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  • STATE OF FLORIDA vs. REYES, IGNACIO A document preview
  • STATE OF FLORIDA vs. REYES, IGNACIO A document preview
  • STATE OF FLORIDA vs. REYES, IGNACIO A document preview
  • STATE OF FLORIDA vs. REYES, IGNACIO A document preview
						
                                

Preview

IN THE CIRCUIT / COURT OF THE 20th JUDICIAL CIRCUIT IN AND FOR CHARLOTTE COUNTY, FLORIDA STATE OF FLORIDA vs. BOOKING NUMBER: 202104758 REYES, IGNACIO A DATE OF BIRTH: 2/1/1963 re Form r Indigent Stati iscl Pursuant to Rule 10-2.1 of the Rules Regulating the Florida Bar, before a nonlawyer assists a person in the completion of the Affidavit of Indigent Status, the nonlawyer shall provide the person with a copy of this disclosure. A copy of the disclosure, signed by both the nonlawyer and the person, shall be given to the person to retain and the nonlawyer shall keep a copy in the person's file. The disclosure does not act as or constitute a waiver, disclaimer, or limitation of liability. The Deputy Clerk/Pretrial Officer, whose signature appears below, will conduct a Pretrial interview and assist me with the Affidavit of Indigent Status. The Deputy Clerk/Pretrial Officer has told me and J understand that the Deputy Clerk/Pretrial Officer: Is not a lawyer; May not give legal advice or represent me in court; Cannot tell me what my rights or remedies are or how to testify in court; . e . © May only help me by asking me factual questions to fill in the blanks on the form; . . May also tell me how to file the form; May only help fill out a form that has been approved by the Supreme Court of Florida. (1 Ican read English I cannot read English but this disclosure form was read to me by in Spanish (language), which I understand. You have been found to be X__ INDIGENT “_NOT INDIGENT. The $50.00 application fee is to be paid to the Clerk of Court within 7 days or it will be added to any cost that may be assessed against you at the conclusion of your case. If you have been found indigent, the Public Defender will represent you. You must contact them at 350 E. Marion Avenue, Room 1099, Punta Gorda, FL (941.637.2181) if released. If you are not released, they will contact you at the jail. If found not indigent you may seek judicial review by asking for a hearing time. R20 7 ge og | 22m me . ~_} 08/28/2021 sss § Signature of Applicant Date Ros KR somes ge 8 / Jennifer Cramer / 08/28/2021 SSP xm PTT. Date aco semen 4 vo et Signature of Deputy Clerk/Pretrial Services Officer 6SIN THE CIRCUIT / COURT OF THE 20th JUDICIAL CIRCUIT IN AND FOR CHARLOTTE COUNTY, FLORIDA STATE OF FLORIDA vs. BOOKING NUMBER: 202104758 REYES, IGNACIO A DATE OF BIRTH: 2/1/1963 APPLICATION FOR CRIMINAL INDIGENT STATUS 1 AM SEEKING THE APPOINTMENT OF THE PUBLIC DEFENDER OR (0 I HAVEA PRIVATE ATTORNEY OR AM SELF-REPRESENTED AND SEEK DETERMINATION OF INDIGENCE STATUS FOR COSTS Notice to Applicant: The provision of a public defender / court appointed lawyer and costs/ due process services are not free. A judgement and lien may be imposed against all real or personal property you own to pay for legal and other services provided on your behalf or on behalf of the person for whom you are making this application. There is a $50.00 fee for each application filed. If the application fee is not paid to the Clerk of the Court within 7 days, it will be added to any costs that may be assessed against you at the conclusion of the case. If you are a parent / guardian making this affidavit on behalf of a minor or tax-dependent adult, the information contained in this application must include your income and assets. 1, [have 0 dependants. (Do not include children not living at home and do not include a working spouse or yourself) 2. [havea take home income of $0.00 paid (X) weekly () bi-weekly () monthly () yearly (Take home income equals salary, wages, bonuses, commissions, allowances, overtime, tips and similiar payments, minus deductions required by law and other court ordered support payments) 3. Ihave other income paid (X) weekly () bi-weekly () monthly () yearly: (Circle “Yes” and fill in the amount if you have this kind of income, otherwise circle "No") Social Security benefits Yes $0.00 NoX Veterans’ benefit Yes $0.00 NoX Unemployment compensation Yes. $0.00 No X — Child support or other regular support ‘Yes $0.00 NoX Union Funds Yes 0.00 Nox _ fom family members / spouse Workers compensation Yes $0.00 NoX Rental income Yes $0.00 NoX Trusts or gifts Yes $0.00 NoX _ Dividends or interest Yes $0.00 NoX Retirement / pensions ‘Yes $0.00 NoX — Other kinds of income not on the list Yes $0.00 NoX 4, Ihave other assets: (Circle "yes" and fill in the of the property, otherwise circle "No") Cash ‘Yes $0.00 NoX — Savings Yes $0.00 NoX Bank account(s) Yes $0.00 NoX — Stocks / bonds ‘Yes $0.00 NoX Certificate of deposit or money Yes. $0.00 NoX *Equity in homestead real estate Yes $0.00 NoX market account(s) *Equity in non-homestead real estate *Equity in Motor vehicle(s) Yes $0.00 NoX “include expectency of an interest in such Yes $0.00 Nox *Equity in boats/ other tangible Yes $0.00 Nox — Property property 5. Ihave a total amount of liabilities and debts in the amount of $0.00 6. Lreceive: (Circle "Yes" or "No") Temporary Assistance for Need;y Families-Cash Assistance Yes $0.00 NoX Poverty- related veterans’ benefits Yes $0.00 NoX Supplemental Security income (SSI) Yes $0.00 NoX 7. [have been released on bail in the amount of $0.00 Cash [ Surety Posted by: [] Self [] Family [] Other A person who knowingly provides false information to the clerk of the court in seeking a determination of indigent status under s. 27.52, F.S, commits a misdemeanor of the first degree, punishable as provided in s. 775.082, F.S. I attest that the information provided on this Application is true and accurate. . 7 08/28/2021 Signed on Signature of Applicant for Indigent Status Print full name: Date of Barth 2/1/53 Address: 118 N STREET IMMOKALEE, FL, 34142 Phone: Cell Phone: Last four digits of Driver's License or ID Number Email Address: CLERK'S DETERMINATION Based on the information in the Application, I have determined the applicant to be [XI Indigent [ Not Indigent {&] The Public Defender is hereby appointed to the case listed above until relieved by the Court. Dated this: August 28, 2021 Clerk of the Circuit Court This form was completed with the assistance of : / Jennifer Cramer / Jennifer Cramer Clerk/Deputy Clerk/Other authorized person APPLICANTS FOUND NOT INDIGENT MAY SEEK REVIEW BY ASKING FOR A HEARING TIME. Sign here if you want the Judge to review the clerk's decision of not indigent.