Wise County, TX · Wise County

No notary required

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

This bilingual form lets a person asking a Texas court to waive costs or an appeal bond explain their financial circumstances.

At a glance

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

What this form is

Use this form to state that you cannot afford court costs or, when appealing a justice court decision, an appeal bond or cash deposit. It asks about your household, income, benefits, property, expenses, and debts. Complete the declaration option to sign without a notary; the alternative affidavit option is for people who do not want to list their address for privacy or safety reasons.

Who needs it

A person asking the court not to require court costs or an appeal bond can use this form to provide information about their finances.

How to submit it

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

About notarization

The declaration option is signed without a notary; the alternative affidavit option, used if you omit your address for privacy or safety, is completed before a notary.

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

    Provide the requested personal and financial information and select the applicable statement about your ability to pay.

  3. 3

    Gather Supporting Documents

    If applicable, attach proof of public benefits, a legal aid certificate, or a separate page with additional supporting facts.

  4. 4

    Sign and Submit

    Complete either the declaration or affidavit option, then submit the form to the county office named on the form.

Frequently asked questions

What information does this 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.
Do I need a notary for the Statement of Inability to Afford Payment of Court Costs or an Appeal Bond?
No, if you complete the declaration option. If you omit your address for privacy or safety, the form directs you to complete the alternative affidavit option before a notary.
How do I submit the form?
The form says the clerk fills in the cause number when you file it. Submit it to the county office named on the form and check the county website for current contact details.

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.