Affidavit of Inability to Pay Costs
This form is for an indigent person to file a lawsuit in
justice court without paying court costs. If you truly
cannot afford to pay the costs to file your case then this
form is for you. The form is ready to be downloaded in the
following formats:
(PDF Form: 125 KB / 1 page) or
(Rich Text Format for word
processor: 22 KB / 1 page)
PDF stands for Portable Document Format click the icon
above to download and install the free Adobe Acrobat
Reader.
How to fill in the blanks in the form:
1 The first blank at the top of the form is the Case
Number. You do not need to file that in, the clerk will
assign the case number when you file the case.
2 On the right side at the top is the court information.
Put the County of suit in the blank and put which Precinct
and Place of the justice court where the suit was filed
(e.g., Precinct 1, Place 2, Dallas County, Texas).
3 Since you filed the suit, then you are the Plaintiff. Put
the landlord's name in the blank for the Defendant.
4 Fill in the county you are living in on the left side of
the form.
5 Then fill in all the sources of income you receive and
the amount you receive each month. List only sources you
have access to (do not list the income of a spouse if the
spouse does not live with you and does not provide you with
income for household expenses). Also list the approximate
monthly expenses you are supposed to pay each month.
6 List the number of dependents (people) you support (not
including yourself).
7 List how many vehicles you own or operate as your own.
This form was created for a truly indigent person. If you
have any significant assets, you must list these and make
corrections to the form. Remember, this affidavit is a
sworn statement to the court that you do not have
sufficient resources to pay the court costs. You must
disclose whether you have signficant income or assets that
would indicate whether you can afford to pay court costs.
While you may not want to pay the costs, this is not the
issue.
8 Disclose the balance of any checking account or savings
account you have. Also disclose the cash you have on hand.
9 Then sign your name at the bottom. Print your name,
complete address and phone number below your signature.
10 You are further required to sign the document and swear
that everything on the affidavit is true before a notary
public. These are persons that are authorized by the state
of Texas to administer oaths. Notaries can be found in
banks, title companies and other locations. Unless you are
a customer of the business, a notary may charge you a small
fee to notarize a document. The fee should be around $5 or
$10 at the most.
11 Then make two copies of the signed form and take them,
with the original to the justice court for filing. The
court will keep the original, and give you back one copy to
serve on the landlord and one for your records. For more
information on proceeding with the case, see Representing
Yourself.