CAUSE NUMBER: JE ______L

______
PLAINTIFF
VS.
______
DEFENDANT(S) & ALL OCCUPANTS / §
§
§
§
§
§
§
§ / IN THE JUSTICE COURT
PRECINCT 4, PLACE 2
DALLAS COUNTY, TEXAS

AFFIDVAIT OF INABILITY TO PAY COSTS (TRCP 510.9c)

I/WE the named Defendant(s) in the above styled and number forcible detainer and /or forcible entry and detainer, are/am unable to pay the court costs of appeal therein. I/we verify that the statements made in this affidavit are true and correct, and contain complete information as to the my identity, the nature and amount of governmental entitlement income, the nature and amount of employment income, other income, (interest, dividends, etc.), spouse's income if available to me, property owned (other than homestead), cash or checking account, dependents, debts, and monthly expenses (Texas Property Code §24.0052).

TENANT’S IDENTITY

Tenant’s Full Name
Tenant’s Street Address, City, State, Zip Code
Tenant’s Primary Phone Tenant’s Secondary Phone
Tenant’s Date of Birth

SPOUSE’S IDENTITY

Spouse’s Full Name
Spouse’s Street Address, City, State, Zip Code
Spouse’s Primary Phone Spouse’s Secondary Phone
Spouse’s Date of Birth

DEPENDANTS

Number of Dependants Ages of Dependants
Residence of Dependants Address, City, State, Zip Code


INCOME OF TENANT SPOUSE

Tenant’s Employer Tenant’s Job Title and/or Duties
Tenant’s Employer Address, City, State, Zip Code
Tenant’s Supervisor’s Name Tenant’s Supervisor’s Phone
Tenant’s Monthly Salary/Income Tenant’s Other Income
Spouse’s Employer Spouse’s Job Title and/or Duties
Spouse’s Employer Address, City, State, Zip Code
Spouse’s Supervisor’s Name Spouse’s Supervisor’s Phone
Spouse’s Monthly Salary/Income Spouse’s Other Income

GOVERNMENT ENTITLEMENT INCOME

Unemployment Benefits AFDC/TANF
Social Security Disability
Veteran’s Benefits Child Support
Other Amounts - Describe

ALL OTHER INCOME

List all other sources of income and amounts. Cash on hand
Financial Institution of Checking Account Balance Amount
Financial Institution of Savings Account Balance Amount

REAL PROPERTY (residential, commercial, or land owned)

Address of Real Property Owned Value of Property
Address of Real Property Owned Value of Property


PERSONAL PROPERTY (other than household furnishings, clothes, tools of a trade, or personal effects. This includes vehicles and other sources of transportation)

Description of Property Owned Value of Property
Description of Property Owned Value of Property

MONTHLY EXPENSES

Rent and/or Mortgage Amount Vehicle/Car Payment Amount
Insurance Amount Utility Amount
Child Care Amount Child Support Amount
Food and/or Incidental Amount Medical and/or Dental Amount
Other Amount Describe Other Amount
Other Amount Describe Other Amount

Signed this the ______day of ______, 20______.

Signature of Affiant / Printed Name of Affiant

THE STATE OF TEXAS §

COUNTY OF DALLAS §

BEFORE ME, the undersigned authority, on this day personally appeared the above named affiant who upon oath, stated that he/she is the Tenant making this Pauper’s Affidavit and that the information provided is true and correct.

SWORN TO AND SUBSCRIBED before me on the ______day of ______, 20______.

Signature of Notary / Printed Name of Notary
My Commission Expires

CERTIFICATE OF DELIVERY: I the Defendant in the above and entitled forcible detainer / forcible entry and detainer certify that I have sent the forgoing document to the opposing party on this the ______day of ______, 20______.

Signature of Defendant / Printed Name of Affiant


CAUSE NUMBER: ______L

______
PLAINTIFF
VS.
______
DEFENDANT(S) / §
§
§
§
§
§
§ / IN THE JUSTICE COURT
PRECINCT 4, PLACE 2
DALLAS COUNTY, TEXAS

CIVIL APPEAL BOND

WHEREAS on the (date of judgment) _____ day of ______, 20___, before Judge Katy Hubener, Justice of the Peace, Precinct 4, Place 2, in the County of Dallas, State of Texas, (prevailing party name) ______recovered a judgment against (appealing party) ______for the sum of (amount of judgment, plus attorney fees, and interest) $______, besides costs of suit, from which judgment the said (appealing party) ______has appealed to the County Court at Law of Dallas County.

NOW THEREFORE we, (party appealing) ______as principal, and (surety) ______and (second surety) ______as sureties acknowledge ourselves bound to pay unto the said (prevailing party) ______the sum of (double the amount of judgment) $______, conditioned that the said (party appealing) ______shall prosecute his appeal to effect and shall pay off and satisfy the judgment which may be rendered against him on such appeal.

WITNESS our hands this ______day of ______, 20_____.

Principal Signature & Printed Name / Principal’s Street Address, City, State Zip, Phone
Surety Signature & Printed Name / Surety Street Address, City, State Zip, Phone
Surety Signature & Printed Name / Surety Street Address, City, State Zip, Phone

EXAMINED AND APPROVED this ______day of ______, 20_____.

______

Judge Katy Hubener

Justice of the Peace 4-2, Dallas County, Texas


JUSTICE OF THE PEACE 4-2

CAUSE NUMBER: JE ______L

______
PLAINTIFF(S)
VS.
______
DEFENDANT(S) & ALL OCCUPANTS / §
§
§
§
§
§
§
§ / IN THE JUSTICE COURT
PRECINCT 4, PLACE 2
DALLAS COUNTY, TEXAS

PLAINTIFF’S NOTICE OF PAUPER’S APPEAL

DEFENDANT’S NOTICE OF RENTAL AMOUNT DUE

PLAINTIFF - On this date the Court received a Pauper’s Affidavit of Inability to Pay Cost of an Appeal in the above styled cause of action. The Court is providing notice of the pauper’s appeal to the Plaintiff pursuant to TRCP 510.9.

If you wish to contest the pauper’s affidavit you must do so within five days of the Court’s receipt of the pauper’s appeal. Failure to contest the pauper’s affidavit will cause the appeal to be forwarded to County Court on or after the sixth day.

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NOTICE OF RENTAL AMOUNT DUE

r  DEFENDANT - Pursuant to the Texas Property Code 24.0053 you must on or before 4:00 p.m. on ______, deposit into the registry of this court, one month’s rent in the amount of $______, in Cashier’s Check or Cash made payable to Dallas County. FAILURE TO DEPOSIT THE REQUIRED AMOUNT OF RENT INTO THE REGISTRY OF THIS COURT BY THE DATE ABOVE MAY RESULT IN THE COURT ISSUING A WRIT OF POSSESSION WITHOUT A HEARING.

Signed this the ______day of ______, 20____.

______

Judge or Clerk of Court

______(defendant’s signature) I hereby acknowledge the receipt of my Notice to Deposit Rent into the registry of the court. I understand in the event that if I fail to deposit the rent into the registry of the court that a Writ of Possession may be issued.

Judge Katy Hubener Justice of the Peace 4-2

841 West Irving Boulevard Irving, TX 75060 P. (214) 589-7000 F. (214) 589-7048