Tenn. R. Sup. Ct., app B

As amended through November 4, 2024
Appendix B - Affidavit of Indigency

I, _________, do solemnly swear (or affirm) that because of my poverty, I am not able to bear the expenses of the action which I am about to commence. I further swear (or affirm) that, to the best of my knowledge, I am justly entitled to the relief sought.

_____________________

Petitioner

Tenn. R. Sup. Ct., app B