Fee Waiver Order GrantCal. Super. - 6th Dist.May 3, 2021Order on Court Fee Waiver (Superior Court) ® ho asked the court t3 waive court fees: Name: \SWBEN [Jag b l Street ormailing address:2,\5\ (1* W5\ M¥U({ C151. ‘ . _\:ggfj _______A_S,tgt:c;.CA-_-Zipz__ A _qg;:_>\‘_-_ Lawyer, if person in © has one (name,firm name, address, phone number, e-mail, and State Bar number): \ \ \\ \\ \K VJ ® A request to waive court fees was filed 0n (date): : 2,. Z -9\\ D The court made a previous fee waiver order in this case 0n (date): Read tlzisform carefully. A11 checked boxesE are court orders. JUL 0 ‘7 2021 RTIEN Clem stamps date here when form is flied. Fill in court name and street address: Superior Court of California, County of F/‘H in case number and name: case NumeEKJ/fi QM casgfigmw \/ WIS Notice; The court may order you t0 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 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 t0 pay the fees. If you settle your civil case for $10,000 0r more, the trial court will have a lien 0n the settlement in the amount of the waived fees. The trial court may not dismiss the case until the lien is paid. After reviewing your: W?) Request t0 Waive Cour! Fees the court makes the follo ' g orders: a. D The court grants your request, as follows: D Request [0 Waive Additional Court Fees“ (1) D Fee Waiver. The court grants Your request and waives your court fees and costs listed below. (Cal. Rulés beo‘urh title} 3:55am}! 8.818.) YOLI do nét Have t6 pay ihé courf feEs for the fgllgyigg:‘7 Fillng papers ‘fin supenor court - Making copies and certifying copies - Sherist fee to give notice ° Court fee for phone hearing - Giving notice and certificates ' Sending papers to another court department - Reporter’s fee for attendance at heating or trial, ifthc 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, or 1851 - Preparing, certi fying, 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 0r 8.834 - Making a transcript or copy ofan official electronic recording under rule 8.835 (2) U Additional Fee Waiver. The court grants your request and waives your additional superior court fees D Fees for court-appointed experts U Other (specifi): and costs that are checked below. (Cal. Rules ofCourr, rule 3.56.) You do not have to pay for the checked items. Jury fees and éxpenses D Fees for a peace officer to testify in court D Court-appointed interpreter fees for a witness Juu’xdal Council of California, wwwudacagov Revised September 1, 2019. Mandatory Form Guvemmanl Code. § 58634(e) Cal. Rules OICuurt. rule 3.52 Order on Court Fee Waiver (Superior Court) FW-003, Page 1 of 3 x x Filed July 8, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CV381211 By: RTien Case Number: Your name: b. D The court denies your fee waiver request because: Warning! If you miss the deadline be10w. the court cannot process your request for hearing or the court papers you filed 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 of this 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: D Below > U On Attachment 413(1) (2) [I The information you provided on the request shows that you are not eligible for the fee waiver you requested for the reasons stated: C] Below B On Attachment4b(2) The court has enclosed a blank Requestfor Hearing About Cour! Fee Waiver Order (Superxor Court) (form FW--006) You have 10 days after the clerk gives notice of this order (see date ofservice below) to: 'Pay your fees and costs in full or the amount listed m c below, or - - Ask for a hearing 1n order t0 show the court more information. (Useform FW~006 t0 request hearing.) c. (1) D The court needs more information t0 decide whether to grant your request. You must g0 to court on the date 0n page 3. The hearing will be about the questions regarding your eligibility that are stated: El Below D On Attachment 4c(1) (2) D Bring the items ofproof t0 support your request, if reasonably available, that are listed: D Below D On Attachment 4c(2) This is a Court Order. Revfiepmmbe'tzo‘g Order on Court Fee Waiver (Superior Court) FW-003. Page 2 0f3 v Case Number: Your name: Hearing Date: Time: Date Dept: Room: Name and address ofcourt ifdifferent from above: Warning! If item 0(1) is checked, and you do not go to court 0n your hearing date, the judge will deny your request t0 waive coun fees, and you will have 1O 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 0f appeal. the appeal may be dismissed. Date: Signature of(clzeck one): D Judicial Oflher 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): .D Ihanded a COpy ofthis Order to 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, ifany, at the addresses listed in®aud@, from (city). _ ,Califomia, on the date below" _ _ __ _D_ Agnificate,,o£mailingiaattached Date: Clerk, by , Deputy Name: This is a Court Order. Order on Court Fee Waiver (Superior Court) FW-003. PageS of3Rev‘ September ‘l. 20 1 9 Signed: 7/7/2021 03:14 PM x SAN JOSE JULY 8 2021 R. TIEN