Fee Waiver Order GrantCal. Super. - 6th Dist.April 27, 2021l N \J 1 5 2021 gDD Hams Order on Court Fee waiver CIerk stamps date herq when formis filed. - a~ n » . 4- ¢ 1 I, V ' 3 ~ V [ 7' 1.. (Superior Court): =3? 3 ‘- 14.. agr' ’ - 1 Person who askeghe court to waive court fées: Name: (Ax:em m egg Street 0r mailing address: jgl-‘O HRMKJ‘R 6! o Ap‘i‘o (”I City: C-JI L005] State: d} Zip: q5oa\o Lawyer, if person in G) has one (name, firm name, address, phone number, e-mail, and Stare Bar number): Se lf-Represented Fill in court name and street address: Superior Court of California, County of Santa Clara \CU MOQTH 939T swee‘r $AM .5056) Qq %6\Q\b NOV 1 5 202% Fill in case number and name:® A request t6 waive court fees was filed on (dare): Case Number: D The 001111 made a previous fee waiver order in this case on (date): Q‘ CU ’5g 06‘ j \ Case Namef Read thisform carefzdly. All checked boxes are court orders. Notice: The court may ofder you t0 answer questiOns about your finances and later ordel you t0 pay back the waived fees If. this.happens and you d0 not pay, the court can make you pay the fees and alsq chalge you collection fe_es If there is a change 1n your financial circumstances dunng this case that Increases your ability t0 pay fees and costs you must notify the trial court wnhm five; days (Use form FW-010 ) It you win your case, the trial court may order the other side to pay the fees. If you §ettle yofir civil case for $10,000 or more, the trial court will have a lien 0n the settlément 1n the amount of the waived fees The trial court may not- dismiss the case until the lien ls paid After reviewing your: . m Request t0 Waaive CourtFees D Request t0 Waive Addi ional Cothees the court makes the following ordels: a. D, The court grants your request, as follows: (l) 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 coufi fees for the following: - Filing papers in superior'cioufl -. - Court fee for phone hearing - Making copies and certifying copies ' Giving notice and certificates - Sheriff’s fee to give notice tSending papers t0 another coun department - Reporter’s fee for attendance at hearing or trial if the court is not electronically recording the proceeding and you request that the court provide an official reponcr - Assessment for court investigations under Probate Code section 1513, 1826, 0r 1851 ‘ ° Preparing, certifying, copying, and sending the clerk’s transcript on appeal - Holding 1n trust the deposit for a reporter' s transcript on appeal under rule 8. 130 0r 8 834 ’M ‘ '" W ° Making a transcript or copy of an official electronic recording under rule 8 835 ' ‘ " (2) D Addltlonal Fee Waiver. The court grants your request and waives your additional superior court fees and costs that are checked below (Cal Rules ofCourr, rule 3. 56) You d0 n'ot have t0 pay for the checked items > D Jury fees and expenses D Fees for a peace otifiéef t6 téstify in court D Fees for court-appointed experts D Couniappointed interpreter fees for a Witness D Other (speczfiz): Jd”|Cou'|fCal'f '. . .. ' ' gegdeepflg‘m‘gert‘ggg mgfiifi” Order on Court Fee Waiver (Superior Court) Government Code, § 68534(e) Cal. Rules of Coun, rule 3.52 FW-003, Page 1 of 3 um!- x x Filed November 16, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CV380971 By: DHarris Case Number: . Yournamez. _ i: . ‘ > ,l .‘ 7, 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 0r the court papers you filed with your original request. Ifthe papers were a notice ofappeal, the appeal may be dismissed. (1) Your request is incomplete. You have 10 days afier the clerk gives notice of this Order (see date of serviceD on next page) to: ° Pay your fees and costs, 0r ‘ 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 (Superzor Court) ’ (form FW-006).You have 10 days afier the clerk gives notice 0f this order (see date 0f service beiOw) t0: ' Pay your fees and costs in full or the amount listed 1n c below, or ~ Ask for a hearing in order to show the‘cpurt 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 g0 to court on the date on page 3 The hearing will be about the questions regarding your eligibility that are stated: D Below D 0n Attachment 4c(1) (2) D Bring the items ofproof to support your request, if reasonably available, that are listed: D Below D On Attachment 40(2) This i; q Court; ofdg'jr. ReV-Semembertzo‘a Order on Court Fee Waiver (Superior Court) FW-003u P8982 0f3 Case Number: ~ Yomnalne: 1; . ‘ 7.? . gm” i Name and address of court if different from above: Date: « .. Time: D‘eptlz I 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. [f 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: Signature of(check one): D Judicial Oflicer v _ D Clerk, Deputy 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 healing. Contact the clerk’s office for Requestfor ' ,Accommodaz’ionsby Persons With Disabilities and Response (form MC.-.410).,(Civ. Code, § 54.8.) . ~ . . u. . '. .- ‘.V-. _ .,..», ,‘ «,,....u-. I I .,:-v_ _: VI. \l, f“ l] _ “:- . _. ,wfl. u. / 14:. I“ .- .- ‘ ', q-z -. .'>...I' _ ‘ \.o - .‘H ci'e‘rk's" Cé‘r‘tiflcate‘df S'e‘w‘i‘éeé' I certify that I am not involved in this case and (check one): D Ihafided a copy 0f this Order to the party and attorney, if any, listed'in® and@, afthe cofirt, 011 the date below. D This order was mailed first class, postage paid, t0 the party and attorney, if any, at the addresses listéd in®and®, from (city): , California, on the date below. D A certificate 0f mailing is attached. Date: Clerk, by >' , Deputy Name: This is a Court Order. RBV-Sep‘emhe’1-ZO‘9 Order on Court Fee Waiver (Superior Court) FW-003: P399 3 0‘3 x November 15, 2021 Christopher G. Rudy Signed: 11/15/2021 12:11 PM November 16, 2021 SAN JOSE X DHarris Signed: 11/16/2021 11:32 AM
