Do I need a notary for the Statement of Inability to Afford Court Costs?

No. You can sign the declaration without a notary. The form offers an optional affidavit before a notary if you do not want your address listed.

How do I submit the Statement of Inability to Afford Court Costs?

File the completed form with the clerk's office. The form says the clerk's office fills in the cause number when you file.

What information does the form ask for?

It asks about dependents, public benefits, income, assets, expenses, debts, and your ability to pay court costs or an appeal bond.

Anderson County, TX · Anderson County

No notary required

Statement of Inability to Afford Payment of Court Costs or an Appeal Bond

This form lets a person asking a court to waive court costs or an appeal bond explain their financial situation and file a declaration.

At a glance

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

What this form is

Use this form to tell the court you cannot afford court costs or, when appealing a justice court decision, an appeal bond or cash deposit. It asks about your household, income, assets, expenses, debts, and ability to pay. The form also provides a declaration option or an optional affidavit for people who do not want their address listed.

Who needs it

A person who cannot afford court costs or the specified appeal bond or cash deposit can complete and file this form with the court.

How to submit it

File the form with the clerk's office; the clerk's office fills in the cause number when you file. The form does not provide an address or other contact details.

About notarization

The declaration option is signed without a notary; the form also offers an optional affidavit that the signer completes before a notary to keep an address off the document.

How to submit this form

1
Download the Form
Download the Statement of Inability to Afford Payment of Court Costs or an Appeal Bond.
2
Complete the Form
Provide the requested information about your household and finances, and select the statement that applies to your situation.
3
Gather Attachments
Attach any supporting documents that apply, such as proof of public benefits, a legal aid certificate, or additional supporting facts.
4
Sign and File
Sign the declaration, or complete the optional affidavit before a notary, then file the form with the clerk's office.

Frequently asked questions

Do I need a notary for the Statement of Inability to Afford Court Costs?: No. You can sign the declaration without a notary. The form offers an optional affidavit before a notary if you do not want your address listed.
How do I submit the Statement of Inability to Afford Court Costs?: File the completed form with the clerk's office. The form says the clerk's office fills in the cause number when you file.
What information does the form ask for?: It asks about dependents, public benefits, income, assets, expenses, debts, and your ability to pay court costs or an appeal bond.

Need something notarized?

This Statement of Inability to Afford Payment of Court Costs or an Appeal Bond doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.