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SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Document Scanning Lead Sheet
Feb-01-2016 9:12 am
Case Number: CSM-16-851486
Filing Date: Feb-01-2016 8:35
Filed by: VERLINDA JONES
- Juke Box: 001 Image: 05255189
ORDER
AYESHA KHALID VS. JORGE CASTRILLO
001605255189
Instructions:
Please place this sheet on top of the document to be scanned.Clerk stamps.date here when formis filed.
ava Order on Court Fee Waiver
(Superior Court)
Person who asked the court to waive court fees: SMALL CLAIMS
Name: Ayeclya Khalil
Street or mailing address: Cp Q &~ Vendala drive FEB 04 2018
ci Gan Bakae) — Sate: Co Zi 44403 | 6 cawor tHecouar
Lawyer, if person in (4) has one (name, address, phone number, Ys ee be Emus
ut
e-mail, and State Bar number): puty Clerk
\ Fill in court name and street address:
_ | Superior Court of California, County of
SMALL CLAIMS
SUPERIOR COURT
MoALLISTER , ROOM 1
SAN FRANCISCO, CALIFORNIA 94102
Superior Coun of California
‘County of Saat Francisco
@® A request to waive court fees was filed on (date): |] /2G/1G
‘The court made’a previous fee waiver order in this case on (date):
Read this form carefully. All checked boxes Mare court orders.
Rholel vs Gosh lh
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: est to Waive Court Fees (0 Request to Waive Additional Court Fees
the court makes the following orders: .
a. (1 The court grants your request, as follows:
(1) 01 Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal.
Rules of Court, rules 3.55 and 8.818.) You do not have to pay the court fees for the following:
+ Filing papers in Superior Court + Giving notice and certificates
+ Making copies and certifying copies + Sending papérs to another court department
» Sheriff ’s fee to give notice + Court-appointed interpreter in small claims court
+» Court fee for phone hearing
+ Reporter’s fee for attendance at hearing or trial, if reporter provided by the court
+ Assessment for court investigations under Probate Code section 1513, 1826, or 1851
+ Preparing, certifying, copying, arid 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)] Additional Fee Waiver. The court grants your request and waives your additional superior court fees
and costs that are checked below. (Cal. Rules of Court, rule 3.56.) You do not have to pay for the
checked items.
0 Jury fees and expenses (Cl Fees for a peace officer to testify in court
0 _sFees for court-appointed experts [] Court-appointed interpreter fees for a witness
1 Other (specify):
a
Joceciel Council of Calfomia, emncourscagoy Order on Court Fee Waiver (Superior Court) FW-003, Page 1 of 2
Revised July 1, 2015, Mandatory Form
Government Code, § 68634(e)
Cat. Rules of Court, rule 3.52
SN
4‘Case Number: .
CSM =16-85448
Your name:
b. C1 The court denies your fee waiver request, as follows:
If you iiss the deadline below, the court ‘cannot process yoilr:request for heart
you filed with:your original:request. ifthe papers were a notice. of appeal, the.appeal:may.
a ‘The court denies your request because itis incomplete. You have 10 days after the clerk gives notice of
\ this order (see date of service on next page) to: sot =
« Pay your feés and costs, or ‘
+ File a new revised request that includes the items listed below (specify incomplete items):
_ @)E1 The court denies your request becaiise the information you.
1 .on the request shows that you are
not eligible for the fee waiver you requested (specify reasons);
‘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 noticé of this order (See date of service below) to:
* Pay your fees and costs in full or the amount listed ine. below, or oO
« Ask for a hearing in otder to show thie court more imformation: (Use form FW-006.to request
hearing.) - wt
c. (] The courtneeds more information to decide whether to grant your request. You must go to court on the date
below. yThe hearing will be.about (specify questions regarding eligibility): Meee
& eye hh at By tae ge . ee
‘Warning! if item c is checked, and you do not go fo court on your,
request to.. waive court fees, and you will have 10 days to pay youl
court cannot process the court papers you filed with yc request: ‘Ifthe: papers were a'notice of appeal:
Date:
Request for Accommodations. Assistive listening systems, computer-assisted.x
‘[atiguage interpreter servicesigre available if you ask at least 5 days
office for Request for Accommodation, Form MC-410. (Civil Code, §
Clerk's Certificate of Service
| certify that Iam not involved in this:case andfeheck orig): ) ‘certificate of mailing is attached.
(ZL. Uhanded a copy of this order'to the party and-attoniey, ifany, listed in@)and @ at the cout, on the date below.
[pe This order was mailed st class; postage ald tothe paty and attorney, any, at the addresses listed in(fand (2),
from(tiy): Sin Crmasco * iffornia on the date below,
Deter Ee ; - \WERLINDA JONES {)
a i
“. “Order on Court Fee Waiver (Superior: Cour
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