Notice Of Appeal Of Eviction Judgment & Affidavit Of Inability To Pay Costs Of Appeal Or File Appeal Bond Page 3

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7. OTHER FACTS THAT SUPPORT THIS AFFIDAVIT
(Describe unusual/unexpected medical needs, recent family emergencies, or other urgent events.)
I am unable to pay any part of the costs of appeal, file an appeal bond, or give security for appeal
because of my financial condition. "
Self Represented Litigant
Address
City
Zip Code
State
Phone Number
SUBSCRIBED AND SWORN TO BEFORE me on the ______ day of ________________, 20____.
Seal
Notary Public of the State of Texas/Justice Court Clerk/Judge
Certificate of Service
I hereby certify that I either mailed, or hand delivered, or telefaxed, a copy of the foregoing
NOTICE OF APPEAL OF EVICTION JUDGMENT & AFFIDAVIT OF INABILITY TO PAY COSTS OF APPEAL OR
FILE APPEAL BOND, to the Plaintiff's agent or record, on this the ______ day of _______________,
20_______.
Self Represented Litigant
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