Free Indigency - Mississippi

IN THE JUSTICE COURT OF RANKIN COUNTY, MISSISSIPPI STATE OF MISSISSIPPI VS. _________________________ AFFIDAVIT OF INDIGENCY STATE OF MISSISSIPPI COUNTY OF RANKIN I, ________________________________________, being first duly sworn, depose and say: I am a Defendant in the above styled and named cause. If I am now or hereafter released from custody upon the posting of any bond, I do hereby assign unto Rankin County, Mississippi, all my right or title to any bond monies so posted to the extent necessary to reimburse said county for all court costs, court appointed attorneys fees or other funds expended for my defense. I neither own nor have any rights to any assets, funds, cash, money, bank accounts, stocks, bonds, jewelry, televisions, automobiles, land, houses, "heir property" or other real or personal property of any kind or character, other than the following: NO. _______________

My employer's name and address is _____________________________________________. My income is $__________ per _______________. In my present financial condition, above described, I am unable to obtain and pay counsel to defend me or pay any incidental expenses which may be incurred in the conduct of my defense. If I have listed assets above which could be sold or disposed of and the proceeds applied to reimburse the county for the costs of my court appointed counsel, I agree to do so. I understand any false statement on this affidavit or any failure to cooperate with the county in disposing of my listed assets to reimburse the county for the costs of my court appointed attorney, as appropriate will constitute fraud upon this court and a violation in the terms of my suspended sentence I may receive in this cause, allowing me to be resentenced or any suspended sentence revoked. I am desirous of having this court appoint counsel to defend me on the following charges: ________________________________________________________________________________. I, therefore, respectfully ask this court to appoint able and conscientious counsel to represent and defend me herein. I have made no previous application for this relief. __________________________________

SWORN TO AND SUBSCRIBED TO BEFORE ME, this _____ day of ___________, 20____. Kristie Pyles, Justice Court Clerk By: __________________________ D.C.