Fee Waiver Order GrantCal. Super. - 6th Dist.February 8, 2021Clerk stamps date here when form is fie? ILED FEB ’ 8 2021 KING.“ Clerkoft eCourt nor Court C um ol Santa Clam DEPUTY and street address: Superior Court of California. County of 5mm cLAM Superior Court Civil Division 191 N. First St, San Jose, CA 95113 Fill in case number and name Case Number: Order on Court Fee Waiver (Superior Court) Person who asked the court to waive court fees: Name: 5;) \‘ \U \| Q QXQW2, wW0 Street or mailing ad ress: ‘ \\%} boom“ W m City; 69m 305% State: b8 Zip: Cu‘n}, ' Lawyer, if person in ® has one (name, firm name. address. phone number. e-mail, and State Bar number): B ® A request to waive coun fees was filed on (date). D The court made a previous fee waiver order In this case on (date). I 2' CH Q O qgga Case Name: Read thisform carefully. A11 checked boxesE are court orders. a 1 k U I Ck mUO‘E E‘ Notice: The court may order you to answer questions about your finances and later order you to pay back the waived fees. [f 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-OIO.) Ifyou win your case, the trial coun 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 0fthe waived fees. The trial coun may not dismiss the case until the lien is paid. After reviewing your: Wequest to Waive Cour! Fees w Request Io Waive Additional Cour! Fees the court makes the following orders: a.m The court grants your request, as follows: (I Fee Waiver. The coun grams your request and waives your coun fees and costs listed below. (Cal. Rules QfCourt, rules 3.55 and 8.818.) You do not have to pay the court fees for the following: 0 Filing papers in superior court - Court fee for phone hearing - Making copies and certifying copies - Giving notice and certificates ° Sheriff‘s fee to give notice ~ Sending papers to another court department 0 Reporter‘s fee for attendance at hearing or trial. if the coun is not electronically recording the proceeding and you request that the coun provide an official reponer ° 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) U Additional Fee Waiver. The coun grants your request and waives your additional superior court fees and costs that are checked below. (Cal. Rules ofCourl, 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 coun-appointed experts D Coun-appointed interpreter fees for a witness D Other (specify): 3mm“, 30“,”9jmgj‘gg” Order on Court Fee Waiver (Superior Court) FW-003. Page 1 °f3 Government Code. 568634“) Cd. Ru“ MCoun. Mo 3'52 Case Number: Your name: 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 l0 days afier the clerk gives notice of this Order (see date ofservice 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 Requesrfor Hearing About Court Fee Waiver Order (Superior Court) (form FW-006).You have 10 days afler 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 o Ask for a hearing in order to show the court more information. (Useform FW-006 I0 request hearing.) c. (l) D The court needs more information to decide whether to grant your request. You must go to coun 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: U Below D On Attachment 4c(2) This is a Court Order. m semwmzme Order on Court Fee Waiver (Superior Court) FW-003- P3962 0’3 Your name; Qf\ \“\\ a ax \rW? Case Number; Name and address of court ifdifferent 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 coun 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: 2: l 5 l 2 I weayb Signature af(check one): D Judlcmlw E ( lerk. Dew 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 Accommodations by Persons With Disabilities and Response (form MC-4IO). (Civ. Code, § 54.8.) Clerk's Certificate of Service I certify that I am not involved in this case and (check one): D l handed a copy of this Order to the party and attorney if any listed in CD and®. at the court, on the date below. This order w iled first class postage paid to the party and attorney, if any, at the addresses listed m®and® from (city): mm California. on the date below D Acertifica o mailingis attached. Date: Z 8 2‘ Clerk, by v u Name: v K. NGUYEN , Deputy This is a Court Order. R’V-S'P'WW-m‘” Order on Court Fee Waiver (Superior Court) FW'°°3- P399 3 0'3