Preview
Order on Court Fee Waiver Clerk stamps date here when form is filed.
FW-003 (Superior Court)
1 Person who asked the court to waive court fees:
Name: Jesus Enrique Hinostroza, JR. - Jr.
Street or mailing address: 3001 State University Dr
City: Sacramento State: CA Zip: 95814
2 Lawyer, if person in 1 has one (name, firm name, address,
phone number, e-mail, and State Bar number):
Fill in court name and street address:
Superior Court of California, County of
Sacramento
Gordon D. Schaber Superior Court
720 9th Street
Sacramento, CA 95814
Fill in case number and name:
3 A request to waive court fees was filed on (date): 03/27/2024
Case Number:
The court made a previous fee waiver order in this case on (date): 24CV005850
Case Name:
Read this form carefully. All checked boxes are court orders. IN THE MATTER OF: JESUS ENRIQUE HINOSTROZA, JR. - JR.
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.
4 After reviewing your: ✔ Request to Waive Court Fees Request to Waive Additional Court Fees
the court makes the following orders:
a. ✔ The court grants your request, as follows:
(1) ✔ 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 • Court fee for phone hearing
• 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 the 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 8.130 or 8.834
• Making a transcript or copy of an official electronic recording under rule 8.835
(2) Additional Fee Waiver. The court grants your request and waives your additional superior court fees
and costs that are checked below. (Cal. Rules of Court, rule 3.56.) You do not have to pay for the
checked items.
Jury fees and expenses Fees for a peace officer to testify in court
Fees for court-appointed experts Court-appointed interpreter fees for a witness
Other (specify):
Judicial Council of California, www.courts.ca.gov FW-003, Page 1 of 3
Revised September 1, 2019, Mandatory Form Order on Court Fee Waiver (Superior Court)
Government Code, § 68634(e)
Cal. Rules of Court, rule 3.52
Case Number:
Your name: Jesus Enrique Hinostroza, JR. - Jr. 24CV005850
b. The court denies your fee waiver request because:
Warning! If you miss the deadline below, the court cannot process your request for hearing or the court papers
you filed with your original request. If the papers were a notice of appeal, the appeal may be dismissed.
(1) Your request is incomplete. You have 10 days after the clerk gives notice of this Order (see date of service
on next page) to:
• Pay your fees and costs, or
• File a new revised request that includes the incomplete items listed:
Below On Attachment 4b(1)
(2) The information you provided on the request shows that you are not eligible for the fee waiver you
requested for the reasons stated: Below On Attachment 4b(2)
The court has enclosed a blank Request for Hearing About Court Fee Waiver Order (Superior Court)
(form FW-006).You have 10 days after the clerk gives notice of this order (see date of service below) to:
• Pay your fees and costs in full or the amount listed in c below, or
• Ask for a hearing in order to show the court more information. (Use form FW-006 to request
hearing.)
c. (1) The court needs more information to decide whether to grant your request. You must go to court on the
date on page 3. The hearing will be about the questions regarding your eligibility that are stated:
Below On Attachment 4c(1)
(2) Bring the items of proof to support your request, if reasonably available, that are listed:
Below On Attachment 4c(2)
This is a Court Order.
Rev. September 1, 2019
Order on Court Fee Waiver (Superior Court) FW-003, Page 2 of 3
Case Number:
Your name: Jesus Enrique Hinostroza, JR. - Jr. 24CV005850
Name and address of court if different from above:
Hearing Date: Time: ,,
Date
Dept.: Room:
Warning! If item c(1) is checked, and you do not go to court on your hearing date, the judge will deny your
request to waive court fees, and you will have 10 days to pay your fees. If you miss that deadline, the court cannot
process the court papers you filed with your request. If the papers were a notice of appeal, the appeal may be
dismissed.
Date: 03/27/2024
Signature of (check one): Judicial Officer ✔ Clerk, Deputy
Request for Accommodations
Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services
are available if you ask at least five days before the hearing. Contact the clerk’s office for Request for
Accommodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.)
Clerk's Certificate of Service
I certify that I am not involved in this case and (check one):
✔ I handed a copy of this Order to the party and attorney, if any, listed in 1 and 2 , at the court, on the date below.
This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in 1 and 2 ,
from (city): , California, on the date below.
A certificate of mailing is attached.
Date: 03/27/2024 Lee Seale, Executive Officer / Clerk of the Court
Clerk, by ________________________________ , Deputy
Name:
This is a Court Order.
Rev. September 1, 2019 FW-003, Page 3 of 3
Order on Court Fee Waiver (Superior Court)
Notice to Court of Improved
FW-010 Financial Situation or Settlement CONFIDENTIAL
Clerk stamps date here when form is filed.
1 Your Information (person with a fee waiver):
Name:
Street or mailing address:
City: State: Zip:
Phone number:
2 Your lawyer, if you have one (name, address, phone number, e-mail,
and State Bar number:
Fill out court name and street address:
Superior Court of California, County of
3 Date of your last court fee waiver order in this case:
(date)
Fill out case number and case name:
Case Number:
Case Name:
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.
4 My financial situation has changed since the date of the last court fee waiver order in a way that improves my
ability to pay fees. I ask the court to do one of the following:
a. End my fee waiver because my financial situation has improved and I am able to pay my court fees and
costs that are due after (date): .
b. Review my updated financial information in the attached Request to Waive Court Fees. I believe I am still
eligible for a fee waiver. (Complete form FW-001 and attach to this form.)
5 My case has settled for (check one) less than $10,000 $10,000 or more (if so, complete a and b below.)
a. I (check one) have have not received the proceeds of the settlement.
b. The name and address of the party who has agreed to pay the settlement:
I declare under penalty of perjury under the laws of the State of California that the information above is true
and correct.
Date:
Print your name here Sign here
Judicial Council of California, www.courtinfo.ca.gov
Notice to Court of Improved FW-010, Page 1 of 1
New July 1, 2009, Mandatory Form
Government Code, § 68636(a)
Financial Situation or Settlement
Preview
Order on Court Fee Waiver Clerk stamps date here when form is filed. FW-003 (Superior Court) 1 Person who asked the court to waive court fees: Name: Jesus Enrique Hinostroza, JR. - Jr. Street or mailing address: 3001 State University Dr City: Sacramento State: CA Zip: 95814 2 Lawyer, if person in 1 has one (name, firm name, address, phone number, e-mail, and State Bar number): Fill in court name and street address: Superior Court of California, County of Sacramento Gordon D. Schaber Superior Court 720 9th Street Sacramento, CA 95814 Fill in case number and name: 3 A request to waive court fees was filed on (date): 03/27/2024 Case Number: The court made a previous fee waiver order in this case on (date): 24CV005850 Case Name: Read this form carefully. All checked boxes are court orders. IN THE MATTER OF: JESUS ENRIQUE HINOSTROZA, JR. - JR. 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. 4 After reviewing your: ✔ Request to Waive Court Fees Request to Waive Additional Court Fees the court makes the following orders: a. ✔ The court grants your request, as follows: (1) ✔ 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 • Court fee for phone hearing • 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 the 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 8.130 or 8.834 • Making a transcript or copy of an official electronic recording under rule 8.835 (2) Additional Fee Waiver. The court grants your request and waives your additional superior court fees and costs that are checked below. (Cal. Rules of Court, rule 3.56.) You do not have to pay for the checked items. Jury fees and expenses Fees for a peace officer to testify in court Fees for court-appointed experts Court-appointed interpreter fees for a witness Other (specify): Judicial Council of California, www.courts.ca.gov FW-003, Page 1 of 3 Revised September 1, 2019, Mandatory Form Order on Court Fee Waiver (Superior Court) Government Code, § 68634(e) Cal. Rules of Court, rule 3.52 Case Number: Your name: Jesus Enrique Hinostroza, JR. - Jr. 24CV005850 b. The court denies your fee waiver request because: Warning! If you miss the deadline below, the court cannot process your request for hearing or the court papers you filed with your original request. If the papers were a notice of appeal, the appeal may be dismissed. (1) Your request is incomplete. You have 10 days after the clerk gives notice of this Order (see date of service on next page) to: • Pay your fees and costs, or • File a new revised request that includes the incomplete items listed: Below On Attachment 4b(1) (2) The information you provided on the request shows that you are not eligible for the fee waiver you requested for the reasons stated: Below On Attachment 4b(2) The court has enclosed a blank Request for Hearing About Court Fee Waiver Order (Superior Court) (form FW-006).You have 10 days after the clerk gives notice of this order (see date of service below) to: • Pay your fees and costs in full or the amount listed in c below, or • Ask for a hearing in order to show the court more information. (Use form FW-006 to request hearing.) c. (1) The court needs more information to decide whether to grant your request. You must go to court on the date on page 3. The hearing will be about the questions regarding your eligibility that are stated: Below On Attachment 4c(1) (2) Bring the items of proof to support your request, if reasonably available, that are listed: Below On Attachment 4c(2) This is a Court Order. Rev. September 1, 2019 Order on Court Fee Waiver (Superior Court) FW-003, Page 2 of 3 Case Number: Your name: Jesus Enrique Hinostroza, JR. - Jr. 24CV005850 Name and address of court if different from above: Hearing Date: Time: ,, Date Dept.: Room: Warning! If item c(1) is checked, and you do not go to court on your hearing date, the judge will deny your request to waive court fees, and you will have 10 days to pay your fees. If you miss that deadline, the court cannot process the court papers you filed with your request. If the papers were a notice of appeal, the appeal may be dismissed. Date: 03/27/2024 Signature of (check one): Judicial Officer ✔ Clerk, Deputy Request for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least five days before the hearing. Contact the clerk’s office for Request for Accommodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.) Clerk's Certificate of Service I certify that I am not involved in this case and (check one): ✔ I handed a copy of this Order to the party and attorney, if any, listed in 1 and 2 , at the court, on the date below. This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in 1 and 2 , from (city): , California, on the date below. A certificate of mailing is attached. Date: 03/27/2024 Lee Seale, Executive Officer / Clerk of the Court Clerk, by ________________________________ , Deputy Name: This is a Court Order. Rev. September 1, 2019 FW-003, Page 3 of 3 Order on Court Fee Waiver (Superior Court) Notice to Court of Improved FW-010 Financial Situation or Settlement CONFIDENTIAL Clerk stamps date here when form is filed. 1 Your Information (person with a fee waiver): Name: Street or mailing address: City: State: Zip: Phone number: 2 Your lawyer, if you have one (name, address, phone number, e-mail, and State Bar number: Fill out court name and street address: Superior Court of California, County of 3 Date of your last court fee waiver order in this case: (date) Fill out case number and case name: Case Number: Case Name: 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. 4 My financial situation has changed since the date of the last court fee waiver order in a way that improves my ability to pay fees. I ask the court to do one of the following: a. End my fee waiver because my financial situation has improved and I am able to pay my court fees and costs that are due after (date): . b. Review my updated financial information in the attached Request to Waive Court Fees. I believe I am still eligible for a fee waiver. (Complete form FW-001 and attach to this form.) 5 My case has settled for (check one) less than $10,000 $10,000 or more (if so, complete a and b below.) a. I (check one) have have not received the proceeds of the settlement. b. The name and address of the party who has agreed to pay the settlement: I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: Print your name here Sign here Judicial Council of California, www.courtinfo.ca.gov Notice to Court of Improved FW-010, Page 1 of 1 New July 1, 2009, Mandatory Form Government Code, § 68636(a) Financial Situation or Settlement