Order On Application For Waiver Of Additional Court Fees And Costs (Fee Waiver) {FW-004} | Docx | California

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Order On Application For Waiver Of Additional Court Fees And Costs (Fee Waiver) {FW-004} |  Docx | California

Order On Application For Waiver Of Additional Court Fees And Costs (Fee Waiver) {FW-004}

This is a California form that can be used for Fee Waiver within Judicial Council.

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COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): Index No. Calendar No. FOR COURT USE ONLY FW-004 : : : : : TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO.: Plaintiff(s) JUDICIAL SUBPOENA -against- SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: Defendant(s) : . BRANCH NAME:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: ORDER ON APPLICATION FOR YORK THE PEOPLE OF THE STATE OF NEW WAIVER OF ADDITIONAL COURT FEES AND COSTS (Cal. Rules of Court, rule 3.62) CASE NUMBER: TO 1. The application was filed on (date): A previous order was issued on (date): 2. The application was filed by (name): in part (complete item 4 below). 3. in whole IT IS ORDERED that the application is granted a. No payments. Payment of all the fees and costs listed in California Rules of Court, rule 3.62, is waived. b. Applicant shall pay all the fees and costs listed in California Rules of Court, rule 3.62, EXCEPT the following: GREETINGS: (1) (5) Court-appointed experts. Jury fees and expenses. (2) Court-appointed that all business and excuses being laid aside, you costseach of you attend before (6) Other fees and and (specify): WE COMMAND YOU,interpreter for witnesses. Witness fees of peace officers. (3) , the Honorable at the Court (4) Reporter's fees (beyond 60 days). located at County of in c. Method of payment. Applicant shall pay all the fees20 costs when charged, EXCEPT as follows: and at any recessed room , on the day of , and , at o'clock in the noon, (1) Pay (specify): percent. or adjourned date, to testify and give evidence as a witness in this action on the part of the Pay: $ (2) per month or more until the balance is paid. d. The clerk of the court, county financial officer, or appropriate county officer is authorized to require the applicant to appear before and be examined by the court no sooner than four months from the date of this order, and not more than once in any four-month period. Your applicantto comply to appear for the court's punishable as a contempt of court and will make you liable to The failure is ordered with this subpoena is review of the applicant's financial status as follows: The clerk is directed to mail a copy of this order only to the applicant's attorney or to the applicant if not represented. e. f. All unpaid fees and costs shall be deemed to be taxable costs if applicant is entitled to costs and shall be a lien Witness, Honorable , one of by Justices of the on any judgment recovered by the applicant and shall be paid directly to the clerk thethe judgment debtor upon Courtsuch recovery. County, in day of , 20 in whole in part IT IS ORDERED that the application is denied for the following reasons (see Cal. Rules of Court, rules 3.50­3.63): a. Monthly household income exceeds guidelines (Gov. Code, § 68511.3(a)(6)(B); form FW-001-INFO). Other (Complete line 4b on page 2). b. (Attorney must sign above and type name below) c. The applicant shall pay any fees and costs due in this action within 10 days from the date of service of this order or any paper filed by the applicant with the clerk will be of no effect. d. The clerk is directed to mail a copy of this order to all parties who have appeared in this action. IT IS ORDERED that a hearing be held. a. The substantial evidentiary conflict to be resolved by the hearing is (specify): b. Applicant should be present at the hearing to be held as follows: Date: c. The address of the court is (specify): Same as above d. The clerk is directed to mail a copy of this order only to the applicant's attorney or to the applicant if not represented. Date: Form Adopted for Mandatory Use Judicial Council of California FW-004 [Rev. January 1, 2007] the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Date: Time: Dept.: Room: result of your failure to comply. 4. 5. Attorney(s) for Time: Dept.: Office and P.O. Address Room: Telephone No.: Facsimile No.: JUDICIAL OFFICER (Clerk may GRANT in full a nondiscretionary fee waiver; see Cal. Rules of Court, rule 3.56.) E-Mail Address: ORDER ON APPLICATION FOR WAIVER OF Mobile Tel. No.: ADDITIONAL COURT FEES AND COSTS Clerk, by (Fee Waiver) , Deputy Page 1 of 2 Government Code, § 68511.3; Cal. Rules of Court, rules 3.50­3.63 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com FW-004 PLAINTIFF/PETITIONER (Name): DEFENDANT/RESPONDENT (Name): CASE NUMBER: 4b Application is denied in whole or in part (specify reasons): CLERK'S CERTIFICATE OF MAILING I certify that I am not a party to this cause and that a true copy of the foregoing was mailed first class, postage prepaid, in a sealed envelope addressed as shown below, and that the mailing of the foregoing and execution of this certificate occurred at , California, (place): on (date): Clerk, by , Deputy (SEAL) CLERK'S CERTIFICATE I certify that the foregoing is a true and correct copy of the original on file in my office. Date: Clerk, by , Deputy FW-004 [Rev. January 1, 2007] ORDER ON APPLICATION FOR WAIVER OF ADDITIONAL COURT FEES AND COSTS (Fee Waiver) Page 2 of 2

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