On July 06, 2023 a
Complaint,Petition
was filed
involving a dispute between
Blockburger, Jason,
and
for OM - CIVIL - OTHER
in the District Court of Hot Spring County.
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ELECTRONICALLY FILED
Hot Spring County Circuit Court
Teresa Pilcher, Hot Spring County Circuit Clerk
2023-J ul-O6 12:23:45
30CV-23-221
INTHE Liat, COURT OF _ hed friie. COUNTY, AIRKANSA§7D02 : 1 Page
IN RE PETITION OF Mame Cheat
TO PROCEED IN FORMA PAUPERIS
CASE NO.
TITIO} EAVET! CEED 7 [A PAUP.
COMES NOW the Plaintiff, effin Sam Deb hasgh pro se, who hereby petitionsthe court for
Leave to Proceed Jn Forma Pauperis and does allege and state as follows
to file with thisCourt
. That Plaintiff, a resident of the State ofArkansas, has prepared and desires
a Mime nage
Forma Pauperis
. That Plaintiff has completed an Affidavit in Support of Request to Proceed In
setting out his/her income and assets PlaintifPs Affidavit accompanies this petition.
ls and ircludes no
_ That Plaintiff's income barely suffices to meetthe costs of life’s daily essentia
eeding.
allotment that could be budgeted to pay for court fees andcosts incident to thisproc
Affidavit and no means
That Plaintiff has no other income inaddition to that described in his/her
of paying such costs without being reduced to total impoverishmert.
accompanying
_ That Plaintiff believes that he/she is entitled to the reliefrequested in the
Mime Chewy and that such action is not brought for a frivolous or malicious
purpose.
to prosecute this
WHEREFORE, Plaintiff prays that the court enter an order allowing the Plaintiff
yrocesses without
action In Forma Pauperisand that the Plaintiff may have the necessary writs and
payment of fees or costs for thesame.
Respectfully submitted
Ly
SIGNATURE:
Plaintiff, pro se,, IC # LOS Wad
Lurchrle Wwe. Unit
Arkansas Department of Correction
Lilet aR_Znnf
Form 800-26
Document Filed Date
July 06, 2023
Case Filing Date
July 06, 2023
Category
OM - CIVIL - OTHER
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ELECTRONICALLY FILED Hot Spring County Circuit Court Teresa Pilcher, Hot Spring County Circuit Clerk 2023-J ul-O6 12:23:45 30CV-23-221 INTHE Liat, COURT OF _ hed friie. COUNTY, AIRKANSA§7D02 : 1 Page IN RE PETITION OF Mame Cheat TO PROCEED IN FORMA PAUPERIS CASE NO. TITIO} EAVET! CEED 7 [A PAUP. COMES NOW the Plaintiff, effin Sam Deb hasgh pro se, who hereby petitionsthe court for Leave to Proceed Jn Forma Pauperis and does allege and state as follows to file with thisCourt . That Plaintiff, a resident of the State ofArkansas, has prepared and desires a Mime nage Forma Pauperis . That Plaintiff has completed an Affidavit in Support of Request to Proceed In setting out his/her income and assets PlaintifPs Affidavit accompanies this petition. ls and ircludes no _ That Plaintiff's income barely suffices to meetthe costs of life’s daily essentia eeding. allotment that could be budgeted to pay for court fees andcosts incident to thisproc Affidavit and no means That Plaintiff has no other income inaddition to that described in his/her of paying such costs without being reduced to total impoverishmert. accompanying _ That Plaintiff believes that he/she is entitled to the reliefrequested in the Mime Chewy and that such action is not brought for a frivolous or malicious purpose. to prosecute this WHEREFORE, Plaintiff prays that the court enter an order allowing the Plaintiff yrocesses without action In Forma Pauperisand that the Plaintiff may have the necessary writs and payment of fees or costs for thesame. Respectfully submitted Ly SIGNATURE: Plaintiff, pro se,, IC # LOS Wad Lurchrle Wwe. Unit Arkansas Department of Correction Lilet aR_Znnf Form 800-26