811 PRA Property Information Form
Please complete this top portion
Utilities: For the list of utilities below, please check those that are included in the rent. Also, for each item,
(even those that are not included in the rent), enter E, F or G on the line beside that item to indicate the kind
of utility it is (E=electric; NG=natural gas; BG=bottled gas (propane); F=fuel oil or coal).
☐Heating ____ ☐Hot Water ____ ☐Lights, etc. ____
☐Cooking ____ ☐Other______ ______
For each utility not included in the rent, for which the tenant will receive a utility allowance, please break
down the dollar amount for each. These amounts can be found in the current Utility Allowance link on our
website www.nhhfa.org. If you have performed your own cost analysis, please provide the analysis grid with
this Property Information Form.
Heating $ ____ Hot Water $ ____ Lights, etc. $ ____
Cooking $ ____ Other $______ $ _____
Please indicate how you calculated your Utility Allowances:
___ PHA published allowances on NHHFA website
___ Conducted own analysis (if you used your own analysis, please provide a copy with this form)
For Office Use Only
Notes:
