Shelby 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

Shelby County

Utility or Service

Single Family

Monthly Dollar Allowances 2 BR 3 BR

5 BR

19

21

23

103

115

127

139

21

26

32

37

43

0

0

0

0

0

0

12

12

13

13

14

15

b. Bottle Gas

9

11

16

20

25

30

c. Oil / Electric

3

4

6

7

9

11

d. Coal / Other

0

0

0

0

0

0

29

32

41

50

58

67

Air Conditioning

5

6

14

21

29

36

Water Heating a. Natural Gas

4

5

7

10

12

14

b. Bottle Gas

25

30

43

57

70

83

c. Oil / Electric

10

12

15

18

21

25

d. Coal / Other

0

0

0

0

0

0

Water

18

19

26

36

46

56

Sewer

10

11

17

26

34

43

Trash Collection

16

16

16

16

16

16

8

8

8

8

8

8

10

10

10

10

10

10

0

0

0

0

0

0

Cooking

1 BR

a. Natural Gas

13

15

17

b. Bottle Gas

77

91

c. Oil / Electric

20

d. Coal / Other a. Natural Gas

10/1/2016

4 BR

Heating

0 BR

Date (mm/dd/yyyy)

Other Electric

Range/Microwave Refrigerator Other -- specify

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

Shelby 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

19

20

21

106

113

119

126

17

22

26

31

36

0

0

0

0

0

0

12

12

13

13

14

15

b. Bottle Gas

9

11

16

20

25

30

c. Oil / Electric

3

4

6

7

9

11

d. Coal / Other

0

0

0

0

0

0

26

29

36

43

50

57

Air Conditioning

7

9

12

16

19

22

Water Heating a. Natural Gas

4

5

7

10

12

14

b. Bottle Gas

25

30

43

57

70

83

c. Oil / Electric

10

12

15

18

21

25

d. Coal / Other

0

0

0

0

0

0

Water

18

19

26

36

46

56

Sewer

10

11

17

26

34

43

Trash Collection

16

16

16

16

16

16

8

8

8

8

8

8

10

10

10

10

10

10

0

0

0

0

0

0

Heating

Cooking

0 BR

1 BR

a. Natural Gas

14

17

18

b. Bottle Gas

84

99

c. Oil / Electric

16

d. Coal / Other a. Natural Gas

10/1/2016

Other Electric

Range/Microwave Refrigerator Other -- specify

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

Shelby County

Date (mm/dd/yyyy)

Larger Apartment Bldgs. (5+ Units)

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

14

15

16

72

80

89

97

15

18

21

24

28

0

0

0

0

0

0

12

12

13

13

14

15

b. Bottle Gas

9

11

16

20

25

30

c. Oil / Electric

3

4

6

7

9

11

d. Coal / Other

0

0

0

0

0

0

23

25

31

37

43

49

Air Conditioning

7

8

11

14

17

20

Water Heating a. Natural Gas

3

4

6

8

9

11

20

24

35

45

56

67

c. Oil / Electric

8

9

12

15

17

20

d. Coal / Other

0

0

0

0

0

0

Water

18

19

26

36

46

56

Sewer

10

11

17

26

34

43

Trash Collection

16

16

16

16

16

16

8

8

8

8

8

8

10

10

10

10

10

10

0

0

0

0

0

0

Heating

Cooking

0 BR

1 BR

9

11

12

b. Bottle Gas

54

63

c. Oil / Electric

14

d. Coal / Other a. Natural Gas

10/1/2016

a. Natural Gas

Other Electric

b. Bottle Gas

Range/Microwave Refrigerator Other -- specify

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

Shelby County

Date (mm/dd/yyyy)

Larger Apartments (Energy Star Certified)

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

11

12

13

59

66

73

80

12

15

17

20

23

0

0

0

0

0

0

11

11

12

13

13

14

b. Bottle Gas

7

9

13

17

21

24

c. Oil / Electric

3

3

5

6

8

9

d. Coal / Other

0

0

0

0

0

0

21

23

28

32

37

42

Air Conditioning

5

6

9

11

14

16

Water Heating a. Natural Gas

3

3

5

6

8

9

17

20

28

37

46

55

c. Oil / Electric

7

8

10

12

14

16

d. Coal / Other

0

0

0

0

0

0

Water

18

19

26

36

46

56

Sewer

10

11

17

26

34

43

Trash Collection

16

16

16

16

16

16

8

8

8

8

8

8

10

10

10

10

10

10

0

0

0

0

0

0

Heating

Cooking

0 BR

1 BR

7

9

10

b. Bottle Gas

44

52

c. Oil / Electric

11

d. Coal / Other a. Natural Gas

10/1/2016

a. Natural Gas

Other Electric

b. Bottle Gas

Range/Microwave Refrigerator Other -- specify

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

Shelby County

Date (mm/dd/yyyy)

Manufactured Homes 10/1/2016

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

16

18

20

87

98

108

118

26

27

27

28

29

0

0

0

0

0

0

12

12

13

13

14

15

b. Bottle Gas

9

11

16

20

25

30

c. Oil / Electric

3

4

6

7

9

11

d. Coal / Other

0

0

0

0

0

0

29

32

41

50

58

67

Air Conditioning

6

7

13

18

23

28

Water Heating a. Natural Gas

4

5

7

10

12

14

b. Bottle Gas

25

30

43

57

70

83

c. Oil / Electric

10

12

15

18

21

25

d. Coal / Other

0

0

0

0

0

0

Water

18

19

26

36

46

56

Sewer

10

11

17

26

34

43

Trash Collection

16

16

16

16

16

16

8

8

8

8

8

8

10

10

10

10

10

10

0

0

0

0

0

0

Heating

Cooking

0 BR

1 BR

a. Natural Gas

11

13

15

b. Bottle Gas

65

77

c. Oil / Electric

26

d. Coal / Other a. Natural Gas

Other Electric

Range/Microwave Refrigerator Other -- specify

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