Preview
F QQ3 Order on Court Fee Waiver Clerk stamps date here when farmis filed.
Su erior Court
0 Person who asked the court to waive court fees:
Name:
Street or mailing address:
City: 5: Ca. 2 s: 91215
0 2 Lawyer, if person in O1 has one (name, firnr name,
phone number, e-mai I, and State Bar number):
atklress,
end street address
Fill in court name
Superior Court of California, County of
KERN
1215 Truxton Avenue
1215 Truxton Avenue
0 3 A request to waive court fees was filed on (dale)l
~ The court made a previous fee waiver order in this case on (date)i
Bakersfield, CA 93301
METROPOLITAN DIVISION
Fillin case number end name:
Case Number:
Case Name:
Read this fornf carefttlly. All checked boxes I2 are court orders. WACI IS v. CA DEPT OF TRANSPORTATION
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 io 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.
0 4 After reviewing your: Cl Request lo
the court makes the following orders:
Ifraifre Court Fees ~ Request to Waive Additional Court Fees
a. ~ The court grants your request, as follows:
(I) ~ Fee Waiver.
Rules of
The court grants your request and waives your court fees and costs listed below.
Court, rule 3.55 and 8.8lB) You do not have to pay the court fees for the following:
(Cal.
~ Filing papers in superior court ~ Court fee for phone hearing
~ Making copies and certifying copies ~ Giving notice and certificates
~ Sherift's fee to give notice ~ Sending papers to another court department
~ Reporter's fee for attendance at hearing or trial, if the court is not electronically recording the proceeding
and you request that the court provide an official reporter
~ Assessment for court investigations under Probate Code section 1513, 1826, or 1851
~ Preparing, certifying, copying, and sending the clerk's transcript on appeal
~ Holding in trust the deposit for a reporter's transcript on appeal under rule 8.130 or 8.834
~ Making a transcript or copy of an official electronic recording under rule 8.835
(2) ~ AdditionalthatFee Waiver.
and costs arechecked
The court grants your request and waives your additional superior court fees
below. (Cal. Rules of Court, rule 3.56) You do not have to pay for the
checked items.
~
~ Jury fees and
Fees for
expenses
court-appointed experts
~
M
Fees for a peace
Court-appointed
officer to testify in court
interpreter fees for a witness
CI Other (specify)l
Judroaf Counof of Cafrfom e..courls.ca oov
Order on
Revrsed Senfemoer 1, 2019. Mandafonr Form
Governmenf Code, 6 66634lel
Court Fee Waiver (Superior Court) FW-003, Pege 1 of3
Caf. Rules of Court, rule 3.52
( EP; Essential Wachs, Patrick
rs3Forms.
Case Number:
Your name:
b. ~ The court denies your fee waiver request because:
Warningl If you miss the deadline below, the court cannot process your request for heanng or the court papers
you filed with your original request. If the papers were a notice of appeal, the appeal may be dismissed.
(1) ~ servicerequest
Your is incomplete. You have 10 days after the clerk gives notice of this Order (see date of
on next page) to:
~ Pay your fees and costs, or
~ File a new revised request that includes the incomplete items listed:
~ Below ~ On Attachment 4b(1)
(2) ~ The information you provided on the request shows that you are not eligible for the fee waiver you
requested for the reasons stated: ~ Below ~ On Attachment 4b(2)
The court has enclosed a blank Request for clearing About Court Fee Waiver Order (Superior Court)
(form FW-006). You have 10 days after the clerk gives notice of this order (see date of service below) to:
~ Pay your fees and costs in full or the amount listed in c below, or
~ Ask for a hearing in order to show 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 on page 3. The hearing will be about the questions regarding your eligibility that are stated:
~ Below ~ On Attachment 4c(1)
(2) ~ CI Bring the items of proof to support your request, if reasonably available, that are listed:
Below ~ On Attachment 4c(2)
~ ~ ~
c 2019
Rev. September
Order on Court Fee Waiver (Superior Court) FW-003, Page 2 of 3
(f/)'I Essential
Forms.
i
JQ Wachs, Patrick
Case Number:
Your name:
Name and address of court if different from above:
Hearing Date: Time:
Data
Dept.: Room:
Warningl If item c(1) is checked, and you do not go to court on your hearing date, the judge will deny your
request to waive court fees, and you will have 10 days to pay your fees. If you miss that deadline, the court cannot
process the court papers you filed with your request. If the papers were a notice of appeal, the appeal may be
dismissed.
Date:
Signature of (check one): ~ Judicial Officer ~ Clerk, Deputy
Request for Accommodations
Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services
are available if you ask at least five days before the hearing. Contact the clerk's office for Request for
Accommodations by Persons With Di sahib'ties and Response (form MC-410). (Civ. Code, sS54.8.)
Clerk's Certificate of Service
I certify that I am not involved in this case and (check one):
~ I handed a copy of this Order to the party and attorney, if any, listed in Q1 and Q2, at the court, on the date below.
~ This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in
from (city)i , California on the date below.
Q1 and Q2,
~ A certificate of mailing is attached.
Date:
Clerk, by , Deputy
Name:
~ ~
Rev. September I, 2019
Essential
Order on Court Fee Waiver (Superior Court) FW-003, Page 3 of 3
( PL2; rej Ferma'
ceaiemI
Wachs, Patrick