Fountain Hills, AZ · Maricopa County
Defendant’s Financial Statement and Request for a Court-Appointed Attorney (Limited Jurisdiction)
Defendants use this financial statement to ask the court to consider them for a court-appointed attorney at reduced or no cost.
What this form is
This form lets a defendant ask the court to consider their financial circumstances when deciding whether they qualify for a court-appointed attorney at reduced or no cost. It asks about income, employment, household support, property, accounts, debts, expenses, and how much the defendant can contribute toward an attorney. The defendant signs a declaration under penalty of perjury.
Who needs it
A defendant who cannot afford an attorney and wants the court to consider their financial circumstances for appointed counsel uses this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the defendant signs and dates a declaration under penalty of perjury.
How to submit this form
- 1
Download The Form
Download the Defendant’s Financial Statement and Request for a Court-Appointed Attorney.
- 2
Complete The Questions
Provide the requested information about your financial circumstances and the amount you can contribute toward an attorney.
- 3
Review And Sign
Review your answers, then sign and date the declaration under penalty of perjury.
- 4
Submit To The Court
Check the city website for current contact details and submission instructions for Fountain Hills Municipal Court.
Frequently asked questions
- What does this financial statement request?
- It asks the court to consider whether a defendant qualifies for a court-appointed attorney at reduced or no cost based on their financial circumstances.
- What information does the form ask for?
- It asks about employment, income, people the defendant supports, property, accounts, loans, expenses, and possible contributions toward an attorney.
- Do I need a notary for this financial statement?
- No. The defendant signs and dates the declaration under penalty of perjury; the document does not require a notary.
- How do I submit this financial statement?
- The form names Fountain Hills Municipal Court and lists its contact details, but gives no submission instructions. Check the city website for current contact details.
Need something notarized?
This Defendant’s Financial Statement and Request for a Court-Appointed Attorney (Limited Jurisdiction) doesn’t need a notary — but if you have another Fountain Hills form that does, a commissioned online notary can help.