CAUSE NO. 6;;.:...;7,L.:..;;78=-=9-E=-----~ ~Cf ~5 lO~ ~
THE STATE OF TEXAS
L::J
§ SJEt\ENTIM.o:;:,· , 2015, Defendant 1 s Request for Appoint-
ment of Counsel, together with Defendant's Declaration of Inability to Pay Cost,
was presented and heard by the Court.
IT IS ORDERED, ADJU.DGED, AND DECREED that the request should be:
GRANTED DENIED.
IT IS FURTHER ORDERED, ADJUDGED, AND DECREED by the Court that
, is appointed to represent Defendant on this
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Motion For Forensic Analysis of Physical Evidence in the above styled and
numbered cause.
SIGNED AND ENTERED on this the
------ day of
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in the year 2015.
JUDGE PRESIDING
Order Regarding Appointment of Counsel
Pro Se, Self-Representing Litigant ·.· (~)
EXHIBIT (1)
AFFIDAVIT OF INDIGENCV
Texas Rules of Civil Procedure,
Title 6, Chapter 132, Texas Civil
Practice and Remedies Code.
NOW RESPECTFULLY comes Michael Ray Kern:rly , T. D • C • J . # 1968578
presently at the Clarence N. Stevenson Unit in Cuero (DeWitt County) Texas,
77954-6300. I declare that I am unable to pay the Court costs in this request
to the Court, and requests Leave of the Court to proceed - in forma pauperis -
in this accompanying request and action while showing the Court the following:
(1) I am presently incarcerated in th1::1 Texas Department of Criminal
Justice - Correctional Institution Division where I am not
permitted to handle money; and
(2) I have no source of income or spousal income; and
(3) I currently have $ .3).00 dollars credited to me in
the T.D.C.J. Inmate Trust Fund; and
(4) During my incarceration in the Texas Department of Criminal
Justice - Correctional Institution Division, I have approx-
imately $ 25.00 dollars per month as gifts from relatives
and friends; and
(5) I neither own nor have an interest in any realty, stocks, bonds
or bank accounts, and, I receive no interest or dividend income
from any source; and
(6) I have 0 dependants; and
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(7) I have total debts of approximately $ 0 dollars; and
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(8) I owe $ 0 in restitution; and
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( 9) My monthly expenses in hygiene and medical expenses are
approximately$ 0 dollars.
, T. D.C. J. #__1_968_57_8------,.--
being presently incarcerated at the Stevenson Unit, located at 1525 FM 766,
Cuero, Texas, 77954-6300, (361) 275-2075, declare and verify under penalty of
perjury that the foregoing statements in this Affidavit of Indigence are true
and correct.
2:!.-_4_ _ day of Septalter
EXECUTED on this __ ' 2015.
NOTE: Amendments to the Texas Civil Practice & Remedies Code §132.001, now allows any party to use
an Unswarn Declaration instead of an Affidavit or Verification (2012).
Affidavit of Indigence
Pro Se, Self-Reprenting Litigant
(fi)
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