Order Granting Waiver of Court Fees and Cost SignedCal. Super. - 5th Dist.April 12, 2021FW-003 Order on Court Fee Waiver(Superior Court) Clerk stamps date here when form is filed. Fill in court name and street address: Case Number: Judicial Council of California, www.courts.ca.gov FW-003, Page 1 of 3Revised September 1, 2019, Mandatory Form Order on Court Fee Waiver (Superior Court) Government Code, § 68634(e) Superior Court of California, County of Fill in case number and name: Case Name: Street or mailing address: 1 Person who asked the court to waive court fees: Name: City: State: Zip: 1Lawyer, if person in phone number, e-mail, and State Bar number): 3 A request to waive court fees was filed on (date): has one2 Read this form carefully. All checked boxes are court orders. 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, rule 3.55 and 8.818.) You do not have to pay the court fees for the following: Filing papers in superior court Making copies and certifying copies Sheriff's fee to give notice 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 Court fee for phone hearing Sending papers to another court department (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 court-appointed experts Other (specify): Court-appointed interpreter fees for a witness Fees for a peace officer to testify in court Cal. Rules of Court, rule 3.52 The court made a previous fee waiver order in this case on (date): (name, firm name, address, 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 Giving notice and certificates Timmy Lebar P.O. BOX 1637 Oakhurst CA 93644 Pahoua C. Lor Law Office of Pahoua C. Lor 1255 W. Shaw Avenue #101, Fresno, CA 93711 (559) 840-2780 pclorlaw@gmail.com SBN:267168 Timmy Lebar E-FILED Superior Court of California County of Fresno By: A. Ramos, Deputy 4/13/2021 21CECG01015 X X X Your name: Case Number: (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: c. 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: Rev. September 1, 2019 Order on Court Fee Waiver (Superior Court) FW-003, Page 2 of 3 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. Pay your fees and costs, or File a new revised request that includes the incomplete items listed: (2) The information you provided on the request shows that you are not eligible for the fee waiver you requested for the reasons stated: Pay your fees and costs in full or the amount listed in c below, or 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: Ask for a hearing in order to show the court more information. (Use form FW-006 to request hearing.) This is a Court Order. Below On Attachment 4b(1) (1) 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) Below On Attachment 4b(2) Timmy Lebar Timmy Lebar 21CECG01015 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: Signature of (check one): Judicial Officer Clerk, Deputy 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): A certificate of mailing is attached. I handed a copy of this Order to the party and attorney, if any, listed in and , at the court, on the date below.1 2 1 and 2 ,This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in from (city): , California on the date below. Clerk, by , Deputy Date: Case Number: Your name: This is a Court Order. Rev. September 1, 2019 Order on Court Fee Waiver (Superior Court) FW-003, Page 3 of 3 Request for Accommodations Name: Timmy Lebar Timmy Lebar 21CECG01015 4/13/2021 4/13/2021 X A. Ramos X Fresno A. Ramos