Preview
,
Order on cou rt Fee Waiver when form
Clerk stamps date here is filed.
FW-OO 3 (Superior Court)
® Pers‘on who asked the court to waive court fees:
F H L E E
Name: -"
KMIHM M“F’°{5
JUN 24 2022
Street or mailing address: o L! é T S Hg“.
mm
1.
I
City: State: car Zip: «3 7 u ggPER'c%Rus9%TF9:§a&z§°R~IA
DEPUTY
_ .
Lawyer, If person In (D has one (name, firm name, address,
phone number, e—mail, and State Bar number):
in court name and s_treet address:
Fill
Superior Court of California, County of
P(LSWOS
”30 0 H9(J,
I150 03/110“? F(“wo‘ca
A3724 e-F. {{‘KCM‘H‘HNJC
and name:
® A request to waive court fees was filed on (date):
fl The coun made a previous
JUN
fee waiver order in this case
2 3
on
2022
(date):
Fgaigfliinmffr
"2
2 flw0 1 9 0 2
Case Name:
Read thisform carefully. All checked boxes Mare court orders. 1n R 5'. lLPri-Avu'
Mk §+¢k nF°I9
Notice: The court may order you to answer questions about your finances and later order you to pay back the waived
fees. Ifthishappens and you do not pay, the couxt can make you pay the fees and also charge you collection fees. Ifthere
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 foml FW~010.) If you win your case, the trial court may order the other side
to pay the fees. Ifyou settle your civil case for $10,000 or more, the trial court will have a lien on'the settlement in the
amount ofthe waived fees. The trial court may not dismiss the case until the lien is paid.
Afler reviewing your: fl Request to Waive Court Fees D Request to Waive Additional Court Fees
the court makes the following orders:
a. fl The court grants your request, as follows:
(1)fl Fee Waiver. The court grants your request and waives your count fees and costs listed below. (Cal.
You do not have to pay the court fees for the following:
Rules ofCourt, rules 3.55 and 8.818.)
°Filing papers in superior court °
Court fee for phone hearing
_
'Making copies and certifying copies -
Giving notice and certificates
° Sheriff’s fee to give notice '
Sending papers to another court department
-Reporter’s fee for attendance at hearing or ifthe court
trial, isnot'electronically recording the proceeding
and you request that the court provide an official reporter
-
Assessment for court investigations under Probate Code section 15 13, 1826, or 1851
-Preparing, certifyi'ng, 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) D Additional Fee Waiver. The court grants your request and waives your additional superior court fees
and costs that are checked below. (Cal. Rules ofCourt, rule 3.56.) You do not have to pay for the
checked items.
D Jury fees and expenses D Fees for a peace officer to testify in court
D Fees for court-appointed experts D Coun-appointed interpreter fees for a witness
D Other (specifii):
éféfigggflgifi'efifi'g‘gfi'mgfiififinw Order on Court Fee Waiver (Superior Court) FW-003. Page 1-of3
Govemment Code. § 68634(e)
Com,
Cal. Rules c1rule 3.52
Case Number:
Your name:
b} D The court denies your-_fee waiver request because:
fl
k: I:'Waming! Ifyou miss 'thezdeadline below, the court cannot process your request for hearing or the court papers
you-I If the papers were a notice of appeal, the appeal may be dismissed.
-filed with your_ original request.
(1)
'
Yo_ur request is incomplete. You have 10 da‘ys afier the clerk gives notice of this Order (see date of service D
'next- ‘p'ag'ej tp:-_
'on'
' ‘
uTr -7. -
Pay your feés and costs, or
'
Filea new revised request that includes the incumplete items listed:
D Below D 0n Attachment 4b(l)
(2) D The information you provided on the request shows that you are not eligible for the fee waiver you
requested for the reasons stated. U Below U On Attachment 4b(2)
“’1“. -‘
m}
.
0'
n \
' _
_'._ n
The court has enclosed a blank Requestfor HearingAbout 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 theamount listed in c below, or
-Ask for a hearing in order to show the court more information. {Useform FW-006 to request
h
hearing.)
c. (1) U The court needs more information to decide whether to grant your request. You must g0 to court on the
date on page 3. The hearing will be about the questions regarding your eligibility that are stated:
D Below D 0n Attachment 4c(])
(2) D Bring the items of proof to support your request, if reasonably available, that are listed:
D Below D On Attachment 40(2)
This is a Court Order.
“"399”th 2°19 Order on Court Fee Waiver (Superior Court) FW-003s Page 2 0f 3
Case Number:
Your name: LN! |
nu‘ N“ M3
Name and address of court if differentfrom above:
Hearing Date: Time:
Date '
Dept: Room:
Warning! If item 0(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. [f you miss that deadline, the coufl cannot
process the court papers you filed with your request. If the papers were a notice of appeal, the appeal may be
dismissed.
Date: JUN 2 ll 2022 2. WV‘C(
Signature of(check one}: D Judicial Oflicer
Q Clerk,Deputy
Request for Accommodations
Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services
are available ifyou ask at [east five days before the hearing. Contact the clerk’s office for Requesrfor
Accommodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.)
Clerk's Certificate of Service
Icertify thatI am not involved in this case and (check one):
D Ihanded a copy ofthis Order to the party and attorney, ifany, listed inG) and @, at the court, on the date below.
a This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in®and ®,
from Frebfi'b California, on the date below.
(city): ,
D A certificate of mailing is attached.
Date: "m 2 Q ZIIZZ
Clerk, by ,Deputy
Name: 2- miller
xx
This is a Court Order.
Rev'sep‘embe’1'2°‘9 FW-003’ Page 3 0f3
Order on Court Fee Waiver (Superior Court)
Preview
, Order on cou rt Fee Waiver when form Clerk stamps date here is filed. FW-OO 3 (Superior Court) ® Pers‘on who asked the court to waive court fees: F H L E E Name: -" KMIHM M“F’°{5 JUN 24 2022 Street or mailing address: o L! é T S Hg“. mm 1. I City: State: car Zip: «3 7 u ggPER'c%Rus9%TF9:§a&z§°R~IA DEPUTY _ . Lawyer, If person In (D has one (name, firm name, address, phone number, e—mail, and State Bar number): in court name and s_treet address: Fill Superior Court of California, County of P(LSWOS ”30 0 H9(J, I150 03/110“? F(“wo‘ca A3724 e-F. {{‘KCM‘H‘HNJC and name: ® A request to waive court fees was filed on (date): fl The coun made a previous JUN fee waiver order in this case 2 3 on 2022 (date): Fgaigfliinmffr "2 2 flw0 1 9 0 2 Case Name: Read thisform carefully. All checked boxes Mare court orders. 1n R 5'. lLPri-Avu' Mk §+¢k nF°I9 Notice: The court may order you to answer questions about your finances and later order you to pay back the waived fees. Ifthishappens and you do not pay, the couxt can make you pay the fees and also charge you collection fees. Ifthere 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 foml FW~010.) If you win your case, the trial court may order the other side to pay the fees. Ifyou settle your civil case for $10,000 or more, the trial court will have a lien on'the settlement in the amount ofthe waived fees. The trial court may not dismiss the case until the lien is paid. Afler reviewing your: fl Request to Waive Court Fees D Request to Waive Additional Court Fees the court makes the following orders: a. fl The court grants your request, as follows: (1)fl Fee Waiver. The court grants your request and waives your count fees and costs listed below. (Cal. You do not have to pay the court fees for the following: Rules ofCourt, rules 3.55 and 8.818.) °Filing papers in superior court ° Court fee for phone hearing _ 'Making copies and certifying copies - Giving notice and certificates ° Sheriff’s fee to give notice ' Sending papers to another court department -Reporter’s fee for attendance at hearing or ifthe court trial, isnot'electronically recording the proceeding and you request that the court provide an official reporter - Assessment for court investigations under Probate Code section 15 13, 1826, or 1851 -Preparing, certifyi'ng, 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) D Additional Fee Waiver. The court grants your request and waives your additional superior court fees and costs that are checked below. (Cal. Rules ofCourt, rule 3.56.) You do not have to pay for the checked items. D Jury fees and expenses D Fees for a peace officer to testify in court D Fees for court-appointed experts D Coun-appointed interpreter fees for a witness D Other (specifii): éféfigggflgifi'efifi'g‘gfi'mgfiififinw Order on Court Fee Waiver (Superior Court) FW-003. Page 1-of3 Govemment Code. § 68634(e) Com, Cal. Rules c1rule 3.52 Case Number: Your name: b} D The court denies your-_fee waiver request because: fl k: I:'Waming! Ifyou miss 'thezdeadline below, the court cannot process your request for hearing or the court papers you-I If the papers were a notice of appeal, the appeal may be dismissed. -filed with your_ original request. (1) ' Yo_ur request is incomplete. You have 10 da‘ys afier the clerk gives notice of this Order (see date of service D 'next- ‘p'ag'ej tp:-_ 'on' ' ‘ uTr -7. - Pay your feés and costs, or ' Filea new revised request that includes the incumplete items listed: D Below D 0n Attachment 4b(l) (2) D The information you provided on the request shows that you are not eligible for the fee waiver you requested for the reasons stated. U Below U On Attachment 4b(2) “’1“. -‘ m} . 0' n \ ' _ _'._ n The court has enclosed a blank Requestfor HearingAbout 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 theamount listed in c below, or -Ask for a hearing in order to show the court more information. {Useform FW-006 to request h hearing.) c. (1) U The court needs more information to decide whether to grant your request. You must g0 to court on the date on page 3. The hearing will be about the questions regarding your eligibility that are stated: D Below D 0n Attachment 4c(]) (2) D Bring the items of proof to support your request, if reasonably available, that are listed: D Below D On Attachment 40(2) This is a Court Order. “"399”th 2°19 Order on Court Fee Waiver (Superior Court) FW-003s Page 2 0f 3 Case Number: Your name: LN! | nu‘ N“ M3 Name and address of court if differentfrom above: Hearing Date: Time: Date ' Dept: Room: Warning! If item 0(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. [f you miss that deadline, the coufl cannot process the court papers you filed with your request. If the papers were a notice of appeal, the appeal may be dismissed. Date: JUN 2 ll 2022 2. WV‘C( Signature of(check one}: D Judicial Oflicer Q Clerk,Deputy Request for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available ifyou ask at [east five days before the hearing. Contact the clerk’s office for Requesrfor Accommodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.) Clerk's Certificate of Service Icertify thatI am not involved in this case and (check one): D Ihanded a copy ofthis Order to the party and attorney, ifany, listed inG) and @, at the court, on the date below. a This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in®and ®, from Frebfi'b California, on the date below. (city): , D A certificate of mailing is attached. Date: "m 2 Q ZIIZZ Clerk, by ,Deputy Name: 2- miller xx This is a Court Order. Rev'sep‘embe’1'2°‘9 FW-003’ Page 3 0f3 Order on Court Fee Waiver (Superior Court)