Preview
#240 —
Order on Court Fee Waiver
(Superior Court)
Sa) Person who asked the court to waive court fees:
Name: lohy James
Street or mailing address: . wv.
City: Redla ads State: Zip: 2323
Lawyer, if person in (1) has one (name, address, phone number,
e-mail, and State Bar number): :
@
MAY 3 9 2013
By leah cs
Deputy
A request to waive court fees was filed
on (date):
®
( The court made a previous fee waiver order in this case
on (date):
Read this fornt carefully. All checked boxes are court orders.
Fill in court name and street address:
Superior Court of California, County of
Superior Court of Califomla
County of San Bemardino-Civil
303 West Third Street, First Floor
San Bernardino, CA 92415-0210
Fill in case number and case name:
Gis igosnas
Case Name:
Notice: The court may order you to answer questions about your finances and later order you to pay back the waived
fees. If this happens and you do not pay, the court can make you pay the fees and also charge you collection fees. If there
is a change in your financial circumstances during this case that increases your ability to pay fees and costs, you must
notify the trial court within five days. (Use form FW-010.) If you win your case, the trial court may order the other side
to pay the fees. If you settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in the
amount of the waived fees. The trial court may not dismiss the case until the lien is paid.
@) After reviewing your (check one): , Be Request to Waive Court Fees (| Request to Waive Additional Court Fees
the court makes the following orders:
a. 1 The court grants your request, as follows:
() O Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules of
Court, rule 3.55.) You do not have to pay the court fees for the following:
+ Filing papers in Superior Court
+ Making copies and certifying copies
+ Sheriff ’s fee to give notice
+ Giving notice and certificates
+ Sending papers to another court department
+ Court-appointed interpreter in small claims court
* Reporter’s daily fee (or up to 60 days following the fee waiver order at the court-approved daily rate)
+ Preparing and certifying the clerk’s transcript on appeal + Court fees for phone hearings
(2)C) Additional Fee Waiver. The court grants your request and waives your additional superior court fees and
costs that are checked below. (Cal.
O1 hwy fees and expenses
O Fees for court-appointed experts
les of Court, rule 3.56.) You do not have to pay for the checked items.
OO) Fees for a peace officer to testify in court
(1 Court-appointed interpreter fees for a witness
CO Reporter's daily fees (beyond the 60-day period following the fee waiver order)
O Other (specify):
(3) Fee Waiver for Appeal. The court grants your request and waives the fees and costs checked below, for your
appeal. (Cal. Rules of Court, rules 3.55, 3.56, 8.26, and 8.818.) You do n
(] Preparing and certifying clerk’s transcript for appeal
0 Other (specify):
ot have to pay for the checked items.
HUE AS,
pal yaa
N Order
“Judicial Counci of Caliornia, vapwicophtintoiea gov *
Revised July 1, 2009, Mandatory Form
Government Code, §'68634(e)
California Rules of Cour, rule 3.62
én Court Fee Waiver (Superior Court)
FW-003, Page 1 of 2e@ r +
Case Number:
Your name:
b. [1] The court denies your request, as follows:
Warning! If you miss the deadline below, the court cannot process your request for hearing or the court papers
you filed with your original request. if the papers were a notice of appeal, the appeal may be dismissed
a@ (Cl The court denies your request because it is incomplete. You have 10 days after the clerk gives notice of
this order (see date below) to:
+ Pay your fees and costs, or
+ File anew revised request tha
2) win denies your request because the information you provided on the request shows that you are not
eligible for the fee waiver ye sted (specify reasons): Wacsele A saconne
ve Una) .
exc CU? Sx
The court has enclosed a blank Request for Hearing About Court Fee Waiver Order (Superior Court), form
FW-006, You have 10 days after the clerk gives notice of this order (see date below) to: :
+ Pay your fees and costs, or
+ Ask for a hearing in order to show
t includes the items listed below (specify incomplete items):
the court more information. (Use form FW-006 to request hearing.)
c. £1 The court needs more information to decide whether to grant your request. You must go to court on the date
below. The hearing will be about (specify questions regarding eligibility):
(1 Bring the following proof to support your request if reasonably available______________
Name and address of court if different from page 1:
Date: Time:
Dept.: Rm.:
0 court on your hearing date, the judge will deny your request to
your fees. If you miss that deadline, the court cannot process
y be dismissed.
Warning! If item cis checked, and you do not go t
waive court fees, and you will have 10 days to pay
the court papers you filed with your request. If the papers were a notice of appeal, the appeal ma’
Pall? Saw
Signature of (check one): Aoudicial Officer O Clerk, Deputy
Request for Accommodations. Assistive listening oyster AMI, REN: real-time captioning, or sign
language interpreter services are available if you ask at least 5 days before your hearing. Contact the clerk’s
office for Request for Accommodation, Form MC-410. (Civil Code, § 54.8.)
Clerk's Certificate of Service
I certify that I am not involved in this case and (check one): {[] A certificate of mailing is attached.
if any, listed in@® and @), at the court, on the date below.
( Ihanded a copy of this order to the party and attorney,
pohnis order was mailed first class, postage paid, to the party and attorney, if any, at thg addresses listed in® and@) ;
from (city): GAN BERNARDINO , California on the date below,
pa. MAY $i 2013 “Clesk, by (y _Depaty
Revised Jy 1, 2008 eerie ae MARTINA CARRILLGW-003, Page 2 of 2
Order on Court Fee Waiver (Superior Court)
Preview
#240 — Order on Court Fee Waiver (Superior Court) Sa) Person who asked the court to waive court fees: Name: lohy James Street or mailing address: . wv. City: Redla ads State: Zip: 2323 Lawyer, if person in (1) has one (name, address, phone number, e-mail, and State Bar number): : @ MAY 3 9 2013 By leah cs Deputy A request to waive court fees was filed on (date): ® ( The court made a previous fee waiver order in this case on (date): Read this fornt carefully. All checked boxes are court orders. Fill in court name and street address: Superior Court of California, County of Superior Court of Califomla County of San Bemardino-Civil 303 West Third Street, First Floor San Bernardino, CA 92415-0210 Fill in case number and case name: Gis igosnas Case Name: Notice: The court may order you to answer questions about your finances and later order you to pay back the waived fees. If this happens and you do not pay, the court can make you pay the fees and also charge you collection fees. If there is a change in your financial circumstances during this case that increases your ability to pay fees and costs, you must notify the trial court within five days. (Use form FW-010.) If you win your case, the trial court may order the other side to pay the fees. If you settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in the amount of the waived fees. The trial court may not dismiss the case until the lien is paid. @) After reviewing your (check one): , Be Request to Waive Court Fees (| Request to Waive Additional Court Fees the court makes the following orders: a. 1 The court grants your request, as follows: () O Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules of Court, rule 3.55.) You do not have to pay the court fees for the following: + Filing papers in Superior Court + Making copies and certifying copies + Sheriff ’s fee to give notice + Giving notice and certificates + Sending papers to another court department + Court-appointed interpreter in small claims court * Reporter’s daily fee (or up to 60 days following the fee waiver order at the court-approved daily rate) + Preparing and certifying the clerk’s transcript on appeal + Court fees for phone hearings (2)C) Additional Fee Waiver. The court grants your request and waives your additional superior court fees and costs that are checked below. (Cal. O1 hwy fees and expenses O Fees for court-appointed experts les of Court, rule 3.56.) You do not have to pay for the checked items. OO) Fees for a peace officer to testify in court (1 Court-appointed interpreter fees for a witness CO Reporter's daily fees (beyond the 60-day period following the fee waiver order) O Other (specify): (3) Fee Waiver for Appeal. The court grants your request and waives the fees and costs checked below, for your appeal. (Cal. Rules of Court, rules 3.55, 3.56, 8.26, and 8.818.) You do n (] Preparing and certifying clerk’s transcript for appeal 0 Other (specify): ot have to pay for the checked items. HUE AS, pal yaa N Order “Judicial Counci of Caliornia, vapwicophtintoiea gov * Revised July 1, 2009, Mandatory Form Government Code, §'68634(e) California Rules of Cour, rule 3.62 én Court Fee Waiver (Superior Court) FW-003, Page 1 of 2e@ r + Case Number: Your name: b. [1] The court denies your request, as follows: Warning! If you miss the deadline below, the court cannot process your request for hearing or the court papers you filed with your original request. if the papers were a notice of appeal, the appeal may be dismissed a@ (Cl The court denies your request because it is incomplete. You have 10 days after the clerk gives notice of this order (see date below) to: + Pay your fees and costs, or + File anew revised request tha 2) win denies your request because the information you provided on the request shows that you are not eligible for the fee waiver ye sted (specify reasons): Wacsele A saconne ve Una) . exc CU? Sx The court has enclosed a blank Request for Hearing About Court Fee Waiver Order (Superior Court), form FW-006, You have 10 days after the clerk gives notice of this order (see date below) to: : + Pay your fees and costs, or + Ask for a hearing in order to show t includes the items listed below (specify incomplete items): the court more information. (Use form FW-006 to request hearing.) c. £1 The court needs more information to decide whether to grant your request. You must go to court on the date below. The hearing will be about (specify questions regarding eligibility): (1 Bring the following proof to support your request if reasonably available______________ Name and address of court if different from page 1: Date: Time: Dept.: Rm.: 0 court on your hearing date, the judge will deny your request to your fees. If you miss that deadline, the court cannot process y be dismissed. Warning! If item cis checked, and you do not go t waive court fees, and you will have 10 days to pay the court papers you filed with your request. If the papers were a notice of appeal, the appeal ma’ Pall? Saw Signature of (check one): Aoudicial Officer O Clerk, Deputy Request for Accommodations. Assistive listening oyster AMI, REN: real-time captioning, or sign language interpreter services are available if you ask at least 5 days before your hearing. Contact the clerk’s office for Request for Accommodation, Form MC-410. (Civil Code, § 54.8.) Clerk's Certificate of Service I certify that I am not involved in this case and (check one): {[] A certificate of mailing is attached. if any, listed in@® and @), at the court, on the date below. ( Ihanded a copy of this order to the party and attorney, pohnis order was mailed first class, postage paid, to the party and attorney, if any, at thg addresses listed in® and@) ; from (city): GAN BERNARDINO , California on the date below, pa. MAY $i 2013 “Clesk, by (y _Depaty Revised Jy 1, 2008 eerie ae MARTINA CARRILLGW-003, Page 2 of 2 Order on Court Fee Waiver (Superior Court)