FORM 2 - PAUPER'S AFFIDAVIT COURT OF APPEALS OF GEORGIA ___________________, * APPELLANT * vs. ___________________, * CASE NUMBER * __________________ APPELLEE PAUPER'S AFFIDAVIT Comes now ________________(Appellant's name) first being duly sworn, deposes and states I am financially unable to pay the $80.00 filing fee required for filing costs in the Court of Appeals of Georgia, and I request I be permitted to file ___________________________ (Appellant's brief or Appellant's application) without having to pay filing fees. This the ______day of _______________, ______. _________________________________________________________ (Your name printed or typed.) _________________________________________(Sign your name.) _______________________________________________________ ________________________________________________________ (Your complete address and telephone number.) Sworn to and subscribed before me this the ________day of _________________, _______. _________________________________________Notary Public SEAL American LegalNet, Inc. www.FormsWorkflow.com