George A. Hall v. the County of Anderson ( 2015 )

l3i-|S-OO0fa>-CV FILED IN COURT OF APPEALS 12th Court ofAppaajsJDigtrict EXHIBIT 1 MAY 15 2015 DECLARATION OF INABILITY TO PAY COST £[fe\ T 5 Eft T ("The following Declaration is made pursuant to the Texas Rules ofCivil Procedure and Tirle6, ' Chapter 132 ofthe Texas Civil Practices and Remedies Code.) Now respectfully comes h^br ^cl declares that Iam unable to pay the court costs in this civil action and requests leave of the Court to proceed in forma pauperis in this accompanying civil action and would show the Court the following: (1) I am presently incarcerated in the 7} AMg-S Ly>o&u^ A Unit of the Texas Department ofCriminal Justice where Iam not permitted to earn or handle money. (2) I have no source of income or spousal income. (3) I currently have S - £| credited to me in the Inmate Trust Fund. (4) During my incarceration in the Texas Department of Criminal Justice I have received approximately S ^JJ per month as gifts from relatives and friends. (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 anysource. (6) I have / dependents. (7) I have total debts of approximately S ipCo (8) Iowe S |j 00 as restitution. *>» f9) My monthly expenses are approximately $ ] pa I, beor^ ^W\V TDCJ ~ , being presently incarcerated in the ~y^ ^.^ L\ ^ ^ kUnitof the Texas Department ofCriminal Justice in f~f- S+'-iXt^rt ^BLOQ County, Texas, verify nnd declare under penalty ofperjury that the foregoing statements are true and correct Executed on this *he ) ? day of /^7^,. 20 i5 . -XL " ? f-l tf^As*^ N ;>me *> CSINIB02/CIIMIBO2 TEXAS DEPARTMENT OF CRIMINAL JUSTICE 05/12/15 LH30/SRA6141 IN-FORMA-PAUPERIS DATA 09:24:33 TDCJ#: 01818077 SID#: 0£830360 LOCATION: JAMES LYNAUGH INDIGENT DTE: 03/16/15 NAME: HALL,GEORGE JR BEGINNING PERIOD: 11/01/14 PREVIOUS TDCJ NUMBERS: 00513115 01164384 CURRENT BAL: 0.00 TOT HOLD AMT: 0.00 3MTH TOT DEP: £00.00 6MTH DEP: ££5.00 6MTH AVG BAL: 6. 19 6MTH AVG DEP: 37.50 MONTH HIGHEST BALANCE TOTAL DEPOSITS MONTH HIGHEST BALANCE TOTAL DEPOSITS 04/15 0.00 0.00 01/15 0. 00 0. 00 03/15 £&.££ 0.00 1£/14 0. 00 0. 00 0£/15 £00.00 £00.00 11/14 £5.00 £5. 00 PROCESS DATE HOLD AMOUNT HOLD DESCRIPTION STATE OF TEXAS COUNTY OF ±^€£jL ON THIS THE £2^ DAY OF frl"/ . /ST I CERTIFY THAT THIS DOCUMENT IS A TRUE, COMPLETE,AND UNALTERED COPY MADE BY ME OF INFORMATION CONTAINED IN THE COMPUTER DATABASE REGARDING THE OFFENDER'S ACCOUNT. NP SIG: PF1-HELP PF3-END ENTER NEXT TDCJ NUMBER: OR SID NUMBER: M ! J J ? SAMUti. u« Um*4