Affidavit And Authorization For Withdrawal From Inmate Account

AFFIDAVIT IN SUPPORT OF REQUEST TO PROCEED IN FORMA PAUPERIS; AUTHORIZED WITHDRAWAL FORM; CERTIFIED AFFIDAVIT OF INMATE ACCOUNT STATUS. This form is used in the United States District Court for the Northern District of Georgia by incarcerated individuals who seek to proceed in forma pauperis under 28 U.S.C. § 1915. This form supports a request to proceed without prepayment of filing fees by requiring the inmate to disclose detailed financial information, including employment history, income sources, assets, and dependents. By signing the authorization section, the inmate consents to withdrawals from their inmate trust account to pay court filing fees as required by law. The form also includes a certified affidavit of inmate account status, which must be completed by an authorized institutional officer and accompanied by a certified six-month account statement. Accurate completion is required for the court to assess filing fee obligations. www.FormsWorkflow.com