On September 30, 2021 a
Hearing
was filed
involving a dispute between
and
Wiley, Robbie,
in the District Court of Indian River County.
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INTHE CIRCUITCOUNTY COURTOFTHE 19TH JUDICIAL CIRCUIT
il INANDFOR INDIAN RIVER COUNTY, FLORIDA 202 \|- M fA ! 44 YA
APPLICATION FOR CRIMINAL INDIGENT STATUS
Bim SEEKING THE APPOINTMENT OF THE PUBLIC DEFENDER OR
o HAVE A PRIVATE ATTORNEY OR AM SELF-REPRESENTED AND SEEK DETERMINATION OF INDIGENCE STATUS FOR COSTS
‘STATE OF FLORIDA
DefendantiMinar Child
Notice to Appticant: The provision of a public defender/court appointed lawyer and costs/due process Services are not free. A judgment and lien may be imposed
‘agzinst all real or personal property you own to pay for legal and other services provided on your behalf or on behalf of the person for whom you are making this
application. There is a $50.00 fee for each application filed. If the application fee is not paid to the Clerk of the Court within 7 days, it will be added to any costs that
may ba assessed against you at the conclusion of this case. If you ate a parent/quardian making this affidavit on behalf of a minor or tax-depandent adult, the
Information contained in this application must include your income and assets.
41. Ihave dependents. (Do not include children not home and do not include a working spouse or yourself)
2. [have a take home income of §. paid Etweekly Cibi-weekly Csemi-monthly Cmonthly CO yearly
(Take home income equals salary, wages, bonuses, commissions, allowances, overtime, tips and similar payments, minus deductions required by law and
other court ordered support payments)
3, Ihave other income paid Cweekly Cbi-weekly Osemi-monthly Dmonthly Clyeary: (Check “Yes” and filfin the amount if you have this kind of income,
otherwise check “No.)
Cire Ks DiaAG5,
Social Security benefits ...
Veterans’ benefit...
$e Gat
Unemployment compensation......f_V¥es lo Child support or other regular support from. SB
Union funds... Lives [ano family members/spouse. Thves
‘Workers compensation xc Rental incom: Des
RetiremenY/pension: Dividends or interest. Lives
Trusts or gifts.. Other kinds of income not on the list [[]Yes
4, [have other assets: (check “yas” and fill in the-value of the property, otherwise check ‘No")
Casha Dives [fos Savings... Dyes
Bank account(s).. Tinos. & o 0 Stocks/bonds Cyes
Cerlificates of deposit or “Equity in homestead real estate .. Yes
money market accaunts......{ ]Ys5 [=I §, *Equity in non-homestead real estate [-JYes
“Equity in motor vehicles he eDie $20,000 « insuch
*Equiy in boatsfother tangible pro erty] ino s/f ‘include expectancy of an interest in such property
5. Ihave a total amount of liabilities and debts in the amount of 313000
6, receive: (Check “Yes” or “No.")
Temporary Assistance for Needy Families- Supplemental Security Income (SSI) ..
Cash Assistance .. Tves ac
Poverty- related veterans’ benefits. sd_1¥es oe
7, Ihave been released on bail in the amount of $/ & OO . Cash OSurety Posted by: SSelf Family COther
A person who knowingly provides false information to the clerk or the court in seeking a determination of indigent status under s. 27.52, F.S. commits a
misdemeanor of the first degree, punishable as provided in s. 775.082, F.S. or s, 775.083, F.S. | attest that the information I have provided on this
Application 4s true ghd accurate. ly)
Signature of iE bdeley/
Print full legal name: Robb 2 &Wi
Address: 23 & dnd FL. o Bech,
o-0 City, State, Zip: £{ 324969
Last four digits of Driver's License or ID Number Phone number:
E-mail Address: COW
nn CLERK DETERMINATION.
Based on the information in this Application, | have determined the applicant to be (__) Indigent
‘Not Indigent
The Public Defander js hereby appointed to the case listed above until reliaved by the Court.
Dated this ("Tday of Cx LDb atl
This form was completed with the assistance of
APPLICANTS FOUND Ni
decision of not indigent.
Florida Supreme Court Form 3.984, Updated 54/19JEFFREY R. SMITH, CPA, CGFO, CGMA
Clerk of Circuit Court & Comptroller
P.O. Box 1028
Vero Beach, FL 32961-1028
Telephone: (772) 226 - 3100
CASE #: Zt Y2| = MH - 14-974
IMPORTANT NOTICE FOR APPLICANTS
SEEKING INDIGENT STATUS
A PERSON WHO KNOWINGLY PROVIDES FALSE
INFORMATION TO THE CLERK OF THE COURT IN
SEEKING A DETERMINATION OF INDIGENT
STATUS UNDER 57.082 FSS. COMMETS or
GRE 2
“FOR A MISDEMEANOR OF THE mete :
DEGREE, BY A DEFINITE TERM OF ~
IMPRISONMENT NOT EXCEEDING 1 YEAR”
Bebe Joltaa
®
Document Filed Date
October 19, 2021
Case Filing Date
September 30, 2021
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INTHE CIRCUITCOUNTY COURTOFTHE 19TH JUDICIAL CIRCUIT il INANDFOR INDIAN RIVER COUNTY, FLORIDA 202 \|- M fA ! 44 YA APPLICATION FOR CRIMINAL INDIGENT STATUS Bim SEEKING THE APPOINTMENT OF THE PUBLIC DEFENDER OR o HAVE A PRIVATE ATTORNEY OR AM SELF-REPRESENTED AND SEEK DETERMINATION OF INDIGENCE STATUS FOR COSTS ‘STATE OF FLORIDA DefendantiMinar Child Notice to Appticant: The provision of a public defender/court appointed lawyer and costs/due process Services are not free. A judgment and lien may be imposed ‘agzinst all real or personal property you own to pay for legal and other services provided on your behalf or on behalf of the person for whom you are making this application. There is a $50.00 fee for each application filed. If the application fee is not paid to the Clerk of the Court within 7 days, it will be added to any costs that may ba assessed against you at the conclusion of this case. If you ate a parent/quardian making this affidavit on behalf of a minor or tax-depandent adult, the Information contained in this application must include your income and assets. 41. Ihave dependents. (Do not include children not home and do not include a working spouse or yourself) 2. [have a take home income of §. paid Etweekly Cibi-weekly Csemi-monthly Cmonthly CO yearly (Take home income equals salary, wages, bonuses, commissions, allowances, overtime, tips and similar payments, minus deductions required by law and other court ordered support payments) 3, Ihave other income paid Cweekly Cbi-weekly Osemi-monthly Dmonthly Clyeary: (Check “Yes” and filfin the amount if you have this kind of income, otherwise check “No.) Cire Ks DiaAG5, Social Security benefits ... Veterans’ benefit... $e Gat Unemployment compensation......f_V¥es lo Child support or other regular support from. SB Union funds... Lives [ano family members/spouse. Thves ‘Workers compensation xc Rental incom: Des RetiremenY/pension: Dividends or interest. Lives Trusts or gifts.. Other kinds of income not on the list [[]Yes 4, [have other assets: (check “yas” and fill in the-value of the property, otherwise check ‘No") Casha Dives [fos Savings... Dyes Bank account(s).. Tinos. & o 0 Stocks/bonds Cyes Cerlificates of deposit or “Equity in homestead real estate .. Yes money market accaunts......{ ]Ys5 [=I §, *Equity in non-homestead real estate [-JYes “Equity in motor vehicles he eDie $20,000 « insuch *Equiy in boatsfother tangible pro erty] ino s/f ‘include expectancy of an interest in such property 5. Ihave a total amount of liabilities and debts in the amount of 313000 6, receive: (Check “Yes” or “No.") Temporary Assistance for Needy Families- Supplemental Security Income (SSI) .. Cash Assistance .. Tves ac Poverty- related veterans’ benefits. sd_1¥es oe 7, Ihave been released on bail in the amount of $/ & OO . Cash OSurety Posted by: SSelf Family COther A person who knowingly provides false information to the clerk or the court in seeking a determination of indigent status under s. 27.52, F.S. commits a misdemeanor of the first degree, punishable as provided in s. 775.082, F.S. or s, 775.083, F.S. | attest that the information I have provided on this Application 4s true ghd accurate. ly) Signature of iE bdeley/ Print full legal name: Robb 2 &Wi Address: 23 & dnd FL. o Bech, o-0 City, State, Zip: £{ 324969 Last four digits of Driver's License or ID Number Phone number: E-mail Address: COW nn CLERK DETERMINATION. Based on the information in this Application, | have determined the applicant to be (__) Indigent ‘Not Indigent The Public Defander js hereby appointed to the case listed above until reliaved by the Court. Dated this ("Tday of Cx LDb atl This form was completed with the assistance of APPLICANTS FOUND Ni decision of not indigent. Florida Supreme Court Form 3.984, Updated 54/19JEFFREY R. SMITH, CPA, CGFO, CGMA Clerk of Circuit Court & Comptroller P.O. Box 1028 Vero Beach, FL 32961-1028 Telephone: (772) 226 - 3100 CASE #: Zt Y2| = MH - 14-974 IMPORTANT NOTICE FOR APPLICANTS SEEKING INDIGENT STATUS A PERSON WHO KNOWINGLY PROVIDES FALSE INFORMATION TO THE CLERK OF THE COURT IN SEEKING A DETERMINATION OF INDIGENT STATUS UNDER 57.082 FSS. COMMETS or GRE 2 “FOR A MISDEMEANOR OF THE mete : DEGREE, BY A DEFINITE TERM OF ~ IMPRISONMENT NOT EXCEEDING 1 YEAR” Bebe Joltaa ®