Minnesota > Statewide > District Court > In Forma Pauperis
Supplemental Affidavit For Proceeding In Forma Pauperis IFP-103 - Minnesota
| Supplemental Affidavit For Proceeding In Forma Pauperis Form. This is a Minnesota form and can be used in In Forma Pauperis District Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
State of Minnesota County Judicial District: Court File Number: Case Type: General District Court Petitioner vs. Supplemental Affidavit for Proceeding In Forma Pauperis (Minn. Stat. ยง 563.01) Respondent STATE OF MINNESOTA COUNTY OF ) ) SS ) (County where Affidavit signed) 1. 2. I am a party in this action and make this request in good faith. (Check one of the following:) An order allowing me to proceed in forma pauperis without paying filing fees, service and publication fees, and copy fees has previously been issued in this case. Or I have completed and attached an "Affidavit for Proceeding In Forma Pauperis." 3. I am asking for an order directing the payment of the following costs by the state courts proper governing body: Witness/expert witness for: a. Trial Deposition Name and address of witness: I expect this witness to provide the following evidence or testimony (please give a general description): IFP103 State ENG Rev 5/06 www.courts.state.mn.us/forms Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com I estimate the costs for this witness to be: Subpoena $ Service Fee $ Mileage $ Attendance Fee $ $ Other b. Transcript expenses: Date of hearing, trial or deposition: I need a copy of this transcript for the following reasons: I estimate the costs of obtaining this transcript to be: Court reporter fees $ Copy fees $ Other; $ c. Other expenses: These expenses are necessary because: Estimated costs: $ Dated: Signature (Sign only in front of notary public or court administrator.) Name: Sworn/affirmed before me this day of Notary Public \ Deputy Court Administrator Address: , . City/State/Zip: Telephone: ( ) IFP103 State ENG Rev 5/06 www.courts.state.mn.us/forms Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com
|
|||||||
