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Utility Allowance Schedule <br />See Public Reporting and Instructions on back. <br />US. Department of Housing and Urban Development <br />Office of Public and Indian Housing <br />OMB Approval <br />No. 25577-0169 <br />exp.7/31/2022 <br />The following allowances are used to determine the total cost of <br />tenant -furnished utilities and appliances. <br />Date (mm/dd/yyyy): <br />Locality Indian River County Board of <br />Commissioners, FL <br />R.�.49wTaSa''Xdbtki cflCir`r'Y'x.,,*¢.* a � <br />Monthly Dollar Allowances <br />R � � <br />k <br />,, <br />Heating <br />a. Natural Gas <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />b. Bottle Gas/Propane <br />$22.00 <br />$25.00 <br />$25.00 <br />$28.00 <br />$28.00 <br />$28.00 <br />c. Electric <br />$4.00 <br />$5.00 <br />$5.00 <br />$5.00 <br />$6.00 <br />$6.00 <br />d. Electric Heat Pump <br />$3.00 <br />$4.00 <br />$5.00 <br />$5.00 <br />$6.00 <br />$6.00 <br />e. Oil <br />cooking <br />a. Natural Gas <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />b. Bottle Gas/Propane <br />$6.00 <br />$8.00 <br />$11.00 <br />$14.00 <br />$20.00 <br />$25.00 <br />c. Electric <br />$3.00 <br />$4.00 <br />55.00 <br />$7.00 <br />$9.00 <br />$11.00 <br />Other Electric & Cooling <br />Other Electric (Lights & Appliances) <br />512.00 <br />514.00 <br />$20.00 <br />$26.00 <br />$31.00 <br />$37.00 <br />Air Conditioning <br />510.00 <br />512.00 <br />517.00 <br />$22.00 <br />$26.00 <br />$31.00 <br />Water Heating <br />a. Natural Gas <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />b. Bottle Gas/Propane <br />514.00 <br />514.00 <br />525.00 <br />531.00 <br />539.00 <br />$45.00 <br />c. Electric <br />$7.00 <br />$8.00 <br />$11.00 <br />$13.00 <br />$15.00 <br />$17.00 <br />d. Oil <br />Water, Sewer, Trash Collection <br />Water (avg) <br />$18.00 <br />$19.00 <br />522.00 <br />526.00 <br />532.00 <br />$38.00 <br />Sewer (avg) <br />$28.00 <br />530.00 <br />535.00 <br />540.00 <br />$44.00 <br />549.00 <br />Trash Collection (avg) <br />512.00 <br />$12.00 <br />$12.00 <br />$12.00 <br />$12.00 <br />$12.00 <br />Tenant -supplied Appliances <br />Range / Microwave Tenant -supplied <br />$11.00 <br />511.00 <br />$11.00 <br />511.00 <br />511.00 <br />511.00 <br />Refrigerator Tenant -supplied <br />512.00 <br />512.00 <br />512.00 <br />512.00 <br />512.00 <br />512.00 <br />Other --specify Monthly Charges <br />Electric Charge $9.38 <br />59.00 <br />$9.00 <br />59.00 <br />$9.00 <br />$9.00 <br />59.00 <br />Actual Family Allowances <br />To be used by the family to compute allowance. Complete below for the actual unit <br />rented. <br />Utility or Service <br />per month cost <br />Heating <br />$ <br />Cooking <br />$ <br />Name of Family <br />Other Electric <br />$ <br />Air Conditioning <br />$ <br />Water Heating <br />$ <br />Address of Unit <br />Water <br />$ <br />Sewer <br />$ <br />Trash Collection <br />$ <br />Range / Microwave <br />$ <br />Refrigerator <br />$ <br />Other <br />$ <br />Number of Bedrooms <br />Other <br />$ <br />Total 15 <br />The Nelrod Company 7/2020 Update <br />adapted from form HUD -52667 <br />(7/2019) <br />