Fee Waiver Order GrantCal. Super. - 6th Dist.March 16, 2020Order on Court Fee Waiver Clerk stamps dare here when form is med (Superior Court) Person who asked the court to waive court fees: Em E EL E Name= Pafiu chman é = Street o‘r mailing add{ess: 20 ll Ll'Hlf Ofckatd 3+ ”AR .) 9 2021 City: SBflJuSe State: CA Zip: QQUE Clerkiof tifigoun BY ° C Ur] Sanla Clan Lawyer, if person in G) has one (name,firm name. address. ' DEPUTY phone number, e-mail. and Stare Bar number): n fiNm n Fill in court name'nya'flr'e‘e'f 5Mress: Superior Court of California, County of Superior Court Civil Division 191 N. First St. San Jose. CA 951 18 ® A request to waive court fees was filed on (date): MAR 2 9 2021 Fm" case number and name:-- Case Number:E/ The court made a previous fee waiver order in this case on (date): W 59 (f5 - (b ‘ 7-010 f fig? w Read thisform carefitlbr. All checked boxes E are court orders. 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 [rial court within five days. (Use form FW-O 10.) Ifyou win your case, the trial court may order the other side t0 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 0fthe waived fees. The trial court may not dismiss the case until the lien is paid. After reviewing your: M Request (o Waive Court Fees D Request t0 Waive Additional Court Fees thc court makes the following orders: a. The court grants your request, as follows: (l) M Feé 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 to pay the court fees for the following: ° Filing papers in superior court - Court fee for phone hearing - Making copies and certifying c0pies ' Giving notice and certificates - Sheriffs fee to give notice - Sending papers t0 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 o Assessment for court investigations under Probate Code section 15 I3, 1826, or 185 1 ' 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 0r 8.834 - Making a transcript or copy of an official electronic recording under rule 8.835 (2) D Additional Fee Waiver. The court grants your request and waives your additional superior coun fees and costs that are checked below. (Cal. Rules ofCourt. rule 3.56.) You do not have to pay for the checked items. U Jury fees and expenses ' D Fees for a peace officer t0 testify in court D Fees for court-appointed expens D Court-appointed interpreter fees for a witness D Other (specifi): Jm'ICo ‘lfCam‘ i‘mmurr . ' ' -m:Sezvzmzmgmammzm Order on Court Fee Wawer (Superior Court) PW 003- Paw m Government Code, § 68634(e) Cal. Rules ofCourl. rule 3.52 Case Number: Ymm wgfifl/ b. D The court denies your fee waiver request because: Warning! lfyou 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) D Your request is incomplete. You have 10 days after the clerk gives notice of this Order (see date of service 0n next page) t0: - Pay your fees and costs, or ' File a new revised request that includes the incomplete items listed: El Below E] 0n Attachment 4b(1) (2) D The information you provided on the request shows that you are not eligible for the fee waiver you requested for [he reasons statedf‘D Below 1: D On Attachment 4b(2) The court has enclosed a blank Requestfor Hearing About Court Fee Waiver Order (Superior Court) (form FW-006);You have 10 days after the clerk gives notice ofthis order (see'date ofservice below) to: ' Pay your fees and costs in full 0r the amount listed in c below, 0r - Ask for a hearing in order to show the court more information. (Useform FW-006 to request hearing.) c. (l) D The court needs more information to decide whether to grant your request You must go to court on the date 0n page 3 The hearing will be about the questions regarding your eligibility that are stated: D Below D On Attachment 4c(1) u (-7-) U Bring the items of proofto support your request, if reasonably available, that are listed: D Below D On Attachment 40(2) This is a Coun40rder. Rev-SeptemDGH-M Order on Court Fee Waiver (Superior Court) FW-003: Page 2 °f3 Case Number: Your name: » Qogéflizq ‘o/‘f Name and address ofcourt ifdifferent from above: Hearing Date: Time: Date Dept.: Room: Warning! If item 0(1) is checked. and you do not go to court on your hearing date. the judge will deny your request t0 waive court fees, and you will have 10 days to pay your fees lfyou miss that deadline, the court cannot process the court papers youufiled with your request. If the papers were a notice of appeal the appeal may be dismissed Date: MAR 2 9 "2021 D 5%” Signature of(cl:eck one); Judicial OflImB DENIWQDM}! Request for Accommodations Assistive listefiing 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 Requesrfor Accommodations by Persons With Disabilities and Response (form MCAIO). (Civ. Code, § 54.8.) Clerk's Certificate of Service I c ify that I am not involved in this case and (check one): I handed a copy ofthis Order to the party and attorney, ifany, listed in® and®, at the court, 0n the date below. U This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in®and®, from (city): , California, on the date below. D A certificate ofmailing is attached. Date: MAR 2 9 2021 Clerk, by D />///m,772 ,Dep ty Name; DfiAGNNo u This is a Court Order. “V‘Semwm‘g Order on Court Fee Waiver (SUperior Court) FW-003s Page 3 0f 3