Fee Waiver Order GrantCal. Super. - 6th Dist.April 6, 2021Order on Court Fee mlaiver Crerk stamps date here when formisfiled. (Superior Court) ® Person who asked the court to waive courtfees: Name: Street or mailing address: City: State: Zip: ® Lawyer, if person in © has one (name, address, phone number,e-mail, and Skis Bar number): 7 F Fl]! in court name and sfreetaddress: J ' Superior Court of California, County of | SANTA CLARA 191 NORTH FIRST STREET“ | [ SAN JOSE, CA 951 1“ ® A request to waive court fees was filled on (date) J D The cou'n made a previous fee waiver order 1n tlus case on (data). Fill in case number and name: easq‘Mmtfls-JHVS 7 9 1 5 4 Case Name: l Read thisforn: Carefully. All checked boxes Mare court orders. Notice: The coulT may ordel you to answer questions about your finances and later order you t0 pay back the waived fees Ifthis happgns and you d0 not pay, the court can make you pay the fees and also charge you collection fees. If there is a change m your financial circumstances during this case that mereases your ability to pay fees and costs, you must notify the uial cqun within five days. (Use form FW-010.) Ifyou win your case, the trial court may order the other side to pay the fees. Ifyou settleyour civil case for 810,000 or more, the trial court will have a lien on the settlement m the amount ofthe waived lees The trial court may not dismiss the case until the lien 1s paid After reviewing your D Request t0 Waive Court Fee; D Request to Waive Additioml Court Fees the court maAes thefollowing orders. ‘ a. D Thelcourt grants your request, as follows: (1) D [Fee Waiver. The court grants your request and waives your coun fees and costs listed below. (Cal. . :Rules ofCow-t, rules 3.55 and 8.818.) You do not have to pay the court fees for the following: - Filing papers in Superior Court - Giving notice and certificates - Making COPIES and cemfylflg COPIES ' - Sending papers t0 another court department -Sheriff s fee to give notice - Court-appointed interpreter in small claims court - Court fee for phone healing - Reporter s fee for attendance at hearing 0r trial, if reportar provided by the court - Assessment for coum investigations under Probate Code section 1513, 1826, or 1851 ' firepm‘ing, Certifying, copying, and sending the clerk’s transcript 0n appeal ' Holding in trust the deposit for a reponer‘s transcript o'n appeal under rule 8.130 0r 8.834 t 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 com fees i and costs that are checked below. (Cal. Rules ofCow'r, rule 3.56.) You d0 not have t0 pay for the J checked items. l D Jury fees and expenses D Fees for a peace officer t0 testify in court ‘l D Fees for court-appointed experts D Court-appointed interpreter fees for a witness I D Other (speczfir): ' J'CI‘IC 'lfCli . v. rt.c. v - . . fizwjgdfifi gmfgfgfa‘cmgfig 5 39° Order on Court Fee Waiver (Superlor Court) FW 003, Page 1 0f2 Government Code, § 686345) Ca]. Rules ofCoum mla 3 £2 X X X Filed April 14, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CV379154 By: AMackenzie Emilia Jeanine Arce 5397 Vauxhall Circle San Jose CA 95136 Case Number: Your flame: 21 CV3791 54 b. D The coui't denies your fee waiver request, as folloWs: 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 (I) D The court denies your request because it is incomplete. You have 10 days after the clerk gives notice of this order (see date of service on next page) to: : - Pay your fees and costs, or I - File a new revised request that includes the items listed below (Specg'jjz incomplete items): (2) D Tllie court denies your request because the information you provided 0n the request shows that you are not eligible for the fee waiver you requested (speczfiz reasons). I The court has enclosed ablank Requestfor HearingAbour Court Fee Waiver Order (Superior Court), fo'rm FW-006.You have 10 days after the clerk gives notice of this order (see date of service below) to: 'Pay y'our fees and costs in full or the amount listed'in c. below, or -Ask for a hearing 1n order t0 show the court more information. (Useform FW-006 Io request hearing.) J I I 0 D The court needs more information to decide whether to grant your request. You must go to cont_t onthe date below. The hearing will be about (spear)? questions regarding eligibility. D Bring the following proof t0 support your request if reasonably available: Name and address of court if different from above: Heafing Date Date: Time: ; Dept: Room: Qinnnnl- AIO/2n21 11- n’) “AMI Warning! If item c 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 lf you miss that deadline the court cannot process the court papers you filed with your request. If e a notice of appeal. thé appeal may be dismissed. fa... 1 _ A {L‘pril 9, 2021 WW ‘ Q Signatm'eWk one): m Judicial Officer D Cienl; Deputy i . _ j: Requjest for Accommodations. Assistive listening systems, computer-assisted real-time captioning, or sign : T language interpreter services are available if you‘ask at least S days before your hearing. Contact the clerk’s officé for Requesrfor Accommodation, Form MC-410. (Civil Code, § 54.8.) ‘1 Clerk's Certificate of Service I certify that I am not involved in this case and (check one): fl A certificate ofmailing is attached. D I handed a copy 0f this order to the party and attorney, if any, listed in® and ® at the court, on the date below. N This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in© and®, fiom (city). San Jose ,Ca_1ifornia on the date below Date: 04/114/2021 - Clerk, by /s/ Ashley Mackenzie , Deputy I .iziufimrw M r’ii'f'théxcf " u-urdir-~s:s.vrava- Rew'semv 1-2015 Order on Court Fee Waiver (Superior Court) FW-003- P399209