William Robert Williams v. Robin Marlene Williams

--jLse Number.

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~ Cc""ty Court at Law

Affidavit of Indigency %& '% %
-'se^formioaskmecoorinono *«*
f^'vou for court fees. This farm
""ou can b. PfoaaeuS^ftfe.,,
on this farm. ""Pu •<•
..
'am-wC0SlS0r3 pauper'57
-am 'ou can only us. m farm,f- ™9 court may ormayno|
M/oU,eiDuol,cl)enef„a6
;oUa.ooor0ri2)youcantpav' •nformahonprov,^,, r"e court may order you to a„!Z'
:ounlees.
luesdon, aoou, your«££« £*'
'r-,™»"lm'a"<"'you9,veo"'n's
^v.,0 present ev,danc9To,^
i"d9« olyour.neome ana exl*
'oorov„ha,younav9an^^»nses
DJh.p.rlwnwhos|
iT» ti.
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correct. — "uuaana
pay court
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Pay fees. °a0,"1
»»•« you nave no abnir.
court tees. ua°wty to
undafowh: ""* ",,d,v', appeared, in pwaon b#fcM „ ,

r * 5 M ^ S S T ^ 7 ^VPnon.nun1t!afisl^^^
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— Wages: I wont as a
- Child/5Dousal suoport3t t-
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My SD~~~~':u"0<>""»
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°) Th, amoijn,, a""'*"» *• taken out ia:
=) Th.amoumotaV^^r'"°Ud,ie'""«*<* "V T3JT* *.•„,

>» Tha .mount, race v, , cn 0e°°"'" "* nouMn™ *'
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 -' -douimy d9p<,naBn(S: •rhe oeccie v
• .a
>"o cecena en me financially are listed below:

'5 My property includes: value'
Cash 3"My monthly expenses are:
s Amount
3ank accounts, other financial assets ,i,„, Sent/house payments/maintenance
Pood and household supplies
Utilities and telephone
. 3
Clothing and laundry
5
Vehicles (cars, boats)«.,» ma*9 ana year; Medical and dental expenses
. 5_
insurance (life, health, auto, etc)
School and child care
. S
Vehicle payments
Gas, bus fare, auto repair
*eal estate (house or land) too nottta 1ZZ Ch"d' SP°UMl S4Jpport
^"••"•^-•^•••J Wages withheld by cou court order
—-* """" ~ • * Debt payments
Other property (like jewelry, stocks, etc.) tOtscribmf - Other expense tOmtwumk

Total value ofproperty ^=$ C *My debts include: l-,, -.., ,.„.„.„.,, ... ^ ^
cxv

are true and correct.1
J Your Signature. ' *:j

> uJ33e~&0a~#-t'Jst '. -•:• ;f ;''C» '~rrn

State of Texas
County of
— '-~f •»« - n/r»a -. ^»^^-^—^— _
- •-'-<-••< ...*e .-ra,--aw ,.ra/-
Sworn :o and sufiscrceo before me today.
.-y

•"-.u*™.*, .^eew^^wcy NovrrcuOK '*;• 2. ot 2
• V

Unsworn Declaration
(Texas Civil Practice and Remedies Code, Section 132.001)
My name is: &J CLC/Jn^ /2g ^ r Aj ^/^^//fO^S
M,ddle j^—
my date of birth is: s/ I ^5~ I ZfcL and
Year

myaddressis:S**>rs»w,
f
,y.(^
«V
-rv
State
wro
—~^— Zip Code
and KIA-CJC^
Country

(Ifyou am incarcerated, you must also include the following information.)
My inmate identifying number, if any, is: /'Cj S~$' Y^^L.
Iam presently incarcerated in:
Corrections Unit Name
in:
City
Counil State Zip Code

Ideclare under penalty of perjury that all information in the attached document titled.
Name of Document 7 • • •' ,S trUe and COITOCt

Signed in J/H-^ County
County, -t&c/h
State
on this date: _/0__ I<£<£. / /JT_
Month Day Year

Your Signature " ~

©TexasLawHelp.org - Unsworn Declaration, August 2012
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