Lakewood Township, MT · Ocean County

No notary required

Financial Questionnaire to Establish Indigency

This municipal court questionnaire collects financial information from defendants applying for indigent defense services or installment payments of fines and penalties.

What this form is

The form asks about a defendant’s household, employment, income, assets, expenses, debts, attorney, and ability to pay. It is used to apply for indigent defense services or installment payments of fines and penalties; applicants seeking indigent defense services may be charged an application fee. The court section records its decision about counsel and any payment schedule.

Who needs it

Defendants applying for indigent defense services or installment payments of fines and penalties can use this questionnaire to provide the court with financial information.

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 and dated without a notary; the form also requests a witness’s name and position, but no notarized or sworn attachment is specified.

How to submit this form

  1. 1

    Download The Questionnaire

    Download the Financial Questionnaire to Establish Indigency PDF.

  2. 2

    Complete The Form

    Provide the requested information about your identity, employment, income, assets, expenses, debts, and attorney.

  3. 3

    Gather Any Attachments

    The document does not specify attachments; check with the city department named on the form if you have questions.

  4. 4

    Submit The Questionnaire

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Financial Questionnaire to Establish Indigency?
It collects financial details for municipal court defendants applying for indigent defense services or installment payments of fines and penalties.
Who should complete this questionnaire?
A defendant applying for indigent defense services or installment payments of fines and penalties can use the form. A parent or guardian may apply for a defendant under 18 or incompetent.
Do I need a notary for the Financial Questionnaire to Establish Indigency?
No. The document is signed and dated without a notary. It requests a witness’s name and position, but does not specify a notarized or sworn attachment.
How do I submit the questionnaire?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Financial Questionnaire to Establish Indigency doesn’t need a notary — but if you have another Lakewood Township form that does, a commissioned online notary can help.