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Application For Refund Of Fees Order Thereon G-124 - California

Application For Refund Of Fees Order Thereon Form. This is a California form and can be used in General USDC Central Federal .
 Fillable pdf Last Modified 1/20/2014
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UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA CASE NUMBER v. PLAINTIFF(S) APPLICATION FOR REFUND OF FEES; ORDER THEREON DEFENDANT(S) Please complete all fields in Section I. If you are requesting a refund of fees paid online using pay.gov, also complete Section II. Then electronically file the completed form using the Application for Refund of Fees event in CM/ECF. SECTION I Name of Applicant: Amount Paid: Requested Refund Amount Transaction Date: Receipt Number: (If paid by cash/check only) $ $ Document Title and Docket #: Reason for refund request: Duplicate or unnecessary payment submitted Overpayment of a required filing fee Pro hac vice application denied Other: SECTION II (Complete only if you are requesting a refund of fees paid online using pay.gov. This information can be found in the pay.gov screen receipt or confirmation email.) Account Holder Name: Pay.gov Tracking ID: Agency Tracking ID: For Court Use Only Fiscal Department Refund issued Application referred to United States District/Magistrate Judge for ruling; it is recommended that the Application be: GRANTED DENIED pursuant to the policy of the Judicial Conference of the United States (Guide to Judiciary Policy, Vol. 4, Chap. 6, ยง 650) G-124 (01/14) IT IS ORDERED that the application for refund of fees is: GRANTED DENIED United States District/Magistrate Judge APPLICATION FOR REFUND OF FEES; ORDER THEREON American LegalNet, Inc. www.FormsWorkFlow.com
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