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