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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
Sullivan County
Utility or Service
Single Family
Monthly Dollar Allowances 2 BR 3 BR
1 BR
17
20
22
101
119
c. Oil / Electric
29
d. Coal / Other
10/1/2017
4 BR
5 BR
25
28
31
136
154
172
189
31
40
48
57
66
0
0
0
0
0
0
a. Natural Gas
19
19
20
21
22
23
b. Bottle Gas
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
28
32
41
50
59
68
Air Conditioning
3
4
9
14
18
23
Water Heating a. Natural Gas
5
6
8
11
13
16
b. Bottle Gas
29
34
50
65
80
96
c. Oil / Electric
11
13
16
20
24
27
d. Coal / Other
0
0
0
0
0
0
Water
9
10
19
32
45
56
Sewer
40
43
62
90
118
146
Trash Collection
8
8
8
8
8
8
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
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
Sullivan 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
26
27
29
146
156
166
176
24
31
39
46
54
0
0
0
0
0
0
a. Natural Gas
19
19
20
21
22
23
b. Bottle Gas
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
25
28
35
43
50
58
Air Conditioning
5
5
8
10
12
14
Water Heating a. Natural Gas
5
6
8
11
13
16
b. Bottle Gas
29
34
50
65
80
96
c. Oil / Electric
11
13
16
20
24
27
d. Coal / Other
0
0
0
0
0
0
Water
9
10
19
32
45
56
Sewer
40
43
62
90
118
146
Trash Collection
8
8
8
8
8
8
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
19
22
24
116
137
c. Oil / Electric
22
d. Coal / Other
10/1/2017
a. Natural Gas b. Bottle Gas
Cooking
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
Sullivan County
Date (mm/dd/yyyy)
Larger Apartment Bldgs. (5+ Units)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
18
20
22
95
108
120
132
21
26
31
37
42
0
0
0
0
0
0
a. Natural Gas
19
19
20
21
22
23
b. Bottle Gas
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
22
24
30
37
43
49
Air Conditioning
4
5
7
9
11
13
Water Heating a. Natural Gas
4
5
7
9
11
13
23
28
40
52
64
77
c. Oil / Electric
9
10
13
16
19
22
d. Coal / Other
0
0
0
0
0
0
Water
9
10
19
32
45
56
Sewer
40
43
62
90
118
146
Trash Collection
8
8
8
8
8
8
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
12
14
16
b. Bottle Gas
71
83
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
Sullivan County
Date (mm/dd/yyyy)
Larger Apartments (Energy Star Certified)
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
15
16
18
78
88
98
109
17
22
26
30
34
0
0
0
0
0
0
18
19
19
20
21
22
b. Bottle Gas
8
10
14
19
23
27
c. Oil / Electric
3
3
5
7
8
10
d. Coal / Other
0
0
0
0
0
0
19
21
26
32
37
42
Air Conditioning
3
4
6
7
9
10
Water Heating a. Natural Gas
3
4
5
7
9
10
19
23
33
43
53
63
c. Oil / Electric
7
8
11
13
15
18
d. Coal / Other
0
0
0
0
0
0
Water
9
10
19
32
45
56
Sewer
40
43
62
90
118
146
Trash Collection
8
8
8
8
8
8
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
10
11
13
b. Bottle Gas
58
68
c. Oil / Electric
16
d. Coal / Other a. Natural Gas
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
Sullivan County
Date (mm/dd/yyyy)
Manufactured Homes 10/1/2017
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
22
24
26
116
131
146
161
40
41
42
43
44
0
0
0
0
0
0
a. Natural Gas
19
19
20
21
22
23
b. Bottle Gas
10
12
17
23
28
33
c. Oil / Electric
4
4
6
8
10
12
d. Coal / Other
0
0
0
0
0
0
28
32
41
50
59
68
Air Conditioning
4
5
8
11
15
18
Water Heating a. Natural Gas
5
6
8
11
13
16
b. Bottle Gas
29
34
50
65
80
96
c. Oil / Electric
11
13
16
20
24
27
d. Coal / Other
0
0
0
0
0
0
Water
9
10
19
32
45
56
Sewer
40
43
62
90
118
146
Trash Collection
8
8
8
8
8
8
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
14
17
19
b. Bottle Gas
86
101
c. Oil / Electric
39
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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