Affidavit Of Inability To Pay Filing Fees And Other Costs
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Affidavit Of Inability To Pay Filing Fees And Other Costs Form. This is a Montana form and can be use in District Court Statewide.
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Tags: Affidavit Of Inability To Pay Filing Fees And Other Costs, Montana Statewide, District Court
Name
____________________________________
Address
____________________________________
City/State/Zip Code
____________________________________
Telephone Number
MONTANA ______________JUDICIAL DISTRICT COURT,____________________________COUNTY
)
)
Plaintiff(s),
)
-vs)
)
Defendant(s). )
______________________________________ )
NO. ____________________________
AFFIDAVIT OF INABILITY TO PAY FILING FEES AND OTHER COSTS
IN ACCORDANCE WITH 25-10-404 - 406, MCA
STATE OF MONTANA
)
) ss.
County of _______________________ )
I, _______________________________________, being first duly sworn, upon oath depose and say:
1.
I am the (petitioner/plaintiff) or (respondent/defendant) in the above-entitled proceeding.
2.
I have a good cause of action and am unable to pre-pay the costs or to procure security to
secure the same, in accordance with ยง 25-10-404 - 406, MCA.
DATED this _____ day of_____________________________, 20_____.
_________________________________________
AFFIANT
Subscribed and sworn to before me this _____ day of _____________________________, 20_____.
(NOTARY SEAL)
________________________________________________
Notary Public for the State of Montana
______________________________________________
Printed Signature
Residing at:_______________________________________
My Commission expires:____________________________
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