Fee Waiver Order GrantCal. Super. - 6th Dist.April 28, 2021FW 0o3 Order on Cou rt Fee Waiver Clerk stamps date here when form is filed. (Superior Court) Electronically Filed ® Person who asked the court to waive court fees: by SUPerior court 0f CA, Name: Deborah Lee Brake COUMY 0f Santa Clara: - - . 7/8/2021 Street or mallmg address. 2580 Senter Road,SpC 548, Reviewed By: L Del Mundo City: san JOSG State: CA Zip: 951 1 1 case #21 cv381 136 ® Lawyer, if person in CD has one (name, firm name, address, EnveIOpe: 6638551phone number, e-mail, and State Bar number): N/A Fill in court name and street address: Superior Court of California, County of Santa Clara A request t0 waive court fees was filed 0n (date): 7/8/2921 I r“ Fm in case number and name: Lun/I Case Number: D The court made a previous fee waiver order in this case on (date): 21 CV381 136 Case Name: Read thisform carefully. All checked boxes are court orders. DiSCOVGr Bank VS. Deborah Brake Notice: The court may order you t0 answer questions about your finances and later order you t0 pay back the waived fees. If this happens and you do 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 t0 pay fees and costs, you must notify the trial court Within five days. (Use form FW-OIO.) Ifyou win your case, the trial court may order the other side to 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 0f the waived fees. The trial court may not dismiss the case until the lien is paid. After reviewing your: X] Request t0 Waive Court Fees D Request t0 Waive Additional Court Fees the court makes the following orders: a. E The court grants your request, as follows: (DE 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 do not have to 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, 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 0n appeal - Holding in trust the deposit for a reporter's transcript on appeal under rule 8.130 0r 8.834 ° Making a transcript or copy 0f 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 to pay for the checked items. D Jury fees and expenses D Fees for a peace officer t0 testify in court D Fees for court-appointed experts D Court-appointed interpreter fees for a witness D Other (specifiz): Jd"|C 'IfCI'f ', .rt.. ' ' _ Ruev'ggdsiupjgg‘gerijggfig mggiyigfgw Order on Court Fee Walver (Superior Court) FW 003’ Page 1 0f 3 Government Code, § 68634(e) Cal. Rules of Court, rule 3.52 Case Number: Your name: Deborah Lee Brake 21CV381 136 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, 0r ' File a new revised request that includes the incomplete items listed: D Below D 0n 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 after the clerk gives notice of this order (see date 0f service below) to: ' 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 to court 0n 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 of proof t0 support your request, if reasonably available, that are listed: D Below D On Attachment 40(2) This is a Court Order. ReV-Septembemm Order on Court Fee Waiver (Superior Court) FW-003, Page 2 0f 3 Case Number: Your name: Deborah Lee Brake 21 CV381 136 Hearing Q Date: Time: Date Dept: 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. If 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. Name and address of court if different from above: Date: Signature of(check one): D Judicial Oflz‘cer D Clerk, Deputy Request for Accommodations Assistive listening systems, computer-assisted real-time captioning, 0r sign language interpreter services are available if you 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): E Ihanded a copy of this Order t0 the party and attorney, if any, listed in® and® , at the court, 0n 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®, from (city): , California, on the date below. D A certificate of mailing is attached. Clerk, by , Deputy Name: Iq/l Del Mundn This is a Court Order. Order on Court Fee Waiver (Superior Court) FW-003, Page 3 of 3Rev. September ‘I, 2019