Fountain Hills, AZ · Maricopa County
Defendant’s Financial Statement and Request for a Court-Appointed Attorney (Limited Jurisdiction)
This bilingual financial statement is for defendants asking Fountain Hills Municipal Court to consider their finances when deciding whether they qualify for a court-appointed attorney.
What this form is
Defendants use this form to ask Fountain Hills Municipal Court to consider whether they qualify for a court-appointed attorney at reduced or no cost. It asks about income, employment, dependents, assets, debts, expenses, and how much the defendant can contribute toward attorney costs. The form states that answers are given under penalty of perjury and that the defendant must notify the court of a material improvement in their financial circumstances while the case is pending.
Who needs it
A defendant who cannot afford an attorney and wants the court to consider their financial circumstances for a court-appointed attorney may use 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
The form is signed and dated without a notary; it includes a declaration under penalty of perjury that the statements are true and correct.
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
Answer the questions about your household, income, assets, debts, expenses, and possible attorney contribution.
- 3
Review And Sign
Review your answers, then date and sign the declaration under penalty of perjury.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Defendant’s Financial Statement?
- No. The form is signed and dated without a notary, but it includes a declaration under penalty of perjury that the statements are true and correct.
- How do I submit the financial statement?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the form ask for?
- It asks about employment, income, dependents, housing, accounts, loans, monthly expenses, and how much you can contribute toward attorney costs.
- Who uses this court-appointed attorney request?
- A defendant who cannot afford an attorney may use the form to ask the court to consider their financial circumstances for representation at reduced or no cost.
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.