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Statement Of Trust Fund Account (Prisoner Application For In Forma Pauperis Status) - Idaho
| Statement Of Trust Fund Account (Prisoner Application For In Forma Pauperis Status) Form. This is a Idaho form and can be used in District Court Federal . |
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_______________________________________ (full name/prisoner number) _______________________________________ _______________________________________ _______________________________________ (complete mailing address) Plaintiff/Petitioner UNITED STATES DISTRICT COURT FOR THE DISTRICT OF IDAHO __________________________________, (full name) Plaintiff/Petitioner, Case No. (to be assigned by Court) v. STATEMENT OF PRISONER TRUST FUND ACCOUNT ____________________________________ ____________________________________ ____________________________________ ____________________________________ Defendant/Respondent. (if you need additional space, use a blank page for a continuation page) . I certify that ____________________________, Plaintiff/Petitioner named herein, has the sum of $____________________ on account to his/her credit at the ____________________ __________________________________ where he/she is confined. I further certify that the attached is a true and correct copy of the above-named Petitioner's trust fund account statement for the six-month period immediately prior to filing. DATED this ____ day of ________________________, ________. ___________________________________ Authorized Officer of Institution STATEMENT OF PRISONER TRUST FUND ACCOUNT - 1 (Rev. 10/24//2011) American LegalNet, Inc. www.FormsWorkFlow.com
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