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Statement of Inability to Afford Payment of Court Costs or an Appeal Bond in Justice Court. 1. Rule 145 (d), Texas Rules of Civil Procedure allows the clerk of the court to contest an Affidavit of.I verify that the statements made in this affidavit are true and correct. This is an application to the court called a "Paupers Affidavit. " Pauper's Affidavit. You must present to the Court, along with your Poverty Affidavit, a completed and signed original of the action. 330 Capitol Avenue, S.E. 1st Floor, Suite 1100. Atlanta, Georgia 30334. Costs, which costs shall be: GWaived in full G Reconsidered at the next hearing GAssessed before the final order is entered. Judge of the District Court.