Arizona > Statewide > Fee Waiver And Deferral
Order On Supplemental Application After Hearing - Arizona
| Order On Supplemental Application After Hearing Form. This is a Arizona form and can be used in Fee Waiver And Deferral Statewide . |
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(COURT'S JURISDICTIONAL NAME AND ADDRESS HERE) Case Number: Name of Petitioner/Plaintiff. ORDER ON SUPPLEMENTAL APPLICATION (AFTER HEARING) Name of Respondent/Defendant. A SUPPLEMENTAL APPLICATION WAS FILED AND A HEARING WAS HELD ON (date) _________________. Applicant did not appear [ ] Applicant appeared [] THE COURT FINDS that the applicant (print name) [] : [] [] IS ELIGIBLE FOR A WAIVER because [] The applicant is permanently unable to pay. [] The court exercises its discretion to grant a waiver as necessary and appropriate. (A.R.S. § 12-302(L)) OR IS ELIGIBLE FOR FURTHER DEFERRAL of fees and costs. (Court must establish a schedule of payments.) [] The applicant has shown good cause for further deferral. [] The court exercises its discretion to grant a further deferral as necessary and appropriate. (A.R.S. § 12-302(L)) OR IS NOT ELIGIBLE FOR A WAIVER OR FURTHER DEFERRAL of fees and costs. IT IS ORDERED: (Check all boxes that apply) [] [] WAIVER IS GRANTED for unpaid fees and costs in the amount of $ . WAIVER IS DENIED. The applicant does not meet the financial criteria for waiver because . A waiver MUST BE granted upon proof that applicant is permanently unable to pay. FURTHER DEFERRAL IS GRANTED for unpaid fees and costs in the amount of $ . (date). [] The applicant shall pay the entire amount due by OR each (week, month etc.) until paid in full, [] The applicant shall pay $ beginning . FURTHER DEFERRAL DENIED because the applicant has not demonstrated good cause or it is not necessary or appropriate under A.R.S. § 12-302(L). APPLICATION DENIED: Your application is incomplete because [] [] [] You are encouraged to submit a complete application before a consent judgment is entered against you. RIGHT TO HEARING. Unless a waiver is granted, you may request a hearing for a review of this order. The request must be made within twenty (20) days of the day this order was mailed or handed to you in court. No action for nonpayment of fees and costs will be taken until the hearing is held. Revised December 2010 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com If you do NOT request a hearing, full payment is due within twenty (20) days from the day this order was mailed or handed to you in court. If full payment is not made within the time stated, a consent judgment may be entered against you for any amounts unpaid. DATED: [ ] Judicial Officer [ ] Special Commissioner Revised December 2010 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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