Hemphill County, TX · Hemphill County
Statement of Inability to Afford Payment of Court Costs or an Appeal Bond
This form lets a person filing or appealing a court case explain their finances and declare that they cannot afford court costs or an appeal bond.
At a glance
- Issued by
- City of Hemphill County · Hemphill County, Hemphill County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- co.hemphill.tx.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form to provide information about your household, income, property, expenses, debts, and eligibility for public benefits or legal aid. It includes a declaration that you cannot afford court costs or, for an appeal from a justice court decision, an appeal bond or cash deposit. The form also identifies supporting documents that may be attached.
Who needs it
A person filing a case or appealing a justice court decision who declares they cannot afford the related court costs or appeal bond may use this form.
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 document is signed and dated without a notary; it includes a declaration under penalty of perjury, and listed supporting attachments are not described as notarized.
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
Fill in your personal, household, income, property, expense, debt, and financial-hardship information.
- 3
Gather Supporting Documents
Attach applicable legal aid documentation or proof of public benefits; add a page of supporting facts if needed.
- 4
Sign and Submit
Sign and date the declaration, then submit the form to the county office named on it.
Frequently asked questions
- What does this form ask me to provide?
- It asks for personal and dependent information, legal aid and public-benefit details, monthly income, property, expenses, debts, and other facts about your financial situation.
- What supporting documents can I attach?
- Depending on your answers, the form refers to a legal aid certificate or documentation, proof of public benefits, and an optional page labeled “Exhibit: Additional Supporting Facts.”
- Do I need a notary for this form?
- No. The form has no notary block; you sign and date its declaration under penalty of perjury. The listed supporting attachments are not described as needing notarization.
- How do I submit this form?
- Submit it to the county office named on the form. The form says the Clerk’s office will fill in the cause number when you file it; check the county website for current contact details.