Matagorda County, TX · Matagorda County

No notary required

Adult Affidavit of Indigence, Request for Counsel, and Notice of Intent to Hire Counsel

This form lets an adult defendant provide financial information and ask the court to appoint counsel or state an intent to hire an attorney.

At a glance

Issued by
City of Matagorda County · Matagorda County, Matagorda County, Texas
Notarization
Not required: file this form without a notary.
Official source
matagordatx.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

An adult defendant uses this form to report income, assets, expenses, household details, and information about the pending charge. The defendant selects whether to request appointed counsel because they cannot afford an attorney or to state an intent to hire counsel. The form also includes a defendant’s oath and an eligibility section for completion by court personnel.

Who needs it

An adult defendant who needs to provide financial information and request appointed counsel, or notify the court of an intent to hire counsel, uses 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 without a notary; the defendant may complete the unsworn declaration, which states that the information is true under penalty of perjury.

How to submit this form

  1. 1

    Download the Form

    Download the Adult Affidavit of Indigence, Request for Counsel, and Notice of Intent to Hire Counsel PDF.

  2. 2

    Complete Your Information

    Provide the requested personal, employment, household, income, asset, and expense information.

  3. 3

    Choose Your Statement

    Select whether you are requesting appointed counsel or intend to hire an attorney, then sign and date the applicable section.

  4. 4

    Submit the Form

    Submit the completed form to the county office named on the form; check the county website for current contact details.

Frequently asked questions

What is the Adult Affidavit of Indigence and Request for Counsel?
It collects a defendant’s personal and financial information and lets the defendant ask the court to appoint an attorney or state an intent to hire an attorney.
Who completes this form?
The form is for an adult defendant. It includes sections for the defendant to complete and a separate eligibility section for court personnel.
Do I need a notary for the Adult Affidavit of Indigence?
No. The defendant may complete the unsworn declaration, which states under penalty of perjury that the information is true and correct.
How do I submit the Adult Affidavit of Indigence?
Submit it to the county office named on the form. The document does not provide submission contact details, so check the county website for current information.

Need something notarized?

This Adult Affidavit of Indigence, Request for Counsel, and Notice of Intent to Hire Counsel doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.