coal / Other a. Natural Gas
10/1/2015
4 BR
5 BR
44
48
53
144
162
180
198
27
34
41
49
56
0
0
0
0
0
0
8
9
10
11
12
13
12
14
18
21
25
29
c. Oil / Electric
5
6
7
8
10
11
d. Coal / Other
0
0
0
0
0
0
42
46
54
63
71
80
Air Conditioning
5
6
10
14
18
21
Water Heating a. Natural Gas
9
10
14
18
21
23
b. Bottle Gas
32
38
53
66
77
84
c. Oil / Electric
11
12
18
22
26
28
d. Coal / Other
0
0
0
0
0
0
Water
22
23
28
32
37
41
Sewer
29
31
37
43
49
56
Trash Collection
12
12
12
12
12
12
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
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
Lewis 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
43
46
50
144
158
172
186
21
27
34
40
46
0
0
0
0
0
0
8
9
10
11
12
13
12
14
18
21
25
29
c. Oil / Electric
5
6
7
8
10
11
d. Coal / Other
0
0
0
0
0
0
35
38
46
54
63
71
Air Conditioning
4
4
7
10
12
15
Water Heating a. Natural Gas
9
10
14
18
21
23
b. Bottle Gas
32
38
53
66
77
84
c. Oil / Electric
11
12
18
22
26
28
d. Coal / Other
0
0
0
0
0
0
Water
22
23
28
32
37
41
Sewer
29
31
37
43
49
56
Trash Collection
12
12
12
12
12
12
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
30
35
39
110
130
c. Oil / Electric
20
d. Coal / Other a. Natural Gas
10/1/2015
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
Lewis County
Date (mm/dd/yyyy)
Larger Apartment Bldgs. (5+ Units)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
22
25
28
72
83
93
103
18
23
27
31
36
0
0
0
0
0
0
8
9
10
11
12
13
12
14
18
21
25
29
c. Oil / Electric
5
6
7
8
10
11
d. Coal / Other
0
0
0
0
0
0
35
38
44
50
56
62
Air Conditioning
4
4
7
10
12
15
Water Heating a. Natural Gas
9
10
14
18
21
23
b. Bottle Gas
32
38
53
66
77
84
c. Oil / Electric
11
12
18
22
26
28
d. Coal / Other
0
0
0
0
0
0
Water
22
23
28
32
37
41
Sewer
29
31
37
43
49
56
Trash Collection
12
12
12
12
12
12
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
14
17
19
b. Bottle Gas
53
62
c. Oil / Electric
18
d. Coal / Other a. Natural Gas
10/1/2015
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
Lewis County
Date (mm/dd/yyyy)
Larger Apartments (Energy Star Certified)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
18
20
23
59
68
76
84
15
19
22
26
29
0
0
0
0
0
0
8
8
9
10
11
11
10
12
15
18
20
23
c. Oil / Electric
4
5
6
7
8
9
d. Coal / Other
0
0
0
0
0
0
32
34
39
44
49
54
Air Conditioning
3
4
6
8
10
12
Water Heating a. Natural Gas
7
8
12
15
17
19
26
31
44
54
63
69
c. Oil / Electric
9
10
15
18
21
23
d. Coal / Other
0
0
0
0
0
0
Water
22
23
28
32
37
41
Sewer
29
31
37
43
49
56
Trash Collection
12
12
12
12
12
12
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
12
14
16
b. Bottle Gas
43
51
c. Oil / Electric
14
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
Lewis County
Date (mm/dd/yyyy)
Manufactured Homes 10/1/2015
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
37
42
46
124
139
155
170
34
35
36
36
37
0
0
0
0
0
0
8
9
10
11
12
13
12
14
18
21
25
29
c. Oil / Electric
5
6
7
8
10
11
d. Coal / Other
0
0
0
0
0
0
39
43
53
64
74
85
Air Conditioning
5
6
9
12
15
18
Water Heating a. Natural Gas
9
10
14
18
21
23
b. Bottle Gas
32
38
53
66
77
84
c. Oil / Electric
11
12
18
22
26
28
d. Coal / Other
0
0
0
0
0
0
Water
22
23
28
32
37
41
Sewer
29
31
37
43
49
56
Trash Collection
12
12
12
12
12
12
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
25
29
33
b. Bottle Gas
92
109
c. Oil / Electric
34
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
