Preview
Hearing Date: 1/2/2024 11:00 AM
Location: Gourt Room 1810
Judge: MacCarthy, Aicha
This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois CitcbMCourts.
STATE OF ILLINOIS, For Count Use Grit
ao
TRIS Y~ MARTINE Z
CIRCUIT COURT ORDER FOR CLER
k
0 WAIVER OF COURT FEES UNTY} IL
pgm
COUNTY
OCT 18, 2
ast Instructions v
Directly above, enter
the name of the
aul county where the case
was filed.
Shekirg Hole2
CLERK OF THE
Enter the name of the 18TH JUDICIAL CIRCUIT
i person who started the
lawsuit as
Plaintiff / Petitioner (First, middle, last name)?
DUPAGE COUNTY, ILLINOIS
Plaintift/Petitioner.
Enter the name of the
person being sued as
Defendant/Respondent
Enter the Case
Number given by the 2326R 296
it Clerk or leave Defendant / Respondent (First, middle, last name) Case Number
nk if you do
not have one.
Enter your full name
“Applicant.” Applicant Name EA mand vel Brooks
First
“K
urt having reviewed the Application for Waiver of Court Fees hereby finds:
DO NOT check any The applicant qualifies for a full (100%) waiver of all fees, costs, and charges because:
boxes or fill in any a. (1 The applicant receives means-based government assistance under one or
more blanks on this
form. The judge will more of the following programs:
complete the rest of « Supplemental Security Income (SSI) (Not Social Security)
the form. . Aid to the Aged, Blind and Disabled (AABD)
. Temporary Assistance for Needy Families (TANF)
. SNAP (Food Stamps)
. General Assistance (GA), Transitional Assistance, or State Children and Family
y!
Assistance
IR
he applicant's personal income is 125% or less of the current poverty level as
established by the U.S. Dept. of Health & Human Services and the Applicant's
non-exempt assets under 735 ILCS 5/12-901 and 735 ILCS 5/12-1001
are such that the applicant is unable to pay the fees, costs, or charges;
IR
c. oO Payments of fees, costs, and charges would result in substantial hardship to
the applicant or his or her family.
2. CO The applicant qualifies for a partial (75%, 50%, or 25%) waiver of all fees, costs, and
charges because the applicant's household income is:
(1 more than 125% but not greater than 150% (75% waived);
1 more than 150% but not greater than 175% (50% waived)
(1 ~more than 175% but not greater than 200% (25% waived)
of the current poverty level as established by the US Dept. of Health & Human
Services and the Applicant's non-exempt assets under 735 ILCS 5/12-901 and
'35 ILCS 5/12-1001 are such that the applicant is unable to pay the fees, costs,
or charges.
3. ( There is a factual issue about the applicant's entitlement to a fee waiver. The nature of
the factual issue is:
HE
si AO AGIMT Page 1 of 2 (07/21)
ve
a
Enter the Case Number given by the Circuit Clerk:
4 (0 The applicant does not qualify for a fee waiver because (must state specific reason):
IT Is | REBY ORDERED:
A Application for Waiver of Court Fees is GRANTED, effective on the filing date of the
Applic lion for Waiver of Court Fees.
1. The applicant qualifies for a full waiver, and may participate in this case
without payment of fees, costs, or charges.
ii. (0 The applicant qualifies for a partial fee waiver as follows:
1 75% of all fees, costs, and charges are waived (and the applicant must pay
25% of all fees, costs, and charges).
[1 50% of all fees, costs, and charges are waived (and the applicant must pay
50% of all fees, costs, and charges).
(0 25% of all fees, costs, and charges are waived (and the applicant must pay
75% of all fees, costs, and charges).
{( The applicant must pay fees, costs, and charges currently due by:
ite
(0 Upon good cause shown, the applicant may make payments as follows
(describe deferral, installment plan, or other reasonable terms):
This order expires one year from the date of this order. The applicant may reapply before or after
the expiration date. Fees, costs, and charges included in this waiver are: filing, service of process,
publication, mediation, guardian ad litem, and any other fee listed in 735 ILCS 5/5-105(a)(2)(1).
B. (1 Application for Waiver of Court Fees is SET FOR HEARING on
at
Date Time
Oo in person at
Courthouse address Courtroom
(remotely by telephone at
Call-in number for telephone remote appearance
(1 remotely by video conference at
Video conference website
Video conference log-in information (meeting 1D, password, etc)
The applicant must bring ¢ following docu nts to the hearing
(-K< ¥/0 “YY AS Ti
lAnu
2. OTK F APR a
2CU
C. (] Application for Waiverof Court Fees is DENIED.
The applicant must pay all fees, costs, and charges currently due by:
Date
DO NOT complete
this section. The
judge will sign and
date here. {PB
Judge Date 7
HEWPoRa HOA Page 2 of 2 (07/21)
Preview
Hearing Date: 1/2/2024 11:00 AM Location: Gourt Room 1810 Judge: MacCarthy, Aicha This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois CitcbMCourts. STATE OF ILLINOIS, For Count Use Grit ao TRIS Y~ MARTINE Z CIRCUIT COURT ORDER FOR CLER k 0 WAIVER OF COURT FEES UNTY} IL pgm COUNTY OCT 18, 2 ast Instructions v Directly above, enter the name of the aul county where the case was filed. Shekirg Hole2 CLERK OF THE Enter the name of the 18TH JUDICIAL CIRCUIT i person who started the lawsuit as Plaintiff / Petitioner (First, middle, last name)? DUPAGE COUNTY, ILLINOIS Plaintift/Petitioner. Enter the name of the person being sued as Defendant/Respondent Enter the Case Number given by the 2326R 296 it Clerk or leave Defendant / Respondent (First, middle, last name) Case Number nk if you do not have one. Enter your full name “Applicant.” Applicant Name EA mand vel Brooks First “K urt having reviewed the Application for Waiver of Court Fees hereby finds: DO NOT check any The applicant qualifies for a full (100%) waiver of all fees, costs, and charges because: boxes or fill in any a. (1 The applicant receives means-based government assistance under one or more blanks on this form. The judge will more of the following programs: complete the rest of « Supplemental Security Income (SSI) (Not Social Security) the form. . Aid to the Aged, Blind and Disabled (AABD) . Temporary Assistance for Needy Families (TANF) . SNAP (Food Stamps) . General Assistance (GA), Transitional Assistance, or State Children and Family y! Assistance IR he applicant's personal income is 125% or less of the current poverty level as established by the U.S. Dept. of Health & Human Services and the Applicant's non-exempt assets under 735 ILCS 5/12-901 and 735 ILCS 5/12-1001 are such that the applicant is unable to pay the fees, costs, or charges; IR c. oO Payments of fees, costs, and charges would result in substantial hardship to the applicant or his or her family. 2. CO The applicant qualifies for a partial (75%, 50%, or 25%) waiver of all fees, costs, and charges because the applicant's household income is: (1 more than 125% but not greater than 150% (75% waived); 1 more than 150% but not greater than 175% (50% waived) (1 ~more than 175% but not greater than 200% (25% waived) of the current poverty level as established by the US Dept. of Health & Human Services and the Applicant's non-exempt assets under 735 ILCS 5/12-901 and '35 ILCS 5/12-1001 are such that the applicant is unable to pay the fees, costs, or charges. 3. ( There is a factual issue about the applicant's entitlement to a fee waiver. The nature of the factual issue is: HE si AO AGIMT Page 1 of 2 (07/21) ve a Enter the Case Number given by the Circuit Clerk: 4 (0 The applicant does not qualify for a fee waiver because (must state specific reason): IT Is | REBY ORDERED: A Application for Waiver of Court Fees is GRANTED, effective on the filing date of the Applic lion for Waiver of Court Fees. 1. The applicant qualifies for a full waiver, and may participate in this case without payment of fees, costs, or charges. ii. (0 The applicant qualifies for a partial fee waiver as follows: 1 75% of all fees, costs, and charges are waived (and the applicant must pay 25% of all fees, costs, and charges). [1 50% of all fees, costs, and charges are waived (and the applicant must pay 50% of all fees, costs, and charges). (0 25% of all fees, costs, and charges are waived (and the applicant must pay 75% of all fees, costs, and charges). {( The applicant must pay fees, costs, and charges currently due by: ite (0 Upon good cause shown, the applicant may make payments as follows (describe deferral, installment plan, or other reasonable terms): This order expires one year from the date of this order. The applicant may reapply before or after the expiration date. Fees, costs, and charges included in this waiver are: filing, service of process, publication, mediation, guardian ad litem, and any other fee listed in 735 ILCS 5/5-105(a)(2)(1). B. (1 Application for Waiver of Court Fees is SET FOR HEARING on at Date Time Oo in person at Courthouse address Courtroom (remotely by telephone at Call-in number for telephone remote appearance (1 remotely by video conference at Video conference website Video conference log-in information (meeting 1D, password, etc) The applicant must bring ¢ following docu nts to the hearing (-K< ¥/0 “YY AS Ti lAnu 2. OTK F APR a 2CU C. (] Application for Waiverof Court Fees is DENIED. The applicant must pay all fees, costs, and charges currently due by: Date DO NOT complete this section. The judge will sign and date here. {PB Judge Date 7 HEWPoRa HOA Page 2 of 2 (07/21)