Defendant'S Pauper'S Affidavit For Appeal Form - Texas printable pdf download

Defendant'S Pauper'S Affidavit For Appeal Form - Texas

NO._________________________

_________________________,

IN J USTICE C OURT

PRECINCT _ _________ P LACE _ _________

_________________________.

_________________________ C OUNTY, T EXAS

DEFENDANT’S P AUPER’S A FFIDAVIT F OR A PPEAL

STATE O F T EXAS

COUNTY O F _ ________________________

BEFORE M E, t he u ndersigned a uthority, o n t his d ay p ersonally a ppeared

____________________________________________________ w ho, b eing b y m e d uly s worn, o n o ath s tated:

“My n ame i s _ ___________________________________________________________ a nd I a m a t enant o f t he

premises w hich i s t he s ubject o f t his s uit. I w ish t o a ppeal t he j udgment o f t his c ourt

pursuant t o R ule 7 49a o f t he T exas R ules o f C ivil P rocedure a nd S ection 2 4.0052 o f t he

Texas P roperty C ode. M y i ncome, p roperty, m onthly e xpenses, d ebts, a nd d ependents a re

described b elow:

AVAILABLE I NCOME

Monthly A mount

Nature ( Source o r D escription)

a) N et E mployment:

$ ___________________ ________________________________________

b) S pouse I ncome ( available t o m e):$___________________ ________________________________________

c) T ANF I ncome:

$ ___________________ ________________________________________

d) S SI/SSDI I ncome:

$ ___________________ ________________________________________

e) O ther I ncome

$ ___________________ ________________________________________

PROPERTY

a) V ehicles ( make/yr)

_______________________ A ppx B alance o f V ehicle L oan: $ ____________

b) C hecking A ccount: $ _______________ S avings A ccount: $ _______________ C ash: $ _________________

c) O ther r eal o r p ersonal p roperty ( excluding h ousehold f urnishing, c lothes, t ools o f a

trade, a nd p ersonal e ffects): _ _______________________________________________________________________

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Defendant'S Pauper'S Affidavit For Appeal Form - Texas