White 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

White County

Utility or Service

Single Family

Monthly Dollar Allowances 2 BR 3 BR

5 BR

35

39

43

125

140

155

171

26

33

40

48

55

0

0

0

0

0

0

a. Natural Gas

10

10

11

13

14

15

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

31

35

44

53

62

71

Air Conditioning

3

4

9

14

19

24

Water Heating a. Natural Gas

7

9

12

16

20

24

b. Bottle Gas

29

34

49

64

79

94

c. Oil / Electric

11

13

16

19

23

26

d. Coal / Other

0

0

0

0

0

0

Water

22

23

33

48

58

67

Sewer

26

28

40

58

69

80

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

23

27

31

b. Bottle Gas

93

109

c. Oil / Electric

25

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

White 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

35

37

39

131

140

148

157

21

27

33

39

45

0

0

0

0

0

0

a. Natural Gas

10

10

11

13

14

15

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

31

38

46

53

61

Air Conditioning

5

6

8

10

13

15

Water Heating a. Natural Gas

7

9

12

16

20

24

b. Bottle Gas

29

34

49

64

79

94

c. Oil / Electric

11

13

16

19

23

26

d. Coal / Other

0

0

0

0

0

0

Water

22

23

33

48

58

67

Sewer

26

28

40

58

69

80

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

26

31

33

104

122

c. Oil / Electric

19

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

White County

Date (mm/dd/yyyy)

Larger Apartment Bldgs. (5+ Units)

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

25

27

30

87

98

109

120

18

22

26

31

35

0

0

0

0

0

0

a. Natural Gas

10

10

11

13

14

15

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

27

33

39

46

52

Air Conditioning

4

5

7

9

11

13

Water Heating a. Natural Gas

6

7

10

13

16

19

23

27

39

51

63

75

c. Oil / Electric

9

10

13

16

18

21

d. Coal / Other

0

0

0

0

0

0

Water

22

23

33

48

58

67

Sewer

26

28

40

58

69

80

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

16

19

22

b. Bottle Gas

65

76

c. Oil / Electric

17

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

White County

Date (mm/dd/yyyy)

Larger Apartments (Energy Star Certified)

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

20

22

25

71

80

89

98

15

18

22

25

29

0

0

0

0

0

0

a. Natural Gas

9

9

11

12

13

14

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

22

24

29

34

39

44

Air Conditioning

4

4

6

8

9

11

Water Heating a. Natural Gas

5

6

8

11

13

16

19

22

32

42

52

62

c. Oil / Electric

7

8

11

13

15

17

d. Coal / Other

0

0

0

0

0

0

Water

22

23

33

48

58

67

Sewer

26

28

40

58

69

80

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

16

18

b. Bottle Gas

53

63

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

White County

Date (mm/dd/yyyy)

Manufactured Homes 10/1/2017

Utility or Service

Monthly Dollar Allowances 2 BR 3 BR

4 BR

5 BR

30

33

37

106

119

132

145

33

34

35

36

36

0

0

0

0

0

0

a. Natural Gas

10

10

11

13

14

15

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

31

35

44

53

62

71

Air Conditioning

4

5

8

12

15

19

Water Heating a. Natural Gas

7

9

12

16

20

24

b. Bottle Gas

29

34

49

64

79

94

c. Oil / Electric

11

13

16

19

23

26

d. Coal / Other

0

0

0

0

0

0

Water

22

23

33

48

58

67

Sewer

26

28

40

58

69

80

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

23

27

b. Bottle Gas

79

93

c. Oil / Electric

33

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