Affidavit of Inability to Pay — Requirements

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  1. Any inmate who files a claim with an affidavit of inability to pay costs shall file a separate affidavit with the following information:
    1. A complete list of every lawsuit or claim previously filed by the inmate, without regard to whether the inmate was incarcerated at the time any claim or action was filed; and
    2. For each claim or action listed in subsection (a):
      1. The operative facts for which relief was sought;
      2. The case name, case number and court in which the suit or claim was filed;
      3. The legal theory on which the relief sought was based;
      4. The identification of each party named in the action; and
      5. The final result of the action, including dismissal as frivolous or malicious under this part or otherwise.
  2. If the affidavit filed under this section states that a previous suit was dismissed as frivolous or malicious, the affidavit must state the date of the final order affirming the dismissal.
  3. The affidavit must be accompanied by a current certified copy of the inmate's trust account statement.


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