Fee Waiver Order DenyCal. Super. - 6th Dist.March 2, 2021Reviewed By: D Harris Envelope: 5948851 21CV378997 4/1/2021 4/1/2021 FW 003 Order on Court Fee Waiver Clerk stamps dare here when'fonnis filed (Superior Court) 1 Person who asked the court to waive court fees: Name: MANUEL ORTIZ Street 0r mailing address:22291 8TH STREET SOUTH City: SOUTH DOS PALOS State: CA Zip: 93665 ® Lawyer, if person in ® has one (name,firm name, address,phone number, e-maz'l, and State Bar number): JOSHUA E. HERNANDEZ SBN 324928, HERNANDEZ LAW FM mydnammfstreet address: OFFICES 6103 N. FIRST STREET, SUITE 102, FRESNO, CA 93710 _ S"P°"°' CW” °" Ca"f°"“a’ °°”"*V °f SANTA CLARA (559)449-8150 191 N. lst St San Jose, CA 951 13 Fm In case numberand name: Case Number:® A request to waive court fees was filed on (date): D The court made a previous fee waiver order in this case 0n (date): Case Name: Ortiz et a1. v. Setiawan Read thisform carefully. All checked boxesE are court orders. Notice: The court may order you t0 answer questions about your finances and later order you to pay back the waived fees. If this happens and you d0 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 t0 pay the fees. If you settle your civil case for $10,000 0r 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 d0 not have t0 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 ° Sheriff‘s fee to give notice ° Sending papers to another court department ° Reporter’s fee for attendance at hearing 0r trial, ifthe 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 0n appeal ' Holding in trust the deposit for a reporter's transcript on appeal under rule 8.130 0r 8.834 ° Making a transcript 0r 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 d0 not have t0 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 (specifii): JudicialCouncilofCalifornia, www.courtscagov Order on Court Fee Waiver (Superior Court) Fw_oo3’ page1 of3 Revised September 1. 2019, Mandatory Form Government Code, § 68634(e) CaL Rules of Court, rule 3.52 Filed April 8, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CV378997 By: DHarris Case Number: Your name: MANUEL ORTIZ 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 after the clerk gives notice 0f this Order (see date 0f 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(1) (2) D The information you provided 0n 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 HearingAbout Court Fee Waiver Order (Superior Court) (form FW-006).You have 10 days after the clerk gives notice of this order (see date of service below) t0: ' Pay your fees and costs in full or the amount listed in c below, or - Ask for a hearing in order t0 show the court more information. (Useform FW-006 t0 request hearing.) c. (1) D The court needs more information to decide whether t0 grant your request. You must go t0 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) (2) D Bring the items 0f proof to support your request, if reasonably available, that are listed: D Below D On Attachment 40(2) This is a Court Order. Rev SeptemW-ZO‘Q Order on Court Fee Waiver (Superior Court) FW-003, Page 2 0f3 x x no information regarding your financial condition. The Court did not find a declaration of assets filed in this case. The Court has Case Number: Your name: MANUEL ORTIZ Hearing Date: Time: Date Dept: Room: is checked. and you do not go to court on your hearing date. the judge will deny your days to pay your fees. lf you miss that deadline, the court cannot l, the appeal may be Name and address 0f court if different from above: Warning! If item c(1) request to waive court fees, and you will have 1O process the court papers you filed with your request. If the papers were a notice of appea dismissed. Date: D Clerk, DeputySignature 0f{check one): D Judicial Officer Request for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available ifyou 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 ofthis Order to the party and attorney, if any, listed in (D 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 of mailing is attached. Date: Clerk, by , Deputy Name: This is a Court Order. R°V-S°P‘°mb°”'2°‘9 Order on Court Fee Waiver (Superior Court) FW-003’ Page 3 0f 3 x April 4, 2021 April 4, 2021 Christopher G. Rudy Signed: 4/4/2021 04:46 PM Signed: 4/8/2021 04:38 PM April 8, 2021 SAN JOSE X DHarris