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You need only complete the Poverty Affidavit if you are requesting to proceed IFP and do NOT receive Department of Human Services (DHS) assistance or SSI. This person is called an indigent person.Instructions: Complete all questions in this application and then sign it. You need only complete the Poverty Affidavit if you are requesting to proceed IFP and do NOT receive SSI. Answer all questions. The law says an "individual who is unable to pay the costs of court because of his poverty and lack of means" may file without paying court costs. Statement of Inability to Afford Payment of. Court Costs or an Appeal Bond. 1. Use the HHS Poverty Guidelines to complete Form I864, Affidavit of Support Under Section 213A of the INA. An "IFP" (In Forma Pauperis) is commonly referred to as a "fee waiver.