Fee Waiver Order GrantCal. Super. - 6th Dist.May 3, 2021Order on Court Fee Waiver (Superior Court) Person who asked the court to waive court fees: LAIOW LEO $ Streetor mailing address: Z70 pans ME; Ciryzmrlu jam) State: CA, Zip: qqo (43 Lawyer, if person in ® has one (name,firm name, address, Name: Clerk stamps date here when form is med. HEE AUG 1 8 2021 mGlerk of the foamCA Counly {Santa Cfara BYup DEPUTY RYAN NGUYEN® phone number, e-mail, and Smte Bar number): Fi/l in coud name and street address: Superior Court of California. County of Santa Clara 191 N First Street San Jose, CA 95113 (408) 882-2100 Fill in case number and name:® A request t0 waive court fees was filed 0n (date): 3! l8! 9.. l B The court made a previous fee waiver order in this case 0n (dare): Case Number:va 32\251+ Case Name: Read thisform carefizlly. All checked boxesE are court orders. Notice: The court may order you t0 answer questions about your finances and later order you to pay back the waived fees. 1fthis happens and you d0 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 coun within five days. (Use fonn FW-O 10.) Ifyou win your case, the trial court may order the other side t0 pay the fees. Ifyou settle your civil cas or $10,000 0r more, the trial court will have a lien on the settlement in the amount 0fthe waived fees. The trial co may not dismiss the case until the lien is paid. ®a After revie ing your E/Requesr :0 Waive Court Fees D Request t0 Waive Additional Cour: Fees the cou mak the following orders: The urt 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 d0 not have to pay the court fees for the following: - Filing papers in superior court - Court fee for phone hearing ° Making cepies and certifying copies o Giving notice and certificates ' Sheriff’s fee to give notice v - Sending papers to another court department - Reporter’s fee for attendance at hearing or triaI, ifthe 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 15 13, 1826, or 1851 - Preparing, certifying, copying, and sending the clerk’s transcript 0n appeal - Holding in trust the deposit for a reponer's transcript on appeal under rule 8. 130 or 8.834 - Making a transcript or copy ofan 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 do not have t0 pay for the checked items. D Jury fees and expenses D Fees for court-appointed experts D Other (specgfv): D Fees for a peace officer to testify in court D Court-appointed interpreter fees for a witness Judldal Council o! California, www,couds.ca.gov Refised Seplember 1. 2019. Mandatory Form Government Code. 5 65634(e) CaL Rules o! Court rule 3,52 Order on Court Fee Waiver (Superior Court) FW-003. Page 1 °f3 Case Number: Your name: b. D The court denies your fee waiver request because: Warning! If you miss lhé deadline below, the coud cannot processyour request for hearing or the court papers yOUIfiled with your original request 1f the papers were a notice of appeal the appeal i‘nay be dismissed. (1) Your request is incomplete. You have 10 days afier the. clerk giyes notice 0fthis Order (see date ofsarvice D On 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 ydu 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 413(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 ofthis order (see date ofservice below) t0. 'Pay your fees and costs in full or the amount listed m c below, 0r - Ask for a hearing 11'1 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 go to court 0n the date on page 3. The hearing will be about the questions regarding your eligibility that are stated. D Below D On Attachment 40(1) (3) D Bring the items gfproof t0 support your request, ifreasonably available, that are listed: D Below D On Attachment 40(2) Rev‘sw‘ambe'tm‘g Order on Court Fee Waiver (Superior Court) FW-003, Page 2 0'3 .u‘ fl «- Case Number: Your name: Hearing Date: Time: Date Dept: Room: Warning! If item c(1) is checked. and you d0 not go to court 0n your hearing date, the judge will deny your request to waive court 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 of appeal. the appeal may be Name and address ofcourt ifdifferent from above: dismissed. Date: AUG l g 2021 Q’Q / V Signature of(dtcck one): D Judicial Oficer 8/ Clerk. Depury RYAN NGUYEN Request for Accommodations .. Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services ' are available ifyou ask at least five days before the hearing. Contact the clerk’s office for Requestfor ",- Accommodations by Persons With Disabilities and Response (form MCAIO). (Civ. Code, § 54.8.) Clerk's Certificate of Service I ce ' that I am not involved in this case and (check one): I handed a copy of this Order to the party and attorney, ifany, listed in (D and@, at the court, on the date below. D This order was mailed first class, postage paid, to the parry and attorney, ifany, at the addresses listed in®and®, from (city): , California, on the date below. U A certificate ofmailing is attached. Date: AUG I 8 2023 Clerk, by QM , Deputy Name: RYAN NGUYEN Rev. Se plumber 1‘ 20 1 9 Order on Court Fee Waiver (Superior Court) FW-003. Page 3 of3