;£IVED **^.T%ir*\ Mary Louise Garcia rT A«ni(. Tarrant County Clerk 0C1 2 u ZUID 100 w Weatherford Street, Room250 QM® OF APPEALS FortWorth, Texas 76196-0401 SB©»OSWitTOFT]gfAS s~\ October 07, 2015 J-' Lurea Hombuckle PO Box 172012 Arlington TX 76003-2012 RE: 2015-002539-3, Affidavit ofIndigence Dear Mrs. Hombuckle I am writing you in regardsHto your Affidavit Of Indigence that was filed in the Tanant County Courts atLaw on October 07, 2015. An affidavit to proceed in form of paupers was filed inlieu ofpayment ofthe filing fees. In order to approve the affidavit ofindigence, we require verification of your income. If you receive government assistance such as Soaal Security Disability, Medicare, Supplementary Security Income benefits, HUD Section 8 rent subsidies, Veteran's benefits or food stamps, etc., please submit documentation to our office immediately upon receipt ofthis letter no later than Monday, October 12,2015. You may send this information to our office either by mail to the above address or you can bring this information into our office. If you have any question or if you need more information feel free to contact me at (817) 884-1440. MaryLouise Garcia, CountyClerk County Courts at Law Tarrant County, Texas „**•**•** Application for Community Service The following documents, ifthey apply, M.U.HI be attached to support the application. The application will not be considered if proper proof is not supplied nor will vou be contacted for further information. t. /ff CurrentPAY STUBS orW2 or Income Tax Filings for all persons woridna in the household: A/#dr€s 2. w/AVmof ofPUBLIC ASSISTANCE received by anyone in the household: © "Housing; Food Stamps; AS0/V>t> • TANIFjand^^^^ 3.^^UNEMPLOYMBNT PAYMENTS received by anyone in the household; A/O***^ 4.<%E-WORKERS' COMPENSATION PAYMENTS received by anyone in me household; As6 /V~2*s 5. (SSLor SSD AWARD LETTERreceived by anyone in the household; LufeA W^/^5' &/3* &°*T> 6. vj£kETrER. FROM EMPLOYER INDICATINO LAYOFF OR REDUCTION OF HOURS received byanyone inme ' household; and fi/^AS^£s 7. ^MEDICAL RECORDS ofanyone in the household nidicating inabilrty to work A/0AS*£*} f o YOUWILLO>&ArBEALI£>WEDTOWORKCX)MMU^^ \ INDIGENT: "A level ofpoverty inwhich real hardship and deprivation are suffered and comforts oflire arc wholly ! lacking" Webster's Dictionary. I raderstsnd mat providing false information or a fraudulent document to the Judiciaryis aFelony and mat I be prosecuted for said SOse/frsudolent statement: ° <~9$l understand mat me Federal Poverty QuldeBnes will be used to determine eligibility; ffPffunderstand thatI wOl not be found indigent solely because ourbillsexceed ourincome; and/or I am a full time student; ° C2?* understand that die income ofdie household will be determined by combining all sources ofIncome, memding lvalue offood stamps, housing allowance, SSI/SSD payments; wages ofall persons; end any other source ofincome —6 A/Ik/ $SZ \ UNDERSTAND BY StcflViNO THIN FORM THAT I AM ENTERING A PLEA OK NO CONTEST TO THF, CITATION NUMBER(S) LISTED BELOW: (ONLY THE ( HA I IONS LISTED WILL BE PROCESSED) —« Oft*) \(WM . — I swrarttatttotbortlnfonnaaottlB true and correct to tht brat of mv knowledge. mature Daw s Mafllng address (including City & State) ' r If vou arc found to be "not indigent'", you MAY NOT re-apply until six months from the date of denial, and onrv if there has been a substantial change in the household income. 8/12 ARLINGTON THE AMERICAN DREAM CITY DATE: 0- \-\S TOTAL AMOUNT DUE: # OF COMMUNITY SERVICE. HOURS DUE: V5 DUE DATE :Varv\:T RE: APPLICATION FOR COMMUNITY SERVICE Cause nors): D^a\DPQ^-'l A judge has reviewed your application for community service and has found that you are indigent and eligible to complete community service hours for the above referenced Cause number(s). Community Service must be completed at a Non-Profit or Government agency. You may choose one community service site. Hours completed at multiple locations will not be accepted. Please review attached list for all .documentation requirements, as community service hours will not be accepted without all required documentation. All hours must be completed and turned in by the due date to avoid warrants of arrest being issued. Extensions will not be granted by the Community Service Office. Community Service timesheets may be turned in person at 101 S. Mesquite or by mail at: Tammy Lepak, Community Service Coordinator Arlington Municipal Court P.O. Box 90403, MS 63-0200 Arlington, TX 76004-3403 Without getting ajudge's permission first, \ City ofArlington you are not allowed to complete your •'; community service at a religious institution,'•:• . Municipal Court - Judge's Office lodge, private club, business, or other agency since it will only...benefit.themembers ofthat group. . .\*r .-;>/.*•, >. ...• -. •-. •'•--'j'(l(jge,s Office: Mall Stop63-0200 101 S. Mesquite Street « P.O. Box 90403 • Arlington, Texas 76004-3403 • 817-459-6979 ARUHG1 *"~~*— roMMUNITV sffUVTCE ORDER CAUSENUMBER: 008310002-01 mrmmmaf/ajComr STATE OF TEXAS s 8 CITY OF ARLINGTON VS. 8 s TARRANT COUNTY, TEXAS LUREA JONES HORNBUCKLE § 0^.29,2015,^***^^^^ in^fto P^yl ^ andcosts assess and dedares thatfre Defendant» md.gent. UisHerebyO^EimADJOTGEDANDDEC™ performing community service as follows: 1. The Defendant shall work atotal of 15 hours; 2. 3. service completed.. Qiminal Procedure. Dated: fte 29™ dav of AP"l 2015 SM Judge, Municipal Court City of Arlington Tarrant County* Texas Arlington Municipal Court (817) 459-6777 101 S. Mesquite St, Mail Stop 63-0100, P.O. Box 90403, Arlington Texas 76004-3403 Mary Louise Garcia Tarrant County Clerk 100 W. Weatherford Street, Room 250 Fort Worth, Texas 76196-0401 October 07, 2015 Lurea Hombuckle PO Box 172012 Arlington TX 76003-2012 RE: 2015-002539-3, Affidavit of Indigence Dear Mrs. Hombuckle I am writing you in regards\to your Affidavit Of Indigence that was filed in the Tarrant County Courts at Law on October 07, 2015. An affidavit to proceed in form of paupers was filed in lieu of payment of the filing fees. In order to approve the affidavit of indigence, we require verification of your income. If you receive government assistance such as Social Security Disability, Medicare, Supplementary Security Income benefits, HUD Section 8 rent subsidies, Veteran's benefits or food stamps, etc., please submit documentation to our office immediately upon receipt of this letter no later than Monday, October 12, 2015. You may send this information to our office either by mail to the above address or you can bring this information into our office. If you have any question or if you need more information feel free to contact me at (817) 884-1440. Mary Louise Garcia, County Clerk County Courts at Law Tarrant County, Texas fjjui ?v^— Robbie Arbor, Deputy Clerk STATE OF TEXAS vs ARUNGTOrT LUREA JONES HORNBUCKLE CAUSE NO. 008310002-01 October 15,2015 ARLINGTON MUNICIPAL COURT LUREA JONES HORNBUCKLE P.O. BOX 172012 ARLINGTON, TX 76003-2012 We are in receipt of yourremittance. You haveuntil 11/03/15 to comply with the instructions listed below. O Please indicate your plea below: • Guilty • No contest D Please indicate your option below: "~ DDefensive Driving:" • Deferred Disposition Q Balance Owed, please submit the following amount. $184.68 Q Hie Judge has allowed apayment plan, please submit the following amount to establish your payment agreement: $ • Please 211 out theenclosed collection application and return to the court. D Your case will bedismissed upon payment of $ Q Please submit your driving record to the court. (If you have not already submitted your request form to DPS an application hasbeen enclosed for your convenience) Q Please submit your Driving School Certificate. • Please submit your proof offinancial responsibility (liability insurance coverage). D Please submit the following administrative fee of$ Q Please submit acopy of your Driver's License. D Your request to receive credit for time served in jail has been: Lj Granted • Denied • Other ISI The Judge has indicated the following with reference toyour case(s): O Dismissal • Extension until • Citation remains in warrant status. H Other: Hie Judge will allow you to start a payment plan with $55 down and $10 per month. Payment plan mast be started no later than 11/03/15 and must be done ia person at the Arlington Municipal Court, 101 S. Mesquite, Arlington. A required time payment fee of $25 is added once the payment plan is started. D Request for reset hasbeen denied D Your case is currently in warrant status. Any partial payment made by mail will be applied to your case, but additional warrants for your arrest may be issued if youdonot immediately pay thebalance listed above. Failure tocorapiy.,with any of the above requirements may result inthe issuance ofa warrant for your arrest. Defendant's email TMS Arlington Municipal Court(817) 459-6777 101 S. Mesquite St, Mail Stop 63-0100, P.O. Box 90403, Arlington Texas 76004-3403