Declaring inability to pay court fees by the plaintiff/petitioner in the case requires the use of the following application form. Complete the form and submit it along with any required information.Download
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AO 240 (Rev. 07/10) Application to Proceed in District Court Without Prepaying Fees or Costs (Short Form) U NITED S TATES D ISTRICT C OURT for the __________ District of __________ ) ) ) ) ) Plaintiff/Petitioner v. Civil Action No. Defendant/Respondent APPLICATION TO PROCEED IN DISTRICT COURT WITHOUT PREPAYING FEES OR COSTS (Short Form) I am a plaintiff or petitioner in this case and declare that I am unable to pay the costs of these proceedings and that I am entitled to the relief requested. In support of this application, I answer the following questions under penalty of perjury: 1. If incarcerated. I am being held at: . If employed there, or have an account in the institution, I have attached to this document a statement certified by the appropriate institutional officer showing all receipts, expenditures, and balances during the last six months for any institutional account in my name. I am also submitting a similar statement from any other institution where I was incarcerated during the last six months. 2. If not incarcerated. If I am employed, my employer’s name and address are: My gross pay or wages are: $ , and my take-home pay or wages are: $ per (specify pay period) . 3. Other Income. In the past 12 months, I have received income from the following sources (check all that apply) : (a) Business, profession, or other self-employment ’ Yes ’ No (b) Rent payments, interest, or dividends ’ Yes ’ No (c) Pension, annuity, or life insurance payments ’ Yes ’ No (d) Disability, or worker’s compensation payments ’ Yes ’ No (e) Gifts, or inheritances ’ Yes ’ No (f) Any other sources ’ Yes ’ No If you answered “Yes” to any question above, describe below or on separate pages each source of money and state the amount that you received and what you expect to receive in the future. AO 240 (Rev. 07/10) Application to Proceed in District Court Without Prepaying Fees or Costs (Short Form) 4. Amount of money that I have in cash or in a checking or savings account: $ . 5. Any automobile, real estate, stock, bond, security, trust, jewelry, art work, or other financial instrument or thing of value that I own, including any item of value held in someone else’s name (describe the property and its approximate value) : 6. Any housing, transportation, utilities, or loan payments, or other regular monthly expenses (describe and provide the amount of the monthly expense) : 7. Names (or, if under 18, initials only) of all persons who are dependent on me for support, my relationship with each person, and how much I contribute to their support: 8. Any debts or financial obligations (describe the amounts owed and to whom they are payable) : Declaration: I declare under penalty of perjury that the above information is true and understand that a false statement may result in a dismissal of my claims. Date: Applicant’s signature Printed nameRelevant article from our knowledge database
It's possible for you to fight back simply by employing the law and your legal rights. Upon winning the situation, the lawyers are going to receive a particular percentage as contingency fee on the entire sum of settlement. If you choose to retain an attorney, you don't need a high-priced one. Consulting with business associates to establish next steps in a specific business venture or maybe to establish if there has to be additional litigation might be necessary. The plaintiff is waving a blank slice of paper before you.
Each one of the courts plays a crucial role in the general approach. If it's a greater court, then you must retain an attorney. The Magistrates Court doesn't have the advantage of a jury to fix the facts of a circumstance.
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