V.
14th COURT 07 . 'PEAUa
HOUSTON, VCXAS
NO.14-14-00443-CV
DECLARATION OF INABILITY TO PAY COS JAN 28 2015
The following declaration is made pursuant to Ffed£^xT£'iM£R A- PR,NE
CLERK
28 U.S.C.§1746,and Texas Civil Practice and Remedies Code,Cnapter
132.Which provides persons incarcerated may use an unsworn de
claration under penalty of perjury in place of an affidavit
sworn before a Notary Public.
*************************************************
Now respectfully comes Antonio Sepeda,TDCJ#469585,and declares
that I am unable to pay the costs of this appeal proceedings,
and requests leave to proceed 'In forma pauperis.'In support
of this request would show the following:
1. I am presently incarcerated in the H.H.Coffield Unit of the
Texas Dept.Of Criminal Justice,where I am not permitted to earn
or handle money.
"•.'./'2. I •have rib source of income or spousal income.
'••v ;3. I "currently have $3.00 credited to me in the Inmate trust
, fund.
4. During my incarceration in the TDCJ-CID I have received
approximately $80 within the last 6 months as gifts from relat
ives.
5. I neither own nor have an interest in any realy,stocks,bonds,
or bank accounts and I recieved no interest or dividends income
from any source.
6. I have zero dependents.
7. I have total debts of opproximately $15,000.00.
8. My monthly expenses are approx.$20.
I,Antonio Sepeda,TDCJ#469585,being incarcerated in the H.H.
Coffield Unit of the TDCJ-CID in anderson County,Texas verify
and declare under penalty of perjury that foregoing facts are
true and correct,and I am the person named above..
X.
ANTOI
CERTIFIED 6 MONTHS INMATE TRUST FUND STATEMENT ATTACHED)
CSINIB02/CINIB02 TEXAS DEPARTMENT OF CRIMINAL JUSTICE 01/22/15
CF27/GKA1606 IN-FORMA-PAUPERIS DATA 07:58:08
TDCJ#s 00469585 SID#: 03269771 LOCATION: COFFIELD INDIGENT DTE: 01/20/15
NAME; SEPEDA,ANTONIO BEGINNING PERIOD: 07/01/14
PREVIOUS TDCJ NUMBERS: 00427158
CURRENT BAL: 3.98 TOT HOLD AMT 0.00 3MTH TOT DEP: 120.14
6MTH DEP: 120. 14 6MTH AvG BAL 2.12 6MTH AVG DEP: 20.02
MONTH HIGHEST BALANCE TOTAL DEPOSITS MONTH HIGHEST BALANCE TOTAL DEPOSITS
12/14 50.08 50.00 09/14 0.28 0.00
11/14 30.42 30.14 08/14 0.28 0.00
10/14 40.28 40.00 07/14 0.28 0.00
PROCESS DATE HOLD AMOUNT HOLD DESCRIPTION
STATE OF TEXftSn COUNTY
ON THIS THEcTScNDAY OF mm I CERTIFY THAT THIS DOCUMENT IS A TRUE,
COMPLETE,AND UNALTERED J3PY MADE BY ME OF INFORMATION CONTAINED IN THE
COMPUTER DATABASE REGARDING THE OFFENDER'S ACCOUNT. NP SIGs
PF1-HELP PF3-END ENTER NEXT TDCJ NUMBER: OR SID NUMBER:
Gaye L Karrtlwr •
Notary Pttblle, State'of imzmm #
My CommlMfcMi Expire* «
07/20/2018 ' •
Notary.Without Bond
i^Xo^mM^
FILED IN
14th COURT OF APPEALS
HOUSTON, TEXAS
ANTONIO SEPEDA JAN 28 2015
TDCJ0469585 £
CHRISTOPHER A. PRINE
COFFIELD UNIT CLERK
2661 FM 205.4
TENNESSEE COLONY,TEXAS 75884
JAN.21,2015
CHRISTOPHER A.PRINE,CLERK
FOURTEENTH COURT OF APPEALS
HOUSTON,TEXAS.
RE:14-14-00443-CV
TC#14-CV-0014
(Appellant acknowledgement of correspondence issued by this
court on Wednesday,January 14,2015.that appellant needed to
comply with chapter 14 of the Texas Civil Practice and Remedies
Code.)
(Enclosed is:
1.CERTIFIED 6 MONTHS INMATE TRUST FUND STATEMENT AS REQUIRED
BY CHAPTER 14.
2.APPELLANT DECLARATION OF INABILITY TO PAY COSTS.
3.Appellant motion to proceed without prepaying fees or costs.
4.Appellant Declaration relating to previous filings §14.004
Texas Civil Practice and Remedies Code.
5.appendix(s) A,B,C.
6.TRAP-2 Motion to cover any extra copies required by this court
Dear Clerk;
The above stated documents are for filing with this court,as
required by the new Rules of the Appellate Courts Procedures.
I submit appellant TRAP-2 Motion for any additional copies that
may be required.
Respectfully;
S^L