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