How do I submit the indigency application?

Mail it to Van Municipal Court, PO Box 487, Van, TX 75790. Include your ID copy, guilty or no-contest plea, inability-to-pay statement or appeal bond, and proof of benefits if claiming them.

Who can apply for indigency consideration?

The form says applicants must have been at least 17 at the time of the offense and must have valid identification. Applicants without ID must personally appear before the judge.

What information does the attached inability-to-pay statement ask for?

It asks about dependents, public benefits, income, property, monthly expenses, and debts. Applicants may attach another page labeled Exhibit: Additional Supporting Facts.

Van, TX · Van Zandt County

No notary required

Application for Community Service / Indigent Person

Van Municipal Court defendants seeking indigency for a citation use this application to request community service or other indigency consideration.

What this form is

This application lets eligible defendants ask Van Municipal Court for indigency consideration for a citation. It requires applicants to be at least 17 at the time of the offense, provide valid identification, enter a guilty or no-contest plea, and complete the attached inability-to-pay statement. Applicants provide contact, income, property, expenses, and dependent information, plus proof of benefits if claiming them.

Who needs it

A defendant cited in Van who meets the stated age and identification requirements and is seeking indigency consideration should complete and submit this application.

How to submit it

Mail the completed form to Van Municipal Court, PO Box 487, Van, TX 75790. Enclose a copy of your driver’s license or ID, your guilty or no-contest plea, and the completed inability-to-pay statement or appeal bond; include proof of benefits if claiming them.

About notarization

This document is signed without a notary; the attached inability-to-pay statement includes a declaration under penalty of perjury, and the form does not state that notarization is required.

How to submit this form

1
Download The Application
Download the community service and indigency application and its attached court documents.
2
Complete The Forms
Fill in your citation and contact details, complete the inability-to-pay statement, and select one plea: guilty or no contest.
3
Gather Required Attachments
Include a copy of your driver’s license or ID, your plea, and the inability-to-pay statement or appeal bond; add proof of benefits if claiming them.
4
Mail It To The Court
Mail the completed application and attachments to Van Municipal Court, PO Box 487, Van, TX 75790.

Frequently asked questions

Do I need a notary for the Application for Community Service / Indigent Person?: No. The document has no notary block. The attached inability-to-pay statement includes a declaration under penalty of perjury, but does not state that notarization is required.
How do I submit the indigency application?: Mail it to Van Municipal Court, PO Box 487, Van, TX 75790. Include your ID copy, guilty or no-contest plea, inability-to-pay statement or appeal bond, and proof of benefits if claiming them.
Who can apply for indigency consideration?: The form says applicants must have been at least 17 at the time of the offense and must have valid identification. Applicants without ID must personally appear before the judge.
What information does the attached inability-to-pay statement ask for?: It asks about dependents, public benefits, income, property, monthly expenses, and debts. Applicants may attach another page labeled Exhibit: Additional Supporting Facts.

Need something notarized?

This Application for Community Service / Indigent Person doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.