Affidavit of Indigence and Request for Court-Appointed Attorney (Travis County - 126th District))

This form is an affidavit used to declare that a person cannot afford court costs and to ask the court to appoint an attorney paid by the court. It asks for detailed information about the person's income, property, and monthly expenses.

The court describes it as: This is the 126th Judicial District Court of Travis County (December 2015) Affidavit of Indigence and Request for Court-Appointed Attorney form. ...

Common questions

Who should fill out this form?

The form asks for the name, address, and personal details of the person filling it out. It is used to declare financial inability to pay court costs.

Does this form require a lawyer?

The form is for making a declaration under penalty of perjury. It also includes a section for an Unsworn Declaration in Lieu of Notarized Statement.

Revision history

No changes recorded since we started tracking this form on October 9, 2026.

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