Jim Wells County, TX · Jim Wells County
Statement of Inability to Afford Payment of Court Costs or an Appeal Bond
This form lets a person in a court case explain their finances and request to proceed without paying court costs or providing an appeal bond.
At a glance
- Issued by
- City of Jim Wells County · Jim Wells County, Jim Wells County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- co.jim-wells.tx.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
A person involved in a court case uses this form to explain why they cannot afford court costs or an appeal bond. It asks for personal and dependent information, legal aid and public benefit details, income, property, expenses, and debts. The signer may attach proof of public benefits, legal aid documentation, or an additional page with supporting facts.
Who needs it
A person in a court case who cannot afford court costs or an appeal bond may use this form to provide financial information to the court.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer declares under penalty of perjury that the information is true and correct, then signs and dates it.
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
Enter your personal details and information about dependents, benefits, income, property, expenses, debts, and other relevant facts.
- 3
Gather Attachments
Attach applicable public benefit proof or legal aid documentation; add a page labeled “Exhibit: Additional Supporting Facts” if needed.
- 4
Sign and Submit
Sign and date the declaration, then submit the form to the county department named on it; check the county website for current 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 that the information is true and correct, then signs and dates it.
- How do I submit the Statement of Inability to Afford Payment of Court Costs?
- Submit it to the county department named on the form; check the county website for current contact details.
- What information does this form ask for?
- It asks for personal and dependent information, legal aid and public benefit details, monthly income, property, expenses, debts, and other facts about the signer’s financial situation.
- What attachments might I need?
- The form asks for proof of public benefits if received and supporting documentation from legal aid in applicable circumstances. It also allows an additional page with supporting facts.