Do I need a notary for the Financial Statement Acknowledgment and Declaration?

No. The form does not require notarization; the declaration is made under penalty of perjury, and the defendant signs and dates it.

How do I submit the payment-plan application?

The form lists Gainesville Municipal Court at 201 Santa Fe Street, Gainesville, Texas 76240-2255. It says applications are processed in the order received.

What information does the application request?

It asks for personal, household, and employment details, as well as how much you can pay today and how you will pay fines.

What happens if I leave answers blank?

The form says to answer every question. Incomplete or inaccurate information may delay processing or result in refusal, and improper completion may make the balance due immediately.

Gainesville, TX · Cooke County

No notary required

Financial Statement Acknowledgment and Declaration

Gainesville Municipal Court defendants use this application to request more time to pay fines, court costs, and fees and provide financial information.

What this form is

This application lets a defendant request an extension of time to pay fines, court costs, and fees owed to Gainesville Municipal Court. The form asks for personal, household, employment, and financial information, including how much the defendant can pay today and how they will pay. Applicants must answer all questions; the court says information will be verified and incomplete or inaccurate answers may delay or prevent processing.

Who needs it

A defendant who wants to request more time to pay fines, court costs, and fees owed to Gainesville Municipal Court should complete this application.

How to submit it

The form identifies Gainesville Municipal Court at 201 Santa Fe Street, Gainesville, Texas 76240-2255. Applications are processed in the order received; call (940) 668-4750 with questions.

About notarization

No notary is required; the declaration is made under penalty of perjury, and the defendant signs and dates it.

How to submit this form

1
Download The Application
Download the Financial Statement Acknowledgment and Declaration.
2
Complete Every Question
Legibly fill in all requested information and do not leave blanks or repeat phone numbers.
3
Review And Sign
Review your financial statement, then sign and date the acknowledgment and declaration.
4
Submit To The Municipal Court
Submit the completed application to Gainesville Municipal Court at the address printed on the form.

Frequently asked questions

Do I need a notary for the Financial Statement Acknowledgment and Declaration?: No. The form does not require notarization; the declaration is made under penalty of perjury, and the defendant signs and dates it.
How do I submit the payment-plan application?: The form lists Gainesville Municipal Court at 201 Santa Fe Street, Gainesville, Texas 76240-2255. It says applications are processed in the order received.
What information does the application request?: It asks for personal, household, and employment details, as well as how much you can pay today and how you will pay fines.
What happens if I leave answers blank?: The form says to answer every question. Incomplete or inaccurate information may delay processing or result in refusal, and improper completion may make the balance due immediately.

Need something notarized?

This Financial Statement Acknowledgment and Declaration doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.