Fee Waiver Order DenyCal. Super. - 6th Dist.May 24, 2019Order on Court Fee Waiver (Superior Court) nevimaok 93 swig Nov 2'7 7mg Clerk stamps dare here when form i3 fifed. Person who asked the court to waive court fees: Name=WWW ,flflflf /M/ Street or mailing address: €30 Wdec expa/V ‘ ' / Katy: {///V/%//M State: @24- Zip: 7523-5”- Lawyer, if person in ® has one (name, firm name, address, phone number. e-maiz’, and Stare Bar number): ,M/mizgz/ MfiS/M/ {/03f . ya 4/: (444/ Mog éZ/a/cqflMey/mng (29/27 Fill in court name and street address: Superior Court of California, County of f‘ . , , Z 3 f t 2 me case numberand name- A re uest t0 waive court fees was filed on da! : , '® q ( e) 2/ ‘CasENfi‘mher: D The court made a previous fee waiver order in this case on (date): [Q {I 1/ g 9/3;? ‘/ Read thisform carefillly. All checked boxes Mare court orders. Case Name: Notice: The court may order you to answer questions about your finances and later order you t0 pay back the waived fees. Ifthis happens and ybu do not pay, the court can make you pay the fees and also charge you collection fees. 1fthere 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-O 1 0.) lfyou win your case, the trial court may order the other side to pay the fees. Ifyou Settle your civil case for $10,000 0r more, the trial coun will have a lien on the settlement in the amount 0fthe waived fees. The trial cgurt may not dismiss the case until the lien is paid. Afier reviewing your: ‘m/ Request to Waive Cour! Fees the court makes the following orders: a. D The court grants your request, as follows: B Request to Waive Additional Court Fees (1) D Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules ofCourt. rules 3.55 and 8.818.) You do not have t0 pay the court fees for the following: - Filing papers in superior court ° Making copies and certifying copies - Sheriff‘s fee 10 give notice - Court fee for phone hearing - Giving notice and certificates ' Sending papers to another court department - Reporter’s fee for attendance at hearing or trial, ifthe 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 15 13, 1826, or 1851’ - Preparing, cenifying, 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 0r 8.834 - Making a transcript or copy ofan official electronic recording under rule 8.835 (2) D Additional Fee Waiver. The coun 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. D Jury fees and expenses D Fees for a peace officer t0 testify in court D Fees for court-appointed experts D Court-appointed interpreter fees for a witness D Other (specify): d'IC 'Itclili. . d,, ' ' - gmgfiimerilggg 53%;:ng Order on Court Fee Waiver (Superior Court) FW 003. Page 1 of3 Government Code, § 68634te) Cal. Rules oICoun, rura 3 52 Filed November 27, 2019 County of Santa Clara Superior Court of CA Clerk of the Court 19CV348774 By: JDuong2 ”r. r ‘LJ' t'i\k\ 5 “Ll”? Case Number: Yourname: /¢QV§% 77 V b. D The court denies your fee waiver reques't because: Warning! If you miss the deadline below, the court cannot process your request for hearing or the court papers 5' you filed with your original request. If the papers were a notice of appeai. the appeal may be dismissed. (1) D Your request is incomplete. You have 10 days after the clerk gives notice ofthis Order (see date 0f service on next page) to: - Pay your fees and costs, 0r ' File a new revised request that inbludes the incomplete items listed: “v D Below D 0n Attachment 4b(1) (2) D The information you provided 0n the request'shows that you are not eligible for the fee waiver you requested forthe reasons stated: D Below D On Attachment 4b(2) . .2! ' ‘ The court has enclosed a blank Requestfor HearingAbout Court Fee Waiver Order (Superior Court) (form FW-006).You have 10 days after the clerk gives notice ofthis order (see date of service below) to: ' Pay your fees and costs in full or the amount listed in c below, or o Ask for a hearing in order to show the court more information. (Useform FW-006 t0 request hearing.) c. (l) D The court needé more information t0 decide whether t0 grant your request. You must go to court 0n the date on page 3. The hearing will be about the questions regarding your eligibility that are stated: D Below D On Attachment 40(1) (2) E Bring the items 0f proofto support your request, ifreasonably available, that are listed: D Below B On Attachment 4c(2) Thi's'is‘a _C_Oy.rt _0rder. RWSEP‘WWH-ZO‘Q Order on Court Fee Waiver (Superior Court) FW-003. Page 2 0f3 X Based upon income stated in application Case Number: Your name: yflflfig/I/ flflfi/flfi/ /7W§yg 77 é/ Name and address ofcourt ifdifferent 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 wilI 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: Signature of(check one): D Judicial Oflicer D Clerk. Deputy Request for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available ifyou ask at least five days before the hearing. Contact the clerk’s office for Requeslfor Accommodations by Persons With Disabilities and Response (form MC-4 l 0). (Civ. Code, § 54.8.) Clerk's Certificate of Service I certify that I am not involved in this case and (check one): D I handed a copy ofthis Order t0 the party and attorney, ifany, listed in® and®, at the court, 0n the date below. D This order was mailed first class, postage paid, t0 the party and attorney, ifany, at the addresses listed in®and@, from (CIIy): , California, on the date below. l:| A certificate ofmailing is attached. Date: Clerk, by , Deputy Name: Tflis ‘is a Court Order. Rev-Sep‘embe'1-ZO‘9 Order on Court Fee Waiver (Superior Court) FW-003u Page 3 °f3 Signed: 11/27/2019 04:12 PM X San Jose 11/27/19 J. Duong
