Robbinsville Township, MT · Mercer County
Financial Questionnaire Form (Indigency)
This bilingual municipal court application asks defendants seeking indigent defense services or installment payments of fines to provide financial information.
What this form is
The questionnaire helps municipal courts assess a defendant’s financial status for indigent defense services or installment payments of fines and penalties. It asks about employment, income, assets, expenses, debts, and attorney information, and includes authorization for a financial investigation. Applicants for indigent defense services may be charged an application fee.
Who needs it
Defendants seeking indigent defense services or installment payments of fines or penalties can use this questionnaire to report their financial circumstances.
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 questionnaire is signed and dated without a notary; it contains a certification, but no notarized attachment or related sworn step is identified.
How to submit this form
- 1
Download The Questionnaire
Download the Financial Questionnaire Form (Indigency) PDF.
- 2
Complete The Form
Fill in the applicable sections about your case, employment, income, assets, expenses, debts, and attorney information.
- 3
Review And Sign
Review your answers, complete the applicable certification, and sign and date the form.
- 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 Financial Questionnaire Form (Indigency)?
- No. The questionnaire is signed and dated without a notary. It includes a certification, but no notarized attachment or related sworn step is identified.
- How do I submit the Financial Questionnaire Form (Indigency)?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the questionnaire ask for?
- It asks about your employment, income, assets, expenses, debts, attorney information, and financial circumstances, along with identifying and case details.
- Does applying for indigent defense services involve a fee?
- The questionnaire says applicants for indigent defense services may be charged an application fee. It does not state an amount.