Fee Waiver Order GrantCal. Super. - 6th Dist.April 26, 2021\‘L- _ W City_:_‘<_C}W M c_a“-uW_ASI§%“hZipCLSH_\__i _ , k__ H Order on Court Fee WaiVer I Clerk stamps date here when form is flied. (Superior Court) Person who asked the court to waive court fees: A f: ‘CD 5 ELEDName(‘3“WW 0mg . Street or mailing address: 6\\,\S 93km Cuflbmn l 257' AUG '8 ; p ’2 2% 6;} :9F (LEQR 0F TH Em 000RQ v > t Lawyer, if person in (D has one (name,firrn name, address, C‘ é KM; Ca”? O whukg“ r , I . 1 1 phone number, e-mail, and State Barnumber): 3‘, WHQM§\~ ' Fill in court flame anH ‘sfreel‘é‘dfiess: Superior Court of California, County of . rim Court ' CivilDivision , 191 N First St. w ___________________ _ _ Sm Jose. pa 95“3 © A request to waive court fees was filed on (date).@\ @\ Z \ F’H'" case "“mberand ”ame'_- Case Number: D The court made a previous fee waiver order 1n this case 0n (date): 8A Cu r88 \ 02% Case Name: Read thisform carefidly. All checked boxes Mare court orders. Notice: The court may order you to answer questions about your finances and later order you to pay back the waived fees Ifthis happens and you do not pay, the court can make you pay the fees and also charge you collection fees. Ifthere is a change 1n your financial circumstances during this case that Increases your ability t0 pay fees and cogs, 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 or more, the trial court will have a lien on the settlement 1n the amount of the waived fees The trial court may not dismiss the case until the lien ls paid. After reviewing your; Request ta Waive Court Fees Wequest t0 Waive Additional Court Fees thegurt makes the followi g orders: 0U a. g(wurt grants your request, as follows: ’ (1) Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules 0fC0urt, rules 3.55 and 8.81 8.) 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 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 reporter - Assessment for court investigations under Probate Code section 1513, 1826, 0r 1851 - Preparing, certifying, copying, and sending the clerk’s transcript on appeal - Holding in trust the: deposit for a reporter's transcript 0n appeal under rule 8.130 or 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 arc checked below. (Cal. Rules ofCourt, 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 U Fees for court-appointed experts U Court-appointed interpreter fees for a witness D Other (speczfv): gifigggfiggggfij‘g’gfi$$$$$an Order on Court Fee Waiver (Superior Court) FW-003, Pagei of 3 Government Code. § 63634(e) CaLRules of Coun, rule 3‘52 Case Number: Your name: b. D The com denies your fee waiver request because: Warning! ifyou miss the deadiine below. the court cannot process your request for hearing 0r the court papers you filed with your original request. If the papers Were a notice of appeal. the appeal may be dismissed. I (1) Your request is incomplete. You have 10 days aficr the clerk gives notice of this Order (see date of service D ~ J M ; 0n next page) t0: . ' 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 Hearing About Court Fee Waiver Order (Superior Court) (form FW-006).You have 10 days afier the clerk gives notice of this order (see datc'ofservice below) t0: ' Pay your fees and costs in full or the amount listed in c below, or r o Ask for a hearing in order to show the Court more information. (Useform FW-006 to request hearing.) - c. (1) U The court needs more information to decide whether to grant your request. You must go to court on the date 0n page 3. The hearing will be about the questions regarding your eligibility that are stated: D Below D On Attachment 40(1) (2) D Bring the items 0f proof to‘suppowrt your request, if reasonably available, that are listed: E] Below D On Attachmenf 40(2) , hils is a Célirt‘ Qidéf. RBV-Septembermw Order on Court Fee Waiver (Superior Court) FW-003: P8962 0f3 é? .41 Case Number: Your name: Hearing , Date: ‘ Time: Date Dept: Room: Name and address of court ifdifferent from above: Warning! 1f item 0(1) is Checked. and you do not go to court 0n your hearing date, thejudgewill 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. 1f the papers were a notice of appeal, the appeal may be 'dismissed. l . I L QUAC - Date: Elle I 8 2921 ‘ Signature af{check one): D Judiciai Ojficer U 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 hearing. Contapt the clerk’s office for Reqzrestfor Accommodations by Persons With Disabilities and Response (form MC-410). (Civ. Code, § 54.8.) Clerk's Certificate of Service gfify thatI am not involved 1n this case and (check one). . handed a copy of this Order to the party and attorney, if any, listed 1n® and®, at the court, on the date below. and@,D This order was mailed first Class, postage paid, to the party and attorney, if any, at the addresses listed 1n from (city): , California, on the date below. D A certificate ofmailing is attached. ' Date: AUG 1 8 '20” L_Q CH Clerk, by , Deputy Name: ”his is' a C'otirt Order: “eV-Sepwmwm” Order on Court Fee Waiver (Superior Court) I FW-003- P8993 0f3