Fee Waiver Order GrantCal. Super. - 6th Dist.May 3, 2021Order on Court Fee waiver Clerkstamps date here when form is filed. (Superior Court) ® Person who asked the court to waive court fees: Name‘ 7AM“ Nb} quuem Streetor mailing addyess: [550 OQBM REA ?mLSpCfi MAY fl 3 2021 City: 50m 7103;; State: nA Zip= 6151/2 Sumgfigo qf£$m,a BY DEPUTY® Lawyer, if person in ® has one (name.firm name, address,phone number, e-mail, and State Bar number): Fill in court name and street address: Superior Court of California, County of SANTA CLARA 191 NORTH FIRST STREET SAN JOSE, CA 951 13 Fill in case number and name:® A request to waive court fees was filed 0n (dare):MAY fl 3 202? Gas m I" D The court made a previous fee waiver order in this case on (dare): W E V3 8 1 1 8 4 Case Name: Read thisform carefully. All checked boxes Mare court orders. Notice: The court may order you to answer questions about your finances and later order you t0 pay back the waived fees. If this happens and you d0 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 c0urt 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 0n the settlement in the amount 0fthe waived fees. The trial ceurt may not dismiss the case until the lien is paid. Afier reviewing your: E Request t0 Waive Court Fees D Request to Waive Additional Court Fees the court makes the following orders: ‘ a. @I The court grants your request, as follows: (1) 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 reponer - Assessment for court investigations under Probate Code section 1513, 1826, or 1851 - Preparing, certifying, copying, and sending the clerk’s transcript on appeal - Holding in trust the deposit for a reporter'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) El 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 t0 pay for the checked items. D Jury fees and expenses D Fees for a peace officer to testify in court D Fees for court-appointed experts D Court-appointed interpreter fees for a witness D Other (speczfil): “dida‘cmnd'mca'mmi W-mmag“ Order on Court Fee Waiver (Superior Court) FW'003s P3991 0‘3Revised Sepiernber 1, 2019. Mandatory Form Govemmenl Code. § 58634(e) Cal. Rules of CourL rule 3.52 ,2 Case Number: Your name: b. D The coun 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 fired with your original request lfthe 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 0fthis Order (see date of service D on next page) to: I- Pay your fees and costs, 0r 4' File a new revised request that includes the incomplete items listed: D 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 0fthis order (see date of service below) to: ' Pay your fees and costs in full or the amount listed in c below, 0r - Ask for a hearing in order to show the court more information. (Useform FW-006 to request hearing.) c. (1) D The court needs more information t0 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 4c(1) (2) U [Bring the items of proofto support your request, if reasonably available, that are listed: D Below U On Attachment 40(2) This is a Court Order. RWSBD‘BmW‘ng Order on Court Fee Waiver (Superior Court) “”003: Page 2 0‘3 ’2' Case Number: Your name: Name and address of court ifdifferent from above: Date: Time: I Heafing _ Date ' 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 1O days to pay your fees. 1f you miss that deadline, the court cannot process the court papers you filed with your request. If the papers were a notice 0f appeal. the appeal may be dismissed. Dept; Room: Date: MAY fl 3 ZflZi M1 1 :AMNA PHAM Signature of(clzeck one): D Judicial OfiEPF-“um 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 certify thatI am not involved in this case and (check one): fl I handed a copy of this Order t0 the party and attorney, if any, listed in© and@, at the court, on the date below. D This order was ailed fiQcIass, postage paid, to the party and attorney, ifany, at the addresses listed in®and®, from (airy): g”? ’10 , California, on the date below. D A certificate 0f r‘fiailing is attached. DataflUa-ZW- Clerk, by lM a DePUtY Name: l cAMNA PHAM . Lb“. v. This is a Court Order. RWSBP‘QW'W‘Q { Order on Court Fee Waiver (Superior Court) FW-003: Page 3 0'3