What is the Affidavit of Assets and Liabilities for?

It provides the court with a defendant’s household, employment, income, assets, and liabilities for a review of indigency and possible public defender appointment.

Who completes this affidavit?

A defendant who states they lack adequate assets to hire an attorney completes the form and provides the requested financial information.

How do I submit the Affidavit of Assets and Liabilities?

Complete all pages, sign the form, and return it to Room 340, as instructed on the document.

Winnebago County, IL · Winnebago County

No notary required

Affidavit of Assets and Liabilities

This form asks a defendant in a Winnebago County court case to report financial information for the court’s indigency determination.

At a glance

Issued by: City of Winnebago County · Winnebago County, Winnebago County, Illinois
Notarization: Not required: file this form without a notary.
Official source: circuitclerk.wincoil.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

A defendant uses this form to report income, assets, debts, household details, and employment to the Winnebago County Circuit Court. The court reviews the information to decide whether the defendant is indigent and whether the Office of the Public Defender will be appointed. The form instructs the defendant to complete all pages, sign it, and return it to Room 340.

Who needs it

A defendant who says they lack adequate assets to hire an attorney and is completing the court’s financial review should file this form.

How to submit it

The form says to complete all pages, sign, and return it to Room 340; it does not provide a street address, email, or fee.

About notarization

This document is signed without a notary; the signer certifies the statements under penalties provided by law, and the form includes no notarized attachment or related step.

How to submit this form

1
Download the Form
Download the Affidavit of Assets and Liabilities PDF.
2
Complete All Pages
Fill in the requested household, employment, income, asset, and liability information.
3
Sign the Form
Sign the defendant signature line and certify that the statements are true and correct.
4
Return the Form
Return the completed form to Room 340, as directed on the document.

Frequently asked questions

What is the Affidavit of Assets and Liabilities for?: It provides the court with a defendant’s household, employment, income, assets, and liabilities for a review of indigency and possible public defender appointment.
Who completes this affidavit?: A defendant who states they lack adequate assets to hire an attorney completes the form and provides the requested financial information.
Do I need a notary for the Affidavit of Assets and Liabilities?: No. The form is signed without a notary. The signer certifies the statements under penalties provided by law; no notarized attachment or related step is listed.
How do I submit the Affidavit of Assets and Liabilities?: Complete all pages, sign the form, and return it to Room 340, as instructed on the document.

Need something notarized?

This Affidavit of Assets and Liabilities doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.