The Poverty Affidavit is a crucial tool in ensuring equal access to justice in the United States legal system. Used when an individual cannot afford court fees or legal costs, this document requires detailed disclosure of financial information to demonstrate genuine need. The affidavit must comply with both federal standards (28 U.S.C. ยง 1915) and state-specific requirements, typically requiring verification against federal poverty guidelines. Common uses include civil litigation, family court matters, and appeals procedures, where the affiant seeks to proceed 'in forma pauperis.'
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1. Personal Information: Basic identifying information of the affiant including full name, address, and contact details
2. Financial Status Declaration: Statement of current income, employment status, and sources of income
3. Household Information: Details about household size, dependents, and their relationships
4. Public Assistance Status: Declaration of any government benefits or assistance programs the affiant participates in
5. Monthly Income and Expenses: Detailed breakdown of all income sources and regular monthly expenses
6. Asset Declaration: List of all assets owned, including property, vehicles, and bank accounts
7. Verification Statement: Sworn statement confirming the truth of the information provided
1. Debt Information: Details of outstanding debts and payment obligations - include when the affiant has significant debt that affects their ability to pay fees
2. Medical Expenses: Information about ongoing medical expenses or conditions - include when medical costs significantly impact financial status
3. Legal Representation Status: Information about current legal representation - include when seeking court-appointed counsel
1. Schedule A - Income Verification Documents: Pay stubs, tax returns, or benefit statements
2. Schedule B - Expense Documentation: Bills, receipts, or other proof of regular expenses
3. Schedule C - Public Assistance Verification: Documentation of enrollment in government assistance programs
4. Schedule D - Asset Documentation: Bank statements, property records, or vehicle registration
Affiant
Indigency
Household
Dependent
Income
Assets
Public Assistance
Court Costs
Filing Fees
In Forma Pauperis
Monthly Expenses
Liquid Assets
Real Property
Personal Property
Government Benefits
Gross Income
Net Income
Regular Living Expenses
Financial Hardship
Federal Poverty Guidelines
Means Test
Supporting Documentation
Verification
Notarization
Sworn Statement
Declaration of Truth
Income Declaration
Asset Disclosure
Public Benefits
Household Composition
Financial Obligations
Employment Status
Monthly Expenses
Property Ownership
Debt Disclosure
Government Assistance
Verification Statement
Penalty of Perjury
Change in Circumstances
Supporting Documentation
Court Fee Waiver Request
Authorization for Verification
Notarization Statement
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