Affidavit of Indigency - In Forma Pauperis - Assets and Liabilities

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Control #:
US-01342BG
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Word; 
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About this form

The Affidavit of Indigency - In Forma Pauperis - Assets and Liabilities is a legal document that allows individuals who cannot afford court costs to request a waiver for those fees. This form is used when a person wants to represent themselves in court without hiring an attorney due to financial constraints. Unlike other legal documents, this affidavit specifically focuses on detailing the applicant's financial situation to help the court determine indigency status, making it essential for those who qualify for free legal representation or seek court services without the burden of fees.

What’s included in this form

  • Name of the plaintiff and defendant involved in the case.
  • Affiant's statement of inability to pay fees and costs.
  • Details about the nature of the action being brought.
  • Personal information including residence address and marital status.
  • Information about dependents and their relationship to the affiant.
  • Employment status and details of the employer, if applicable.
  • Disclosure of real and personal property ownership and associated debts.
  • Details on financial assets, including cash, bank accounts, and investment accounts.
  • A declaration of any income received in the past twelve months.
  • A list of creditors and amounts owed.
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Situations where this form applies

This form should be used when an individual finds themselves unable to pay for court costs and wishes to pursue legal action in any court. It is particularly pertinent in situations where a person intends to represent themselves, seeks assistance from a pro bono advocate, or needs to demonstrate their financial circumstances due to legal claims against them. Completing this affidavit is essential to qualify for the waiver of fees, allowing access to the legal system for those facing financial hardship.

Who needs this form

This affidavit is suitable for:

  • Individuals with limited financial resources who cannot afford legal fees.
  • People appearing pro se (representing themselves) in court.
  • Parties involved in civil or criminal cases seeking to waive costs.
  • Individuals applying for legal services from pro bono advocates.

How to prepare this document

  • Identify the parties involved: fill in the names of the plaintiff and defendant along with the case number.
  • Complete the affiant's personal information, including contact details and marital status.
  • Detail your financial situation by providing accurate information about your income, expenses, assets, and liabilities.
  • State the nature of the legal action and any relevant details that support your affidavit.
  • Ensure the form is signed in front of a notary public for it to be legally binding.

Is notarization required?

To make this form legally binding, it must be notarized. Our online notarization service, powered by Notarize, lets you verify and sign documents remotely through an encrypted video session.

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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Form selector

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

Form selector

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

Form selector

We protect your documents and personal data by following strict security and privacy standards.

Common mistakes to avoid

  • Failing to provide complete and accurate financial information.
  • Not signing the form in front of a notary public, making it invalid.
  • Omitting necessary details about dependents or property ownership.
  • Using outdated or incorrect case numbers.

Benefits of using this form online

  • Convenience: Download the form at any time and from anywhere.
  • Editability: Easily fill in your information before printing.
  • Reliability: Use a template drafted by licensed attorneys to ensure legal compliance.

What to keep in mind

  • The Affidavit of Indigency is essential for those unable to afford court fees.
  • Accurate and complete financial disclosure is crucial for approval of fee waivers.
  • Notarization is mandatory for this form to be recognized by the court.

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Affidavit of Indigency - In Forma Pauperis - Assets and Liabilities