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m Order
(Superior
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Person who asked the court to waive court fees:
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Fee waiver
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SUPERIOR COURT 0F CALIFORNIA
BYMSN‘D’ETW
® Lawyer, if person
phone number,
in
e—mail,
CD has one (name,z
and State Bar number):
firm name, address,
court name and street address:
Fill in
Superior Court of California, County of
Wesno
lllégo
O Ska}
fiflghgév‘: 33%t0m36
® A request to waive court fees was filed on (date):
——'—“ case number and name:
FiII'In
case Numbe
'2 r2
D The court made a previous fee waiver order in this case on (date): CE CG O 24 3 3
Case Name:
Read thisform carefully. All checked boxes Mare court orders. \h re''JuchvwlaQwe RNWV“ M WM
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Notice: The court may order you to answer questions about your finances and later order you to pay back the waived
happens and you do not pay, the court can make you pay the fees and also charge you collection fees. If there
fees. If this
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-OlO.) If you win your case, the trial court may order the other side
t0 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 of the waived fees. The trial court may not dismiss the case until the lien is paid.
After reviewing your: M Request t0
the court makes the following orders:
Waive Court Fees D Request t0
.
Waive Additional Court Fees
a.
m The court grants your request, as follows:
(1)
M Fee Waiver. The court grants your request and waives your coun fees and costs listed below.
Rules ofCourt, rules 3.55 and 8.818.) You do not have to pay the court fees for the following:
(Calf
-
-
Filing papers in superior court -
Court fee for phone hearing
- Making copies and certifying copies ° Giving notice and certificates
- Sheriffs fee t0 give notice -_ _
.
..
-
Sending papers to another court department
- Repomer’ s fee for attendance not electronically recording the proceeding
at hearing or trial, if the court is
and you request that the court provide an official repofier
°
Assessment for court investigations under Probate Code section 1513, 1826, or 1851
-
Preparing, certifying, copying, and sending the clerk’s transcript on appeal
-
Holding on appeal under
in trust the deposit for a reporter’s transcript 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 Court-appointed interpreter fees for a witness
D Other (specifii):
Order on Court Fee Waiver (Superior Court) FW-003, P8991 °f3
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Government Code, § 68634(e)
Cal. Rules of Court, rule 3.52
Case Number:
Your name: Jose, gfiua&&gq Pi QM {bet ‘K/[aV—hh £7.)
22 CE CG 0 24 33
b. D The coun denies your fee waiver request because:
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. Ifthe papers were a notice of appeal, the appeal may be dismissed.
(1) Your request isincomplete. You have 10 days after the clerk gives notice oftfiis Order (see date‘of service D
on next page) to: 5‘
‘
j:
-
Pay your fees and costs, or
°
File anew revised request that includes the incomplete items listed:
D Below D On Attachment 4b(1)
(2) D The information you providedon the request shows that you are not eligible for the fee waiver you
requested for the reasons stated: D Below D On Attachment 4b(2)
The court has enclosed a blank Requestfor 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 of service below) to:
'
Pay your fees and costs amount listed in c below, 0r
in full or the
-
Ask for a hearing in order to show the court more information. (Useform FW-006 t0 request
hearing.)
c. (1) D The court needs more information t0 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: _
D Below D 0n Attachment 4c(1)
(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.
ReV‘SePtembemm Order on Court- Fee Waiver (Superior Court) FW-003: Page 2 0f 3
U
Case Numbe '
22
I
Your name: Qam‘rel WFLWCZ 6E CG U 221 3 3
( )OSQ/%UQ&QQLU‘DC
Name and address of court if differentfrom above:
Hearing
;’
Date: Time:
Date '
1
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. 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: AUG 1 U 2022 C.Y0(k
.Signatureof(checkw D Judicial Ofl‘icer
m Clerk,Deputy
Request for Accommodations
Assistive listening systems, computer-assisted real—time captioning, or sign language intelpreter services
are available if you ask at least five days before the hearing. Contact the clerk’s office for Requestfor
Accommodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.)
Clerk's Certificate of Service
Icertify that Iam not involved in this case and (check one):
D I handed a copy 0fthis Order to the partyand attorney, G) and®,
if any, listed in at the court,on the date below.
M This order was mailed first class, postage paid, to the party and attorney,
from (city):
if any, at the
on the date below.
addresses listed in® and@,
F(CSYIO ,
California,
D A certificate of mailing is attached.
Date; AUG 1 0 2022
' i
'.Clerk, by , Deputy
Name: C. Yotk / \
This is a Court Order.
Rev-Sep‘embe'1'2019 FW-003y Page
Order on Court Fee Waiver (Superior Court) 3 °f3