Idaho > Local District Court > 3rd Judicial District > Divorce
Verified Application For Filing Fee Waiver - Idaho
| Verified Application For Filing Fee Waiver Form. This is a Idaho form and can be used in Divorce 3rd Judicial District Local District Court . |
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___________________________________, Pro Se Plaintiffs Name ___________________________________ Address ___________________________________ Zip _______________________ Phone IN THE DISTRICT COURT OF THE THIRD JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF _________________ _______________________________________ ) ) CASE NO. CV-__________________ __________________________________, ) Plaintiff, ) VERIFIED APPLICATION FOR -vs- ) FILING FEE WAIVER ) ) __________________________________, ) Defendant. ) _______________________________________) COMES NOW THE PLAINTIFF WHO APPLIES AS FOLLOWS: 1. The plaintiff requests permission under Rule 10(a)(6) of the Idaho Rules of Civil Procedure to file an action for divorce without the requirement of paying a filing fee. 2. The reason for this application is because the plaintiff is without the necessary funds to pay the filing fee for a divorce action at this time. 3. In support of this application, the plaintiff provides the following information to the court about the plaintiffs costs to live, including the support of any children: VERIFIED APPLICATION FO R FILING FEE WAIVE R Page 1 of 3 <<<<<<<<<********>>>>>>>>>>>>> 2 ITEM COST PER MONTH a. Housing $__________ b. Food $__________ c. Utilities $__________ d. Medical, dental, eye care $__________ e. Day care $__________ f. Transportation $__________ g. Clothing $__________ h. Other debt requirements _____________________________________________ $__________ _____________________________________________ $__________ _____________________________________________ $__________ _____________________________________________ $__________ _____________________________________________ $__________ _____________________________________________ $__________ _____________________________________________ $__________ _____________________________________________ $__________ TOTAL OF ALL EXPENSES LISTED $__________ 4. The plaintiff is obligated to pay the full amount of the expenses listed above. 5. The sum total of all income from every source available to the plaintiff including, but not limited to, wages, salary, commissions, bonuses, rent, royalties, trade or business income, interest, dividends, pensions, annuities, social security, workers compensation, veterans VERIFIED APPLICATION FO R FILING FEE WAIVE R Page 2 of 3 <<<<<<<<<********>>>>>>>>>>>>> 3 benefits, public assistance, welfare benefits, alimony, grants, distributions from trusts, and gifts is $__________ DATED this ________ day of _________________________, __________. _________________________________ Plaintiff STATE OF IDAHO ) : ss County of __________________) _______________________________, being duly sworn, deposes and says that: (typed name of Plaintiff) she/he is the plaintiff and applicant for a filing fee waiver in a proposed divorce action in the Third Judicial District of the State of Idaho, she/he has read the foregoing Verified Application for Filing Fee Waiver, and has personal knowledge that the facts stated therein are true. _________________________________ Plaintiff SUBSCRIBED AND SWORN TO before me this ____ day of ________________, ______ _________________________________ NOTARY PUBLIC FOR IDAHO Residing at: My commission expires: VERIFIED APPLICATION FO R FILING FEE WAIVE R Page 3 of 3
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