Texas A&M University



FORM REVISED ON 7-30-2004

CAUSE NO. ____________

THE STATE OF TEXAS )( IN THE _____________COURT

VS. )( JOHNSON COUNTY, TEXAS

_________________________________

CHARGE: ____________________________________________________________________

APPOINTMENT OF ATTORNEY

The Court having considered such factors as the Defendant’s income, sources of income, property

owned, outstanding obligations, necessary expenses, the ages and number of Dependents and spousal income,

now finds that the Defendant in the above cause is not represented by Counsel, that the Defendant is too poor

to employ counsel, and the Court hereby appoints the below named practicing attorney of this state to

represent the Defendant in this case.

NAME _______________________________________________

STATE BAR # _________________________________________

ADDRESS ____________________________________________

PHONE ______________________________________________

Signed this _________day of _________________________, 20______.

___________________________________________

JUDGE

Attachment F

White – Clerk Yellow – Defendant Pink – Jail Records Gold - Attorney

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