Fee Waiver Order GrantCal. Super. - 6th Dist.January 7, 2021Order on Court Fee waiver Clerk stamps date here when form is mad.FW'OO3 (Superior Court) Person who asked the court tqwaive court fees: Name: A/é/5UM 9+? l/J DU /C«A Street or m'ailing address: (IL! Z 7 DU \C BC [/1 Dy f/V( City: S gum 30¢) 1: State: CA Zipt/ ()9; 3 [r17 Lawyer, if person in <1) has one (name, firm name, address, phone number, e-mail, and State Bar number): Fill in court name and street address: Superior Court of California, County of - uparior Court Civil Division 191 N. First St. San Jose. CA 95113 Fill in case number and name:® A request to waive court fees was filed on (date): J, g Z, Case Number: D The court made a previous fee waiver order in this case on (date): Z l C H ooq 6 0 Z Case Name: Read thisform carefully. All checked boxesm 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. 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. After reviewing your: D Request t0 Waive Court Fees D Request t0 Waive Additional Court Fees the court makes the following orders: a. D The court grants your request, as follows: ( 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 to pay the court fees for the following: - Filing papers in superior court ' Court fee for phone hearing - Making copies and certifying copies - Giving notice and certificates o Sherist fee to give notice ' Sending papers to another court department - Reporter’s fee for attendance at hearing or tn'al, if the 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 1513, 1826, or 1851 c 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 (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 to testify in court D Fees for court-appointed experts D Court-appointed interpreter fees for a witness D Other (spectfi'): mmgm~mmffiw Order on Court Fee Waiver (Superior Court) Fw-ooa. Page 1 of 36mm Code. 56mm Cd. Rules d Court ruIe 3.52 X X X Filed February 5, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CH009802 By: knguyen Your name: Case Number: 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 xhe 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 afier the clerk gives notice of this Order (see date of service D on next page) to: (2) D c. (l) D (2) D Rev. Semanber 1. 2019 ° Pay your fees and costs, or ' File a new revised request that includes the incomplete items listed: D Below El 0n Attachment 4b(1) 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 Hearing About Court Fee Waiver Order (Superior Court) (form FW-006).You have 10 days afier 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 to request hearing.) 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 4c( 1) Bring the items ofproof to support your request, if reasonably available, that are listed: D Below D 0n Attachment 4c(2) This is a Court Order. Order on Court Fee Waiver (Superior Court) FW-003. Page 2 of 3 Case Number: Yournamc: N’€ \SUW §AZKM{ QUQLN, 1’ C H 0 C C1 $01, Name and address of court if different fiom above: Hearing Date: Time: Date Dept.: Room: Wamlngl 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): D Judicial Oflicer D Clerk. Depuv Request for Accommodations Assistive listening systems, computer-assisted reaI-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 that I am not involved in this case and (check one): D I handed a copy of this Order to the party and attorney, if any, listed in® and®, at the court, on the date below. D This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in®and®, fiom (city): , California, on the date below. D A certificate of mailing is attached. Date: Clerk, by , Deputy Name: This is a Court Order. WWW-m Order on Court Fee Waiver (Superior Court) "”403: P399 30'3 X Signed: 2/5/2021 12:16 PM 2-5-2021 02/05/2021 K. Nguyen x San Jose Signed: 2/5/2021 01:09 PM