Fee Waiver Order DenyCal. Super. - 6th Dist.April 19, 2021| Y. CHAVEZ ‘JUL 03, 2021 Order on Court Fee Waiver Clerk stamps date here'when formis filed. ~ _» (Superior Court) Person who asked the court to waive court fees: Name: V Ml CH%L T LIE . Street 0r mailing gddress: ‘32 ['3 ALSKCC Car City: WRDSQ State: C44- Zip: C(S-IBS Lawyer, if person in ® has one (name film name address phone number e-mail and Stare Ba) number). Fill in court name and streer address: Superior Court of California, County of Q1 J First 8tSan J°°° CA 95113 Fill in case numberand name:A request to waive court fees was filed 0n (dare): Case Number: D The court made a previous fee waiver order in this case on (dare): Z!0V 5 3) Cibq Case Name: Read thisform carefully. All checked boxes Mare court orders. Notice. The court may order you t0 answer questions about your]finances and later order you t0 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. Ifthcre is a change 1n yourlfinancial 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-01 0) 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 0fthe waived fees. The trial court may not dismiss the case until the lien is paid. After reviewing your: D Request r0 Waive Court Fees D Request t0 Waive Ada’irional Cour! Fees the court makes the following orders: a. D The court grants your request, as follows: (1) D Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules ofCourr, rules 3.55 and 8.818.) You do 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 - Sheriff‘s fee to give notice - Sending papers to another court department ° Reponer’ s fee for attendance at hearing or trial, ifthe court is not electronically recording the proceeding and you request that the court provide an official reporter 4‘ - 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 ofan officiaI electronic recording under rule 8.835 (2) U Additional Fee Waiver. The court grants your request and waives your additional superior court fees and costs that are checked below. (Cal Rules ofCourr, rule 3. 56.) You do not have t0 pay for the checked items. T D Jury fees and expenses D Fees for a peace officer to téstity in court D Fees for court-appointed experts D Court-appointed interpreter fees for a witness D Other (specify). ' | Revised September 1, 2019. Mandaiory Form Gavemment Code‘ § 6863.4(8) J"mdalc°“m'°'°a'”°”“a'W””“‘-“9°V Order on Cou'rt Fee Waiver (Superior Court) ' FW-003. Page1 ofs Caanesofccmruae 3.52 ' ' Filed July 19, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CV381469 By: ychavez ’ Case Number: Your name: ' . b. D The court denies your fee waiver reques't because: Warning! lf you miss the deadline below. the court cannot pro cess your request for hearing 0r the court papérs you filed with your original requesL Ifthe papers were a notice 0f appeal. [he appeal may be dismissed. - (1) D Your request is incomplete. You have 10 days afier the clerk gives notice ofthis Order (see date of service on next page) to: ‘ - Pay your fees and costs, 0r ‘ File a new revised‘request that in'cludes the incomplete items listed : [:1 Below D On Attachment 4b(1) (2) D The information you provided 0n the request'shows that you are not eligible for the fee waiver you requested forthe reasons stated: D Below D On Attachment 4b(2) The court has enclosed a blank Requestfiar Hearing/Ibout Co urt Fee Waiver Order (Szperioi‘ Court) (form FW-00>6).You have 10 days after the clerk gives notice 0fthis érder (see date ofsérvice below) to: ‘ Pay your feles'and costs in full 0r the amount listed' in c below, 0r I - Ask for a hearing in order to show the court more information. (Useform FW-006 r0 request hearing.) c. (I) D The court needé more information to decide whether to grant your request. You must go t 0 court on the date on page 3. The hearing will be about the questions regar ding your eligibility that'are stated: D Below D On Attachment 4c( 1) (2) D Bring the items ofproofto support your request, if reasonably available, that are listed: D Below D On Attachment 40(2) REV~SEP‘ember‘-ZO‘9 Order on Court Fee Waiver (Superior Court) FW-003. Page 2 0f3 a 401(k) plan Your income and expense statement shows that you are making payments to XX XX XX 5: Case Number: Your name: Name and address ofcourt ifdifferent from above: Hearing Date: Time: ’ IData Dept; Room: V g Warning! If item (3(1) is checked, and you do not g0 t0 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 appeat, the appeal may be dismissed. . - Date: Signmure of(c‘/leck one): D Judicia/ Officer D j Clerk. Deputy Request for Accommodations Assistive listening systems, computer-assisted real-time captioning. 0r sign language interpreter sefvices are available ifyou ask at {east five clays before the hearing. Contact the clerk’s office for Requestfor l I Acconmzodaifons by Persons WM Disabiliries and Response (form M0410). (Civ. Code, § 54.8.) Clerk's Certificate of Service I certify that I am not involved in this case and (check one): D I handed a copy ofthis Order t0 the party and attorney, ifany, listed in® and@, at the court, 0n the date below. D This order was mailed first class, postage paid, t0 the party and anomey, ifany, at the addresses listed in®and (2), from (city): ' ,CaIifomia, on the date below. [j A certificate ofmailing is attached. Date: Clerk, by , Deputy Name: l Order on Court Fee Waiver (Superior Court) , ‘ FW-003. Page 3 ofa .‘r‘uJ-r» -' ‘ Iiii'E-‘as-a-‘c unwderm.f-ur-‘uu-I i ' git; - Rev, September ‘I. 2019 11 July 2021 Socrates Peter Manoukian XX Signed: 7/11/2021 09:56 AM July 19, 2021 July 19, 2021 SAN JOSE ychavezyc avez X
