Order Granting Waiver of Court Fees and Cost SignedCal. Super. - 5th Dist.June 28, 2021I Order on Court Fee waiver Clerk stamps date here when form imed.FW-003 . 7 (Superior Court) G) Person who asked the court to waive court fees: Name. Maria Hernandez Street or mailing address: 5263 N. Vagedes City: Fresno. State: CA Zip: 9371 1 ® Lawyer, if person in G) has one (name, firm name, address,phone number, e-mail, and State Bar number): Amy R. Lovegren-Tipton SBN; 258697 Fill in court name and street address: Tipton Legal Superior Court of California, County of 5703 N. West Ave Fresno 183mm loéA 93711 r 1130 O Street resno’ Fresno, CA 93721 (559) 421-9137 Fill in case number and name:A request to waive court fees was filed on (date): June 28, 2021 - Case Number: D The court madg a previous fee waiver order in this case 0n (date): 21CECGO 1 858 Case Name: Read thisform carefully. All checked boxes M 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. Ifthis happens and you do not pay, the court can make you pay the fees and also charge you collection fees. 1f there is a change in your financial circumstances during this case that increases your ability t0 pay fees and costs, you must notify the trial court within five days. (Use form FW-OIO.) 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. After reviewing your: E I’ Request to Waive Court Fees D Request t0 Waive Additional Court Fees the court makes the following orders: a. E The court grants your request, as follows: (l) 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 to pay the court fees for the following. - Filing papers in supelior court ° Court fee for phone hearing - Making copies and certifying copies 0 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 thefcourt 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 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 0f an official electronic recording under rule 8.835 (2) D Additional Fee Waiver. The court 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 coum D Fees for court-appointed experts D Court-appointed interpreter fees for a witness D Other (specz’fiz): ég‘flgggcsgflgflng‘efi‘fi‘ggqg$$$$$ng Order on Court Fee Waiver (Superior Court) L FW-003’ P3961 °f3 Government Code, § 68634(e) Cal. Rules of Court, rule 3,52 6/29/2021 cyork Case Number: ~ Your name: Maria Hernandez 21CECG01858 b. D 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 0f this Order (see date of service D on next page) t0: - Pay your fees and costs, or ' File a new revised request that includes the incomplete items listed: D Below D On 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 the reasons stated: D Below D On Attachment 4b(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 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. (Useform FW-006 t0 request hearing.) - c. (1) D 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: D Below D On Attachment 40(1) (2) D Bring the items of proof t0 support your request, if reasonably available, that are listed: D Below D On Attachment 4c(2) This is a Court Order. Re“ Sep‘embert 2°19 Order on Court Fee Waiver (Superior Court) FW-003, Page 2 0f 3 Case Number: 2 1 CECGOI 858Your name: Maria Hernandez 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 to waive court fees. and you will have 1O 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. Name and address 0f count if different from above: Date: 6/29/2021 Signature of(check one): D Judicial Oflicer E Clerk. Deputy Request for Accommodations I 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 Requestfor Accommodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.) Clerk's Certificate of Service I certify thatI am not involved in this case and (check one): D I handed a copy 0f this Order to the party and attorney, if any, listed in CD and®, at the court, on the date below. E This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in @and ®, from (city): Fresno , California, on the date below. D A certificate of mailing is attached. Date: 6/29/2021 Clerk, by , Deputy Name: C. York This is a Court Order. Re“ Sep‘embe’1-2019 ' Order on Court Fee Waiver (Superior Court) FW-°°3, P396 3 0‘3 C. York