What information does the Indigency Hearing Questionnaire ask for?

It asks about personal and household details, employment, income, expenses, assets, and a proposed monthly payment. It also requests documentation of financial status.

What documentation should I attach?

The form asks for documentation of financial status, with examples including an income tax return, pay stubs, and evidence of financial assistance such as food stamps, WIC, HUD vouchers, or Medicaid.

Do I need a notary for the Indigency Hearing Questionnaire?

No. The defendant signs and dates the questionnaire without a notary. The form also includes a separate signature and date for the judge’s approval.

Lancaster, TX · Dallas County

No notary required

Indigency Hearing Questionnaire

This questionnaire collects financial and household information from a defendant seeking consideration of their ability to pay in a Lancaster Municipal Court indigency hearing.

What this form is

The Lancaster Municipal Court questionnaire records a defendant’s personal, household, employment, income, expense, and asset information for an indigency hearing. It asks about the defendant’s and spouse’s work and income, household expenses, paid-for property, and a proposed monthly payment. The form instructs the defendant to attach documentation of financial status, such as tax returns, pay stubs, or evidence of assistance.

Who needs it

A defendant completing the Lancaster Municipal Court’s indigency hearing questionnaire should provide financial details and attach documentation of financial status.

How to submit it

Submit the questionnaire to the Lancaster Municipal Court at 220 W. Main Street, Lancaster, TX 75146.

About notarization

This document is signed and dated by the defendant without a notary; it also includes a separate approval signature and date for the judge.

How to submit this form

1
Download The Questionnaire
Download the Indigency Hearing Questionnaire PDF.
2
Complete The Questionnaire
Fill in the requested personal, household, employment, income, expense, asset, and payment proposal information.
3
Gather Financial Documentation
Attach documentation of financial status, such as tax returns, pay stubs, or evidence of financial assistance.
4
Submit To The Municipal Court
Submit the completed questionnaire and attachments to Lancaster Municipal Court at 220 W. Main Street, Lancaster, TX 75146.

Frequently asked questions

What information does the Indigency Hearing Questionnaire ask for?: It asks about personal and household details, employment, income, expenses, assets, and a proposed monthly payment. It also requests documentation of financial status.
What documentation should I attach?: The form asks for documentation of financial status, with examples including an income tax return, pay stubs, and evidence of financial assistance such as food stamps, WIC, HUD vouchers, or Medicaid.
Do I need a notary for the Indigency Hearing Questionnaire?: No. The defendant signs and dates the questionnaire without a notary. The form also includes a separate signature and date for the judge’s approval.
How do I submit the Indigency Hearing Questionnaire?: Submit the questionnaire to the Lancaster Municipal Court at 220 W. Main Street, Lancaster, TX 75146.

Need something notarized?

This Indigency Hearing Questionnaire doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.