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  • 2022CF000072 A document preview
  • 2022CF000072 A document preview
  • 2022CF000072 A document preview
  • 2022CF000072 A document preview
						
                                

Preview

a -IN THE CIRCUIT/COUNTY COURT OF THE NINETEENTH JUDICIAL; IN AND FOR ST. LUCIE COUNTY, FLORIDA CIRCUIT — , STATE OFFLORIDA, } . cons, 20220 Vd € . ". ~ ‘ “ . * . . : . LF , YwflenAL. thr DEFENS BNOR CHIL 7 | . . ; i ICAT ON FOR CRIMINAL INDIGENT STATUS =~ : os _.._(_\ AM SEEKING THE APPOINTMENT OF THE PUBLICDEFENDER 7 - .____JHAVE A PRIVATE OF INDIGENT ATTORNEY STATUS FOR OR AM COSTS. SELF-REPRESENTEDeAND SEEK DETERMINATION : . ; ; ttetoshpcant: spptcaiion padThe topro fe Is riot the Clackofwlihinube7 days, defender apptto costsiverand wil be addsd thatmaycoatprocesagsine!sevice be asentcod ynrat tscttoaTbarei cancisiono $50 feA judgment foreachandwpcetfon this case. fon vrnay beedimposed ff ecohet eal dlot personal properly you own fo pay for legal and ofher services provided on your behalf or cr-behall of hexparzon for who you making fis application. fyou area ,parentioge guardian making fis application on behalfofa minor or dependent edu, he formation contaloed i s-apglaston must nce yourncome and Sets, L.Uhewe,___dependerits. (Do not include chidran not fving at home and-cowahden tntemanmmiggpimmarse or yoursell,) . |. theea (Take hometakehomeequals income Incomesalery,of $200 0720. wages, bonuses,GUpaid() veckty commissions, (mamma allowances, ave eye srDeity(set enis, arequired by minus deductions . 3. tha-ve other Income paid ( ) weekly () every two weeks ( ) semi-monthly ( ) monthly ) yearly.,fiaais"Wea” and ff In the amountif you have this kindof income, otherwise circle ‘No') . _"Social SecurityDen Vetorarria! Unengiloyment «nnsesannasensnme n seLCOS DOMGPTEcompensation operoescon..........- s Yes <8 $ © WotkersCompensa6t Reemtal nn menor naaa (CONTIG Ret eMertpenTONs emrenernvn rinneneennee s ecev ececsere re VOSS VOS $s mnnmmanneioneervsccenncese VOR $ : Je : : . Child suppert or offerregularsuppor: Dividencis ar in"sree nana veeneeeernees VES5 from tanlly mrembera/apeune ........ Yt 5 TRUBS HED...eceevennreemaserenmeneraenerecsseesesanneers VOR $ : Dietary FETS cececeeeeseeeuenteeencseeneeene YOS $e € Other kinds of income not on the fst........... Yes$ 7 4, Ihave otherassets:(Circle.“Yos" and filin the value of the property, otverwise circle “Ko; use the backto orovieadditional information) : ‘res Bank Lo account(s)e SAVANE c ec sse c nn en seo nr ev es cs ese sse sc neVOB§ (TS ; f : ecco snes cosmnsonsnsninesvaneccenennersnesecere VS : “Equityin real estate (exciudinghomestead)...Yes List the alidrass of thisproperty So [ee $ [ad $a . “Equity in motor vehicies/DOatel .—vcnesecnecceeeYO8 SS eo SDC IDI of Corfficates rn deposit or ; VOSS : : "Equity; meansvelue minus loans. Al: ast jan — interest . MONEY?MEFKA?ACCOUNTS eens Yess___fia) in such property. us 80, ist eny expectancy in an | 5.| heavetotal Hlabilities and dabts intheamount ofSOCAL 2. SECON | 3 Incomplete : Oe | fl rweeive:Assistance Jemnporry (Circle “Yes”for orNeedyNo")Families | oo, - Cash Assistance ....... No ; “egetUFif FICIENT. va abe Temnpomy Aamitance Supplemental fr Nendy Faniis ~ Cech Assiatanes---S &e- Security income (SSI).nvenveevrcrnnenenernenensrnrerrerneVOR INS —— : - 7.1 fave been relessed on bail in the amount of § |,.02 1. Cash Surety___ Posted by:Setf__Family__Other__ -_ppersan punichablswbox knowingly prowied inprovides fle orInformation FS 775.082 775.083. | toattest the clerkorthe courtin seeking | havea provided thet the Informationcterrnionof incigent on this statusfsunder application FS 27-52 accurateconve true and to thaarviademennor of he fet degree, best of my knowledge. my Signed or {?. dayot_(¥)_ Z -20 Z7_, ; Signature fos of Applicant© < Status Address, YOK Last four Gigsweof DeverSe LORE foI Pee Print PhoneFulLogalameNs Number: U7 7 72-2 7 -GOWL =«he Macrae. VOR? OPS . Chy, Ste, Zp Cocte41G,21-4 For PY ermal Aedes: L901 LA Vento "7 The Publ 4 pratense ransabovetoa untl refléved by theiCour, is hereby gppoinied to the case fisted .© lENJ (V irauicenttNoD : etermination. og a oata:_C 2- Clerk of the Circuit Court by 4 oe Thies " omwasconrapleted ae withtheessitancect, oe _GleriiDeputy moe Clerkvth authorized person : : APPLICANTS FOSLJND NOT TO BE INDIGENT MAY SEEK REVIEW BY A JUDGE BY2A AWEARING THE. pee | Sign benyou went th judge to review the clerk's determination of notindigent. Oe 4 i . aia Rev.1077/2020 oJ 2 . Developied by the Ploda CCOC / . : °aN “foe, - ~ : 5 - _ ) , . ) St. Lucie County File Date: 04/18/2022 15:51 PM , . ‘ i *y 7 - : ao a oles . we, oo . . . . . etRESUS lie a : _ wed. ; oo ; . . . | . ee i oo . mo ; ’ . vt “hs a oo . . . : ” Le . ee Ta oe : « ; . OQ \ ky ee , : .. ; aaa sa . a Fa ~= °*. ?. fH *i : ae ee “ ws bree a: - i . oer . ao ey . ; St. Lucie County File Date: 04/18/2022 15:51 PM eed se .