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AFFIDAVIT OF INDIGENCY (POVERTY AFFIDAVIT) If you cannot afford the filing fees for your case you can submit an Affidavit of Indigency (also known as a Poverty Affidavit) to ask the court to let you file your case without paying the filing fees and service fees. You must fill out a form called an Affidavit of Indigency.This form tells the court you cannot afford the fees related to your case. Affiant declares under penalty of perjury that he or she has read the above affidavit and that it is true and complete to the best of his or her knowledge.". FINANCIAL STATEMENT: (Complete the following information. Complete this section with the applicant's name, contact information, and case number. The information you give on this form must be current, complete, true and correct. You must either 1) sign this form in front of a notary public or 2) sign this. I,. , being first duly sworn, depose and make under oath the following. Please fill out all sections.