Jackson County, TX · Jackson County
Statement of Inability to Afford Payment of Court Costs or an Appeal Bond
This statement asks a person filing a lawsuit or appeal to provide financial information when seeking relief from court costs or an appeal bond.
At a glance
- Issued by
- City of Jackson County · Jackson County, Jackson County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- co.jackson.tx.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This court form lets a person explain why they cannot afford court costs or an appeal bond. It asks for personal and household details, legal aid status, public benefits, income, property, expenses, and debts. The filer declares under penalty of perjury that the information is true and states they cannot afford court costs or an appeal bond.
Who needs it
A person who cannot afford court costs or an appeal bond and is filing a case or appealing a justice court decision may use this statement.
How to submit it
File it with the court; the clerk’s office will fill in the Cause Number when you file this form. The document gives no other submission details.
About notarization
This document is signed without a notary; the signer declares under penalty of perjury that the statements are true and signs and dates the form.
How to submit this form
- 1
Download the Statement
Download the Statement of Inability to Afford Payment of Court Costs or an Appeal Bond.
- 2
Complete the Form
Provide the requested personal, household, income, property, expense, and debt information.
- 3
Gather Supporting Documents
Attach applicable legal aid documentation, proof of public benefits, or an additional page with supporting facts.
- 4
File With the Court
File the completed form with the court; the clerk’s office will fill in the Cause Number.
Frequently asked questions
- Do I need a notary for the Statement of Inability to Afford Payment of Court Costs?
- No. The form is signed without a notary. The signer declares under penalty of perjury that the information is true, then signs and dates the form.
- How do I submit the Statement of Inability to Afford Payment of Court Costs?
- File the completed statement with the court. The clerk’s office will fill in the Cause Number when you file it; the document gives no other submission details.
- What information does the statement ask for?
- It asks about your personal details and dependents, legal aid, public benefits, monthly income, property, expenses, debts, and other facts about your financial situation.
- Can I attach supporting documents?
- Yes. The form refers to attaching a legal aid certificate or documentation, proof of public benefits, and an additional page with supporting facts when applicable.