Fee Waiver Order GrantCal. Super. - 6th Dist.January 27, 2021Order on Court Fee Waiver Clerk stamps dare here when form is fired. (Superior Court) Person who asked the court to waive court fees: Name= NwokLEW Streetor mailing address: M9 S 6k g)- City:WW State: CF Zip: WW ® Lawyer, if person in G) has one (name, firm name, address,phone number, e-mail, and Stare Bar number): Fill in court name and street address: Superior Court of California, County of Superior Court Civil Division 191 N. First St San Jose, CA 95113 ® A request to waive court fees was filed .on (dare): 0/! L(Z 1° L ( Fgm cage nugber and name:359 Um er: ’ D The court made a previous fee waiver order in this case n (date): (Z/'\ O {A Obq %a B Case Name: Rem! thisform carefully. All checked boxesM are court orders. Notice: The coun 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. Ifthere 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-OIO.) Ifyou win your case, the trial court may order the other side t0 pay the fees. Ifyou settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in the amount ofthe Waived fees. The trial court may not dismiss the case until the lien is paid. After reviewing your: ~ E Request to Waive Court Fees D Request 10 Waive Additional Cour! 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 8.8/8.) You do not have to pay the com fees for the following: ' Filing papers in superior court - Court fee for phone hearing - Making copies and certifying copies - Giving notice and cenificates ° Sheriff’s fee t0 give notice ° Sending papers t0 another court department - Reponer’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 - 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 0n 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 court grants your request and waives your additional superior court fees and costs that are checked below. (Cal‘ Rules ofCourI, rule 3.56.) You d0 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 (specxfl): Jm'lc 'Hcm‘yww. nv. - - _ Rgvggdsgig'mgajl 2°51; Managfiyifjmgw Order on Court Fee Waiver (Superior Court) FW 003. Page 1 ofa GovemmenlCoda, §68634(e) Cal‘ Rules ofcoum rule 3.52 X X Filed January 29, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CH009828 By: msorum Case Number: Your name: b. D The court denies your fee waiver request because: Warning! If you miss the deadline below. the ceurt cannot process your request fqr hearing or the court papers yOUIfiled with your original request If the papers were a notice of appeal. the appeal‘may be dismissed (1) Your request is incomplete. You have 1_0 days after the clerk gives notice ofthis Order (see date ofservice E 0n next page) to: ' o 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) U 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 Cour!) (form FW-OOG).Y0u have 10 days afier the clerk gives notice 0fthis order (see date ofservice below) t0: ' Pay your fees and costs in full or the amount listed in c below, 0r - Ask for a hearing in order to show the court more information. (Useform FW-006 torequest hearing) c. (1) D The coun needs more information t0 decide whether to grant your request. You must go to coun 0n the date on page 3. The hearing will be about the questions regarding your eligibility that are stated: D Below D On Attachment 4c(l) (2) U Bring the items ofproofto support your request, ifreasonably available, that are listed: D Below D On Attachment 4c(2) This is a Court Order. ReV-Semember‘vm” Order on Court Fee Waiver (Superior Court) FW-003. P896208 Case Number: Your name: Hearing Date: Time: Date Dept.: ‘ Room: Wamingl Ifitem 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 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. Name and address of court if different fiom above: Date: Signature ofkheck one): D Judicial Oflker D Clerk, Deputy Request for Accommodations Assistive listening systems, computer-assisted real-time captioning, 0r 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 Disabililies and Response (foml MC-4 IO). (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 pany and attorney, ifany, listed in® and®, at the court, on the date below. D This order was mailed first class, postage paid, to the party and attomey, ifany, at the addresses listed in®and®, from (city): , California, on the date below. D A certificate ofmailing is attached. Date: Clerk, by , Deputy Name: This is a Court Order. REV‘SeP‘emW1’2‘3‘9 Order on Court Fee Waiver (Superior Court) , FW'°°3v P8993°f3 X Signed: 1/29/2021 11:33 AM 1-29-2021