Fee Waiver Order GrantCal. Super. - 6th Dist.April 30, 2021. Order on Court Fee Waiver .Clenk stamps date here when form is filed.FW-003 (Superior Court) ' ® Person who asked the court to waive court fees: F l l F f“) N81116: SheilaM Tosado I Street 0r mailing address: 530 walzer way, Apt, 111 Hm WIY 28 * A 81 Ur‘ EU City: San Jose State: CA Zip: 95136 CUM, K T wuwacw I l x ~ I I V «UH. fink, C01,"; ‘F C‘® Lawyer, if person in CD has one (name,fimz name, address, f[;;_-= T13 - 2 »- a téUfl’T-kphone number, e-mail, and State Bar number): "J Fill in court name and street address: Superior Court of California, County of Supefiosm Civil Diviam £91 N. "First St. 32m Twat Ca 951 13 ® A request t0 waive court fees was filed 9n (date): MAY 2 8 2025 me wee number and name:Case Number: D The court made a previous fee waiver order in this case on (date): 21CV381 181 Case Name: Read thisform carefully. AI! checked boxesE are court orders. UNWVW CCE- LLL U- Q&Ala Mffisai? Notice: The court may order you to answer questions about your finances and later order you to pay back the waived fees. Ithis 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 to 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. Ifyou settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in the amount 0f the waived fees. The tn'alfcourt may not dismiss the case until the lien is paid. Afier reviewing your: w Request to Waive Court Fees D Request to Waive Additional Court Fees the court makes the following orders: a gigourt grants your request, as follows: (l) Fee Waiver. The coufi 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 court fees for the following: ° Filing papers in superior court ° Court fee for phone hearing ° Making copies and certifying copies ° Giving notice and certificates ° Sheriffs fee to give notice - Sending papers t0 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 ofiicial reporter - Assessment for court investigations under Probate Code section 15 I 3, 1826, or 1851 - Preparing, certifying, copying, and sending the clerk’s transcript on appeal 0 Holding in trust the deposit for a reportel’s transcript on appeal under rule 8.130 or 8.834 - Making a transcript or copy of an official electronic recording under rule 8.835 (2) 1:] 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 do not have to pay for the checked items. D Jury fees and expensfl D Fees for a peace officer to testify in coun D Fees for court-appointed experts D Court-appointed interpreter fees for a witness D Other (specifii): figgcstgflgfif‘gfijmmw Order on Court Fee Waiver (Superior Court) FW-003. Page 1 of 3 Government Code. § 68634(e) Cal. Rules o! Court, rufe 3.52 Case Number: Your name: SheilaM Tosado ?\CV3B“8 \ b. D The court denies your fee waiver request because: Warning] If you miss the deadline below. the court mnnot prodess your request for hearing or the court papers you filed w‘rth your original request. If the papers were a notice of appeal. the appeal may be dismissed. (1) Your request is incomplete. Yo‘u have 10 days afier the clerk gives notice ofthis Order (see date of service D on next page) to: - Pay your fees and costs, or ° File a new revised request that includes the incomplete items listed: [:1 Below D On Attachment 4b(1) (2) D The information you provided on 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 ofthis order (see date of 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 to request hearing.) c. (1) D The comt needs more information to decide whether to grant your request. You must go to 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 0fproof to support your request, if reasonably available, that are listed: D Below D On Attachment 4c(2) This is a Court Order. RBV-Sepiembermw Order on Court Fee Waiver (Superior Court) FW-003, Page 2 0f 3 Case Number: Your namez4 SheilaM Tosado ’7-\QL?791\8\ I Hearing I 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 10 days t0 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 Name and address of court if different fi'om above: dismissed. L. QUACHM ac \ Date: MAX 2 8 2021 Signature of(check one): D Judicial Ofiicer M 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. 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 CFI‘tify that I am not involved in this case and (check one): m [handed a copy of thjs Order to the party and attorney, if any, listed in® and® , at the court, on 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 ofmailing is attached. D t: HQ! ZB‘ZIIZ]ac Ltmcn RCELLANA Clerk, by ’ Deputy Name: This is a Court Order. 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