Hays County, TX · Hays County
Statement of Inability to Afford Payment of Court Costs or an Appeal Bond
This form lets a person filing a lawsuit or appealing a justice court decision explain to the court why they cannot afford court costs or an appeal bond.
At a glance
- Issued by
- City of Hays County · Hays County, Hays County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- hayscountytx.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this statement to tell the court you cannot afford court costs or, for an appeal from a justice court decision, an appeal bond or cash deposit. The form asks for your case and contact information, dependents, legal-aid status, public benefits, income, property, expenses, and debts. It also allows supporting documents and additional facts to be attached.
Who needs it
A person who cannot afford court costs or an appeal bond can complete this statement for their court case.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This form is signed without a notary; the signer declares under penalty of perjury, and any legal-aid proof or additional facts are attachments, not notarized steps.
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 Statement
Fill in your case and personal details, legal-aid status, benefits, income, property, expenses, debts, and declaration.
- 3
Gather Attachments
Attach proof of public benefits, any legal-aid documentation that applies, and an additional facts page if you want the court to consider one.
- 4
Submit to the County
File the form with the county office handling your case; the clerk fills in the cause number. Check the county website for contact details.
Frequently asked questions
- Do I need a notary for the Statement of Inability to Afford Payment of Court Costs?
- No. The form has no notary block; the signer declares under penalty of perjury. Legal-aid proof or a page of additional facts may be attached, but the form does not require those attachments to be notarized.
- How do I submit the statement?
- The form says the clerk fills in the cause number when you file it, but it does not give a filing address or other submission details. Check the Hays County website for current contact information.
- What information does the form ask for?
- It asks for case and personal information, dependents, legal-aid status, public benefits, monthly income, property, expenses, debts, and a declaration about your ability to pay.
- Can I attach supporting documents?
- Yes. The form directs you to attach proof of public benefits and relevant legal-aid documentation. You may also attach another page describing additional facts for the court to consider.