Wilson County, TX · Wilson County

No notary required

Statement of Inability to Afford Payment of Court Costs or an Appeal Bond

This form lets a person in a court case report financial circumstances when asking to avoid court costs or an appeal bond.

At a glance

Issued by
City of Wilson County · Wilson County, Wilson County, Texas
Notarization
Not required: file this form without a notary.
Official source
co.wilson.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 income, dependents, assets, expenses, debts, and ability to pay court costs or an appeal bond. It includes a declaration option and an affidavit option for people who do not want to list their address; the affidavit must be completed before a notary. The form also lists documents to attach in certain circumstances.

Who needs it

A person in a court case who cannot afford court costs or an appeal bond can use this form to explain their financial situation.

How to submit it

File the form with the court clerk; the clerk’s office fills in the cause number when you file. The document does not provide a filing address or other contact details.

About notarization

The declaration option is signed and dated without a notary; the alternate affidavit option must be completed before a notary if you choose not to list your address.

How to submit this form

  1. 1

    Download the Form

    Download the Statement of Inability to Afford Payment of Court Costs or an Appeal Bond.

  2. 2

    Complete the Form

    Fill in the requested information about your case, dependents, income, assets, expenses, debts, and ability to pay.

  3. 3

    Gather Attachments

    Attach applicable proof of public benefits, a legal aid certificate, or a page labeled “Exhibit: Additional Supporting Facts.”

  4. 4

    Choose a Signing Option

    Complete either the declaration or affidavit option. The affidavit option is completed before a notary if you do not want to list your address.

  5. 5

    File with the Court Clerk

    File the form with the court clerk, who fills in the cause number.

Frequently asked questions

Do I need a notary for the Statement of Inability to Afford Court Costs?
No, if you complete the declaration option, you sign and date it without a notary. If you choose the affidavit option to avoid listing your address, you must complete it before a notary.
How do I submit this form?
File it with the court clerk. The form says the clerk’s office will fill in the cause number when you file; it does not list an address or other contact details.
What information does the form ask for?
It asks about your dependents, public benefits, income, property, monthly expenses, debts, and ability to pay court costs or an appeal bond.
What attachments might I need?
Attach a legal aid certificate if represented through legal aid, proof of public benefits if you receive them, and a labeled page with additional supporting facts if you want the court to consider them.

Need something notarized?

This Statement of Inability to Afford Payment of Court Costs or an Appeal Bond doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.