No Value: IN THE MATTER OF: MICKAYLEIGH GALINDO

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                                q    '                 0                         Order On ‘COu|:t Fee Waiver After                         Clerk stamps date here when form is led.

                                                 Hearing (Superior Court)
@         P   erson who asked the court to waive
                                             '   court fees.-                                                                Pcomy Om” Ange,“
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         Name: KAYLEIGH GALINDO
          Street or mailing address:4523 Trone Avenue                                                                                13

          CiW:                                                     Statezc/L Zip:                                 SherriR.       r Executive Ofcer/Clerk
@ Lawyer, if person in (D has one (name, address, phone number,                                                   By
                                                                                                                   J                                  Deputy
  e-mail, and State Bar number):                                                                                     '

                                                                                                           Fill in court name and street address:
                                                                                                           Superior Court of California, County of
                 '                                                                                         6230 Sylmar Avenue
@ A request to waive court fees was filed (a'ate): 08/08/2019                                              Van Nuys, CA 91401

@ There was a hearing on (date): 08/14/2019
          at (time): 10:30 am                                  in (Department): NWM
          The following people were at the hearing (check all that apply):                                  . ,
                               _                                      _                       ’            Fill In case number and name:
          [:1 Person in (D                                 [:| Lawyer In @                                 Case Number:
          El Others                (names):                                                                 19VECp00362

                                                                                                           Case Name:

Read this form carefully. All checked boxes                                    are court orders.

    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:                                     IXI Request to Waive Court Fees       C] Request to Waive Additional Court Fees
          the court makes the following order:
          a. [j The court grants your request and waives your court fees and costs as follows:
                 (1) D 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 papers to another court department
                     - SherifFs fee to give notice                                  ~ Court-appointed interpreter in small claims court
                     0 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 and certifying the clerk's transcript on appeal - Court fees for phone hearing
                     - 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 ofcial electronic recorder under rule 8.835
                 (2) Cl 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.
                         E Jury fees and expenses                                        |:| Fees for a peace officer to testify in court
                         |:I Fees for court-appointed experts                            |:] Court-appointed interpreter fees for a witness
                         I:I Other: (speci/).‘

$”§li °=§:i1Cs‘2”;,"l§ifi,'e?iif§’$'i 7a,'i i§3§C:§7;f°V      Order on Court Fee Waiver After Hearing                                           FW-003, P3961 0‘?
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