Utility Allowance Certification
Updated: April 2025
Instructions: This form is applicable for all developments using the Average of Actual Consumption, HUD Utility Schedule Model or Energy Consumption Model, including applications under the Minnesota Housing’s Multifamily Consolidated Request for Proposals (RFP) / Housing Tax Credits (HTC) funding rounds. Submit this form with the Utility Allowance Information form and source documentation.
Property Information
Property Name:      	D#:      
Owner Full Legal Name:      
Property Address:      
Property City, State ZIP Code:      
Utility Allowance Method
This Utility Allowance Certification has been calculated by and includes supporting documentation for the following utility allowance method:
 	Average of Actual Consumption using actual utility usage data and rates for the building(s)
 	HUD Utility Schedule Model from: https://www.huduser.gov/portal/resources/utilallowance.html 
 	Energy Consumption Model using an energy and water and sewage consumption and analysis model from a properly licensed mechanical engineer
Utility Information
1.	Check the appropriate box:
	The Average of Actual Consumption has been calculated in accordance with HUD’s Multifamily Notice 2015-4, or its successor notice.
 The HUD Utility Schedule Model uses the applicable rates and utility supplier(s) for the above property that are no older than the rates in place 60 days prior to the beginning of the 90-day period before utility allowances can be used in determining the gross rent.
	The Energy Consumption Model was completed by a mechanical engineer properly licensed in the State of Minnesota or a RESNET certified HERS rater, and at a minimum takes into account specific factors including, but not limited to, unit size, building orientation, design and materials, mechanical systems, appliances, and characteristics of the building location and available historical data.  Utility rates are based on the applicable rates and utility supplier(s) for the above property and are no older than the rates in place 60 days prior to the beginning of the 90-day period before utility allowances can be used in determining the gross rent.  This engineer or HERS rater and Owner are not related within the meaning of IRC section 267(b) or 707(b).    
2.	Estimates are based only on utilities that are metered to residents and residents receive a monthly bill specific to usage in their unit.
a.	Meters are based on rates for .
If other rate, describe:        
b.	There are a total of       primary meters at this property. 
	Units are individually metered;  
	Buildings have a primary meter, units are sub-metered; or
	Other meter setup, describe:      

Owner Certification
The undersign hereby certifies they: are an authorized signor for the named property; the documentation is complete and accurate regarding utility costs associated with the named property; understands that Minnesota Housing may require additional information to substantiate the allowances provided; have personally reviewed the documentation provided for this Utility Allowance; and the correct combined monthly average utility estimates for the named property are as listed on the attached Utility Allowance Information form(s).

     
Name of Owner
     	     
Authorized Signatory Printed Name	Title
     	     
Authorized Signature	Date

Average Actual Consumption or HUD Utility Schedule Model Certification
Utility Allowance based on Average of Actual Consumption or HUD Utility Schedule Model was compiled by (if different than person signing above):
     
Name of Company
     	     
Authorized Signatory Printed Name	Title
     	     
Authorized Signature	Date

Engineer or HERS Rater Certification
Required only when the Energy Consumption Model is used. 

I hereby certify that I am a:
 mechanical engineer properly licensed in the State of Minnesota   
 RESNET Certified HERS Rater
I certify that the Energy Consumption Model complies with the minimum requirements described, above. I am not related to Owner within the meaning of IRC section 267(b) or 707(b).

     
Name of Company
     	     
Printed Name	License or Certification Number
     	     
Signature	Date