On May 24, 2021 a
No Value
was filed
involving a dispute between
Department Of Health Care Services,
Tolbert Susie Renee,
and
for Decedent's Estate (General Jurisdiction)
in the District Court of Los Angeles County.
Preview
Order :20urt Fee Waiver =tamps date here when form is filed.
(Superior Court) FILED
381mm Cam or caiifeiaie
Cmmfv n? [M Annalee
Person who asked the court to waive court fees:
Name: SUSIE RENEE TOLBERT HAY 24 2021
Street or mailing address: 15050 MONTE VISTA AVE.,#184 Sherri Caner, mecuuv: mcmumgjgy r .
City:CHINO HILLS State: CA Zip291709 By .Denut
JOSBDh Phovar‘n
® Lawyer, if person in G) has one (name, firm name, address,
phone number, e-mail, and State Bar number):
N/A courf name and street address:
Fill in
Superior Court of California, County of
LOS ANGELES
111 N. HILL ST.
LOS ANGELES, CA 90012
Fill in case number and name:
A request to waive court fees was filed 0n (dale):
Case N\@%r8
D The court made a previous fee waiver order in this case on (date): TPBGS‘Q 71
Case Name:
Read thisform carefully. All checked boxes Mare court orders. En-MDIJ
Notice: The court may order you to answer questions about your finances and later order you to pay back the waived
fees. If thishappens 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—OIO.) Ifyou win your case, the trial court may order the other side
to pay the fees. lfyou 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: E Request to Waive Court Fees D Request Io Waive Additional Court Fees
thegyrt makes the following orders:
a.
glyoun grants your request, as follows:
(1) Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal.
Rules ofCourt, rules 3.55and 8.818.) You do not have to pay the court fees for the following:
° Filing papers in superior court - Court fee for phone hearing
0 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 trial, if the court is not electronically recording the proceeding
and you request that thc 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. l 30 0r 8.834
-
Making a transcript or copy 0f 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 Io pay for the
LZ/VZ/SO
checked items.
D Jury fees and expenses D Fees for a peace officer to testify in court
D Fees for court-appoimed experts D Court-appointed interpreter fees for a witness
D Other (specify:
Judncial Council of Califomie, www.courts ca gov
Revised September 1, 2019. Mandatory Form Order on Court Fee Waiver (Superior Court) FW-003, Page 1 of 3
Governmenl Code‘ § 68634(e)
Cal. Rules of Court. rule 3,52
Document Filed Date
May 24, 2021
Case Filing Date
May 24, 2021
Category
Decedent's Estate (General Jurisdiction)
Status
Under Court Supervision 12/13/2021
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Preview
Order :20urt Fee Waiver =tamps date here when form is filed. (Superior Court) FILED 381mm Cam or caiifeiaie Cmmfv n? [M Annalee Person who asked the court to waive court fees: Name: SUSIE RENEE TOLBERT HAY 24 2021 Street or mailing address: 15050 MONTE VISTA AVE.,#184 Sherri Caner, mecuuv: mcmumgjgy r . City:CHINO HILLS State: CA Zip291709 By .Denut JOSBDh Phovar‘n ® Lawyer, if person in G) has one (name, firm name, address, phone number, e-mail, and State Bar number): N/A courf name and street address: Fill in Superior Court of California, County of LOS ANGELES 111 N. HILL ST. LOS ANGELES, CA 90012 Fill in case number and name: A request to waive court fees was filed 0n (dale): Case N\@%r8 D The court made a previous fee waiver order in this case on (date): TPBGS‘Q 71 Case Name: Read thisform carefully. All checked boxes Mare court orders. En-MDIJ Notice: The court may order you to answer questions about your finances and later order you to pay back the waived fees. If thishappens 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—OIO.) Ifyou win your case, the trial court may order the other side to pay the fees. lfyou 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: E Request to Waive Court Fees D Request Io Waive Additional Court Fees thegyrt makes the following orders: a. glyoun grants your request, as follows: (1) Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules ofCourt, rules 3.55and 8.818.) You do not have to pay the court fees for the following: ° Filing papers in superior court - Court fee for phone hearing 0 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 trial, if the court is not electronically recording the proceeding and you request that thc 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. l 30 0r 8.834 - Making a transcript or copy 0f 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 Io pay for the LZ/VZ/SO checked items. D Jury fees and expenses D Fees for a peace officer to testify in court D Fees for court-appoimed experts D Court-appointed interpreter fees for a witness D Other (specify: Judncial Council of Califomie, www.courts ca gov Revised September 1, 2019. Mandatory Form Order on Court Fee Waiver (Superior Court) FW-003, Page 1 of 3 Governmenl Code‘ § 68634(e) Cal. Rules of Court. rule 3,52