Mason County, TX · Mason County
Statement of Inability to Afford Payment of Court Costs or an Appeal Bond
This court form is for people asking the court to find they cannot afford court costs or an appeal bond.
At a glance
- Issued by
- City of Mason County · Mason County, Mason County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- newtools.cira.state.tx.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form to tell the court about your household, income, property, expenses, debts, and ability to pay court costs or an appeal bond. It offers a declaration option or an affidavit option, and asks you to choose one. The form does not state when the court requires it; it says the clerk fills in the cause number when you file.
Who needs it
People who cannot afford court costs or an appeal bond and want to provide the court with information about their finances may use this form.
How to submit it
File it with the court clerk, who fills in the cause number; the form gives no address or other submission instructions.
About notarization
You can sign the Declaration option without a notary; if you choose the Affidavit option for privacy or safety, complete that section before a notary.
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 the requested personal, household, income, property, expense, and debt information, then choose the Declaration or Affidavit option.
- 3
Gather Attachments
If applicable, attach proof of public benefits, a legal aid certificate, or a separate page with additional supporting facts.
- 4
File With the Court Clerk
File the completed form with the court clerk, who fills in the cause number.
Frequently asked questions
- What is this Statement of Inability used for?
- It provides the court with information about your finances and lets you state that you cannot afford court costs or an appeal bond.
- Do I need a notary for the Statement of Inability?
- No. You can sign the Declaration option without a notary. If you choose the Affidavit option for privacy or safety, you must complete that section before a notary.
- How do I submit the Statement of Inability?
- File it with the court clerk, who fills in the cause number. The form does not provide an address or other submission instructions.
- What information does the form ask for?
- It asks for personal and dependent information, income, property, monthly expenses, debts, and your statement about whether you can pay court costs or an appeal bond.