Potter County, TX · Potter County
Statement of Inability to Afford Payment of Court Costs or an Appeal Bond
This bilingual form is for people asking a court to consider their inability to pay court costs or provide an appeal bond.
At a glance
- Issued by
- City of Potter County · Potter County, Potter County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- co.potter.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 dependents, income, property, expenses, debts, and ability to pay court costs or an appeal bond. It offers a choice between declaring under penalty of perjury or completing an affidavit. If you choose the declaration, the form says you do not need to sign before a notary; the affidavit option includes a notary section.
Who needs it
People who cannot afford court costs or an appeal bond can complete 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
You can sign the declaration option without a notary; if you choose the affidavit option, its affidavit section is completed before a notary.
How to submit this form
- 1
Download the Form
Download the bilingual Statement of Inability to Afford Payment of Court Costs or an Appeal Bond.
- 2
Complete the Form
Fill in the requested information about your case and financial situation, then choose the declaration or affidavit option.
- 3
Gather Supporting Documents
If applicable, attach proof of public benefits, a legal aid certificate, or a page describing additional supporting facts.
- 4
Submit the Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Statement of Inability to Afford Payment of Court Costs or an Appeal Bond?
- No. The form offers a declaration option that does not require signing before a notary. If you choose the affidavit option, its affidavit section is completed before a notary.
- What information does this form ask for?
- It asks for information about your dependents, public benefits, monthly income, property, expenses, debts, and ability to pay court costs or an appeal bond.
- How do I submit the form?
- Submit it to the city department named on the form; check the city website for current contact details.