Fee Waiver Order GrantCal. Super. - 6th Dist.April 6, 2021Order on Court Fee Waiver Oterksramps date here when formis flied. (Superior Court) Name= 'Kerm RUSSQH Streetormailinglgddress: 350 06‘ Nédm five? 215 APR 0 5 2021 City: SHN 3639, State: 09‘ Zip: q 1-! 0H0 m C?ark of the Court ® Person who asked the court to waive court fees: I' Bah 9i GA GemVErma Glam Lawyer, if person in ® has one (name,flrm name, address, BY_ __V , ° EPUTV phone number. e-maz‘l. and State Bar number): Fill in court name and street address: Superior Court of California, County of Superior Court Civll‘ Division 191 N. FirstSt. San Jose, CA 95113 Fill in case number and name: ® A request t0 waive court fees was filed 0n (dare): é 207/\ Case Number: D The court made a previous fee waiver order in this case on (date): a 2 c v3fig fl g 3 Case Name: Read tlzisform carefully. All checked boxes Mare court orders. Notice: The court may order you t0 answer questions about your finances and later order you t0 pay back the waived fees. Ifthis happens and you d0 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 coun within five days. (USe form FW-O! 0.) Ifyou win your case, the trial court may order the other side to pay the fees. [fyou 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: fl Request (o Waive Court Fees D Reques! to Waive Addia‘onal Court Feesthe court makes the fol owing orders: .a. The court grants your request, as follows: (l) Fee Waiver. The ceurt grants your request and waives your court fees and costs listed below. (Cal. Rides ofCozzrt, rules 3.55 and 84818.) You do not have t0 pay the court fess for the following: - Filing papers in superior court: v Court fee for phone hearing - Making copies and certifying copies v Giving notice and certificates ' Sheriff‘s fee to give notice ° Sending papers to another court department ° Reporter’s fee for attendance at hearing or trial, ifthe court is not electronically recording the proceeding and you request that the court provide an official reporter - Assessment for co urt 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 0n appeal under rule 8.130 or 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 arc checked below. (Cal. Rules ofCom-r, rule 3.56.) You d0 not have t0 pay for the checked items. D Jur fees and ex enses D Fees fora eace officerto testi in courtY P P_ ' D Fees for court-appointed experts D Court-appomted Interpreter fees for a witness D Other (specgfix): Judicual CouncdofCariforniamemurfsvcagov Order on Court Fee waiver (Superior Court) Fw_003! Page 1 Of3 Revised September 1. 2019. Mandatory Form Government Code. § 68634(e) Caf. Rules ofCourL rute 3.52 Case Number: Your name: 1‘ b. E The’court demes your fee wawer request because: x Warning! lfyou miss the headline below, the court cannot process your request for hearing or the court papérs you filed With your original request. If the papers were a notice of appeal, the appeal may be dismissed » (l) D Your request is incomplete. You have 10 days after the clerk gives notice ofthis Order (see date 0f v service 9n next‘page) to: ‘ . \‘mi. - Pay your. fees and costs, or ‘ File a new revised request that in'cludes the incomplete items listed: D Below U On Attachment 4b(1) (2) D The inforrhation you provided 0n the request'shows that you are not eligible for the fee waiver you requested forthe reasons stated: El Below D On Attachment4b(2) The courtvhas enclosed a blank Reéueslfor HearingAbout Court Fee Waiver Order (Superiof Court) (form FW-OOI6).Y0L1 have 10 days after the clerk gives notice ofthis Order (see date pf sérvice below) t0: ' Pay your fees and costs in full 0r the amount listed in c below, or - Ask for a hearing in order t0 show the court more information. (Useform FW-006 to request hearing.) c. (1) D The court needé more information to decide whether t0 grant your request. You must g0 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 of proofto support your request, if reasonably available, that are listed: D Below 1:] On Attachment 40(2) RW-Sewemerm‘g Order on Court Fee Waiver (Superior Court) FW-003. Page 2 0f3 wA Case Number: Your name: Hearing Date: Time: Date Dept.: Room: Warning! If item 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 1O days to pay your fees If you miss that deadline, the court cannot process the court papers you filed with your request. Ifthe papers were a notice of appeal. the appeal may be dismissed. r Date: (ifl 'Obl 2/62“) Mu. Signalm'e ofm'aeck one): D Judicial Officer D C/eM'Dngqr Name and address Ofcourt ifdifferent from abOVC: Request for Accommodations : Assigtive listening systems, computerflssisted 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 Requesrfor , f ‘ Accommodarions by Persons With Disabilities and Response (form MC-4 I O). (Civ. Code, § 54.8.) Clerk's Certificate of Service [ certify that I am not involved in this case and (check one): D I handed a copy ofthis Order to the party and attorney, ifany, listed in® and®, at the court, on the date below. This order was mailed first class, postage paid, to the party and attorney, ifany, at the addresses listed in®and ®, from (city): Sat“ 3-68? , California. on the date below. D A certificate ofmailing is attached. Date: QUI l Ob! 202] Clerk, by N V Muvu , Deputy Name: MV NLVU _“"-.”.‘-.;"."u=-5.‘- "Wu"... - vg-.,:--,. LhL§;!§=.a,§9.u,r.t..Qm& Rev. September 1, 2019 Order on Court Fee Waiver (Superior Court) FW-003, Page 3 of3