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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
30
34
37
112
126
140
153
26
33
40
48
55
0
0
0
0
0
0
a. Natural Gas
9
10
11
12
13
14
b. Bottle Gas
9
11
16
20
25
30
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
6
7
11
14
17
20
b. Bottle Gas
26
30
44
57
71
84
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
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
20
24
27
b. Bottle Gas
83
98
c. Oil / Electric
25
d. Coal / Other
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
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
30
32
34
118
125
133
141
21
27
33
39
45
0
0
0
0
0
0
a. Natural Gas
9
10
11
12
13
14
b. Bottle Gas
9
11
16
20
25
30
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
6
7
11
14
17
20
b. Bottle Gas
26
30
44
57
71
84
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
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
23
27
28
b. Bottle Gas
93
110
c. Oil / Electric
19
d. Coal / Other
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
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
21
24
26
78
88
98
107
18
22
26
31
35
0
0
0
0
0
0
a. Natural Gas
9
10
11
12
13
14
b. Bottle Gas
9
11
16
20
25
30
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
5
6
9
11
14
16
21
24
35
46
57
68
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
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
19
b. Bottle Gas
58
69
c. Oil / Electric
17
d. Coal / Other
10/1/2016
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
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
17
19
21
64
72
80
88
15
18
22
25
29
0
0
0
0
0
0
a. Natural Gas
9
9
10
11
12
13
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
22
24
29
34
39
44
Air Conditioning
4
4
6
8
9
11
Water Heating a. Natural Gas
4
5
7
9
11
13
17
20
29
38
47
55
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
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
12
14
16
b. Bottle Gas
48
56
c. Oil / Electric
14
d. Coal / Other
10/1/2016
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
White County
Date (mm/dd/yyyy)
Manufactured Homes 10/1/2016
Utility or Service
Monthly Dollar Allowances 2 BR 3 BR
4 BR
5 BR
26
29
32
95
107
119
130
33
34
35
36
36
0
0
0
0
0
0
a. Natural Gas
9
10
11
12
13
14
b. Bottle Gas
9
11
16
20
25
30
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
6
7
11
14
17
20
b. Bottle Gas
26
30
44
57
71
84
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
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
17
20
23
b. Bottle Gas
71
83
c. Oil / Electric
33
d. Coal / Other
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
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