Form 5(c) Defendant's Financial Statement for Limited Jurisdiction Courts

This form is used when a defendant in a limited jurisdiction court (like a justice court or municipal court) needs to ask for a court-appointed lawyer because they cannot afford one. The defendant fills out the form to show the court their financial situation, including income, expenses, and any assets they have.

The court uses this information to decide if the defendant qualifies for a free, court-appointed attorney. Being honest on this form matters. Giving false information to get a free lawyer can result in serious legal consequences, including criminal charges.