Fee Waiver Order GrantCal. Super. - 6th Dist.March 4, 2021Order on Court Fee Waiver Clerk stamps date here when form is filed (Superior Court) G) Person who asked the court to waive court fees: F I L E DNam“: g'mNDfl-A Klveflx mfio‘mc. Streetor mailing address: P Q ‘%9X, loqq MAR ‘ 8 2021 Cityzés l M, 1 : State: C14 Zip: 9n D), Clef o the C 4'%o Lawyer, if person in ® has one (name. firm name, address. 53mm co“ I A "‘03::an Ia phone number. e-mail. and Slate Bur number): Fill In court name and street address Superi%r Cou; of Californifi, County of Superior Cour‘; 191 N. First Street San Jose. CA 95113 . Fill In case n mber and nameA request to walve coun fees was filed on (dale): u Case Number: D The coun made a previous fee waiver order in this case n (dare): Q!CHmq qOE Case Name: Read thisform carefully. All checked boxesE are murt orders. Notice: The coun may order you to answer questions about your finances and later order you to pay back the waived fees. lfthis happens and you do not pay. the coun can make you pay the fees and also charge you collection fees. lfthere is a change in your financial circumstances during this case that increases your ability to pay fees and costs, you must notify the trial coun within five days. (Use fonn FW-OIO.) lfyou win your case, the trial court may order the other side to pay the fees. lfyou settle your civil case for $10,000 or more. thc trial court will have a lien on the settlement in the amount ofthc waived fees. The trial court may not dismiss the case until the lien is paid. After reviewing your: “Q Request Io H'uivc Cour! Fees D Request to Waive Additional Cour! Fees Ithe court makes the follo orders: a.fl The court grants your request. as follows: (I Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules Q/‘Court, rules 3.55 und 8.8/8.) You do not have to pay the court fees for the following: 0 iling papers in superior court - Court fee for phone hearing ° Making copies and certifying copies - Giving notice and cenificates - Sheriff‘s fee to give notice ' Sending papers Io another coun department ~ Reporter‘s fee for attendance at hearing or trial. if the coun 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 l85| ' Preparing. certifying. copying. and sending the clerk‘s transcript on appeal 0 Holding in trust the deposit for a reporter's transcript on appeal under rule 8. I30 or 8.834 0 Making a transcript or copy ofan official electronic recording under rule 8.835 (2) U Additional Fee Waiver. The court grants your request and waives your additional superior court fees and costs that are checked below. (Cal. Rules Q/‘(burn 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 expens D Court-appointed interpreter fees for a witness D Other (specifi') .' mmm'mfl” Order on Court Fee Waiver (Superior Court) Fw-oos. Page 1 of3 GovanmomCodojmo) Cd. Ra’sdcm m3.52 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 10 days afler 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 U On Attachment 4b(l) (3) 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 Hearing About Cour! Fee Waiver Order (Superior Cour!) (form FW-006).You have 10 days afler 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 coun more information. (Useform FW-006 lo 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. R"“MW?“ Order on Court Fee Waiver (Superior Court) FW-003v P396 2 0'3 Case Number: Your name: Name and address ofcourt if different 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 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. Q \ Date: 5 I8 ‘1‘ _ Signature uf/L'hcck 'l D Wing] Oficer k Clerk. Deputy Request for Accommodations Assistive listening systems. computer-assisted real-time captioning. or sign language interpreter services arc available if you ask at least five days before the hearing. Contact the clerk‘s office for Requeslfor .lummmodations by Persons With Disabilities" and Response (fom1 MC-410). (Civ. Code, § 54.8.) Clerk's Certificate of Service l certify that l am not involved in this case and (check (me): D l handed a copy ofthis Order to the party and attorney. ifany. listed in (D and®. at the court. 0n the date below. This order wa mailed first class. postage paid, to the party and attorney, if any. at the addresses listed in®and® from (city): L€HNm . California. on the date below. D A certificate ofmailing is attached. m_amz‘ Clerk. by Name: \k. NGUYEN , Deputy his is a Court Order. Order on Court Fee Waiver (Superior Court) FW-003. Pa9e30f3Rov Scum! 2019