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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
23
25
27
114
128
141
155
21
26
32
37
43
0
0
0
0
0
0
a. Natural Gas
12
12
13
14
15
16
b. Bottle Gas
10
12
17
23
28
33
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
5
6
9
11
14
17
b. Bottle Gas
28
33
48
63
78
93
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
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
Cooking
1 BR
a. Natural Gas
15
18
20
b. Bottle Gas
86
101
c. Oil / Electric
20
d. Coal / Other
10/1/2017
4 BR
Heating
0 BR
Date (mm/dd/yyyy)
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
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
22
23
24
118
125
133
140
17
22
26
31
36
0
0
0
0
0
0
a. Natural Gas
12
12
13
14
15
16
b. Bottle Gas
10
12
17
23
28
33
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
5
6
9
11
14
17
b. Bottle Gas
28
33
48
63
78
93
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
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
21
b. Bottle Gas
94
110
c. Oil / Electric
16
d. Coal / Other
10/1/2017
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
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
16
18
19
80
90
99
108
15
18
21
24
28
0
0
0
0
0
0
a. Natural Gas
12
12
13
14
15
16
b. Bottle Gas
10
12
17
23
28
33
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
4
5
7
9
11
13
23
27
39
50
62
74
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
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
11
13
14
b. Bottle Gas
60
71
c. Oil / Electric
14
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
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
13
15
16
66
73
81
89
12
15
17
20
23
0
0
0
0
0
0
11
12
13
13
14
15
b. Bottle Gas
8
10
14
19
23
27
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
4
6
7
9
11
19
22
32
41
51
61
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
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
9
10
12
b. Bottle Gas
49
58
c. Oil / Electric
11
d. Coal / Other a. Natural Gas
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
Shelby County
Date (mm/dd/yyyy)
Manufactured Homes 10/1/2017
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
19
21
23
97
109
120
132
26
27
27
28
29
0
0
0
0
0
0
a. Natural Gas
12
12
13
14
15
16
b. Bottle Gas
10
12
17
23
28
33
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
5
6
9
11
14
17
b. Bottle Gas
28
33
48
63
78
93
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
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
13
15
17
b. Bottle Gas
73
86
c. Oil / Electric
26
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
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