Fee Waiver Order Grant

Cal. Super. - 6th Dist.February 4, 2021

order on Court Fee Waiver Clerk stamps date here whenfonnis filed (Superior Court) Person who asked the court to waive court fees: Name:W QWMD Street or mailing address: \ 95 Q) j Y W SH) LNCA \j City: m h M9 State= (m Zip: d6 I I1 J Lawyer, if person in G) has one (name, firm name. address, phone number, e-mail. and Stale Bar number): Fill in court name and street add_ress: Superior Court of California, County of A request to waive court fees was filed on (date): a 8 2/0L I m case numberaw name Case Number: D The court made a previous fee waiver order in this case on (date): Case Name: Read thisform carefully. All checked boxesM are court orders. M 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. lf 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-OIO.) lfyou 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 coun 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. Afier reviewing your: D Request Io Waive Court Fees D Request Io Waive Additional Court Fees the court makes the following orders: a. D The coun grants your request, as follows: (l) D Fee Waiver. The coun 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 o Making copies and certifying copies - Giving notice and certificates ° Sheriff‘s fee to give notice ~ Sending papers to 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 coun provide an official reporter 0 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. I30 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 Ju fees and ex enses D Fees for a eace officer to testi in court1')’ P P D Fees for coun-appointed experts D Court-appointed interpreter fees for a witness D Other (specifi'): fimmfifg;mzfl Order on Court Fee Waiver (Superior Court) FW-003. Page 1 of3 Govanmm Coda. §We) Cd. Rum o! Courtm 3.52 X X X Filed February 8, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CH009847 By: knguyen SAN JOSE, CA 95113 191 N. FIRST STREET COUNTY OF SANTA CLARA SUPERIOR COURT OF CALIFORNIA 21CH009847 Case Number: Your name: \9 Q lD b. D The coun 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 afier the clerk gives notice ofthis Order (see date of service D on next page) to: - Pay your fees and costs, or ' File a new revised request that includes the incomplete items listed: D Below D On Attachment 4b(l) (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 Requeslfor Hearing About Court Fee Waiver Order (Superior Court) (form FW-006).You have 10 days afier the clerk gives notice ofthis 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 Io 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 on page 3. The hearing will be about the questions regarding your eligibility that are stated: D Below D On Attachment 4c( l) (2) D Bring the items of proof to support your request, if reasonably available, that are listed: D Below D On Attachment 4c(2) This is a Court Order. MWW" Order on Court Fee Waiver (Superior Court) FW-003- P3962 0‘3 Case Number: Your name: CJW 9AA“(o Name and address of coun ifdifferent from above: Hearing Date: Time: Date Depl.: 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): D Judicial omcer D Clerk. Deputy Request for Accommodations 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 Requesrfor .h'mmmodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.) Clerk's Certificate of Service l certify that l 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 ®, , California. on the date below.from (city): D A certificate ofmailing is attached. Date: Clerk, by . DCPUt)’ Name: This is a Court Order. “"‘S'P'mmw Order on Court Fee Waiver (Superior Court) FW'°°3- 939° 3 0'3 X Signed: 2/8/2021 12:34 PM 2-8-2021 x SAN JOSE 02/08/2021 K. Nguyen Signed: 2/8/2021 02:13 PM