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�pwnst%-„�•�v�'ti�u�'w*.�?+;ac'«•a.a.r:--r•�«►....yh<;..w h, <br />�,(j' NL _h'r..1sP�H15•es:MYAi:i <br />r•�. g. <br />A H w B t'r tz <br />r l I <br />Utility Allowance Schedule U.S. Department of Housing an ran eve opment <br />Office of Public and Indian Housing <br />See Public Reporting and Instructions on back. <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 />Unit Type: Multi -Family (Apartment/Row <br />House/Townhouse/Semi-Detached/Duplex) <br />Utility or Service: <br />0 BR <br />1 BR <br />1 2 BR 1 3 BR <br />4 BR 1 <br />5 BR <br />Monthly Dollar Allowances <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 />$26.00 <br />$29.00 <br />$29.00 <br />$32.00 <br />$32.00 <br />$32.00 <br />c. Electric <br />$4.00 <br />$5.00 <br />$5.00 <br />$6.00 <br />$6.00 <br />$7.00 <br />d. Electric Heat Pump <br />$4.00 <br />$4.00 <br />$5.00 <br />$5.00 <br />$6.00 <br />$7.00 <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 />$10.00 <br />$13.00 <br />$16.00 <br />$22.00 <br />$29.00 <br />c. Electric <br />$4.001 <br />$4.001 <br />$6.001 <br />$8.001 <br />$10.001 <br />$11.00 <br />Other Electric & Cooling <br />Other Electric (Lights & Appliances) <br />1 $13.001 <br />$15.001 <br />$21.001 <br />$27.001 <br />$34.001 <br />$40.00 <br />Air Conditioning <br />1 $11.001 <br />$13.001 <br />$18.001 <br />$23.001 <br />$28.001 <br />$33.00 <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 />$16.00 <br />$16.00 <br />$29.00 <br />$35.00 <br />$45.00 <br />$51.00 <br />c. Electric <br />$8.00 <br />$9.00 <br />$11.00 <br />$14.00 <br />$16.00 <br />$19.00 <br />d. Oil <br />Water, Sewer, Trash Collection <br />Water (avg) <br />$18.00 <br />$19.00 <br />$22.00 <br />$26.00 <br />$32.00 <br />$38.00 <br />Sewer (avg) <br />$28.00 <br />$31.00 <br />$35.001 <br />$40.00 <br />$45.00 <br />$49.00 <br />Trash Collection (avg) <br />$13.00 <br />$13.00 <br />$13.001 <br />$13.00 <br />$13.00 <br />$13.00 <br />Tenant -supplied Appliances <br />Range/ Microwave Tenant -supplied <br />1 $11.001 <br />$11.001 <br />$11.001 <br />$11.00 <br />$11.001 <br />$11.00 <br />Refrigerator Tenant -supplied <br />1 $12.001 <br />$12.001 <br />$12.001 <br />$12.001 <br />$12.001 <br />$12.00 <br />Other --specify: Monthly Charges <br />Electric Charge $9.38 <br />1 $9.001 <br />$9.00$9.00 <br />$9.00 <br />$9.00 <br />$9.00 <br />Actual Family Allowances <br />To be used by the family to compute allowance. Complete below for the actual <br />unit rented. <br />Utility or Service <br />per month cost <br />Heating $ <br />Cookie $ <br />Name of Family <br />Other Electric <br />$ <br />Air Conditioning $ <br />Water Heatin $ <br />Address of Unit <br />Water $ <br />Sewer $ <br />Trash Collection $ <br />Range / Microwave $ <br />Refrigerator $ <br />Other $ <br />Number of Bedrooms <br />10ther <br />$ <br />Total <br />! Compliance• �' <br />The Nelrod Company 7/2021 Update <br />adapted from form HUD -52667 <br />(7/2019) <br />