Order Regarding Waiver Of Fees And Costs
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Code No.
____________________________
Your Name: ____________________________
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Address:
____________________________
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____________________________
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Telephone:
____________________________
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In Proper Person
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IN THE________ JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
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IN AND FOR THE COUNTY OF _________________
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)
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, )
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Plaintiff(s),
)
vs
)
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)
CASE NO.:
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________________________________, )
Defendant(s).
)
DEPT NO.:
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)
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________________________________ )
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ORDER REGARDING WAIVER OF FEES AND COSTS
(Filing Fees/Service Only)
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Upon consideration of _____________________________ 's Application to
(
)
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Plaintiff/Defendant
Proceed in Forma Pauperis and it appearing that there is not sufficient income, property or
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resources with which to maintain the action and good cause appearing therefor:
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__________ IT IS HEREBY ORDERED that _________________________'s request to
)
( Plaintiff/Defendant
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to waive fees and costs is GRANTED. ____________________________, shall be permitted to
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(Plaintiff/Defendant)
proceed In Forma Pauperis with this action as permitted by NRS 12.015. He/she shall proceed
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without the prepayment of costs or fees or the necessity of giving security, and the Clerk of
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Court shall file or issue any necessary writ, process, pleading, or paper without charge. The
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Sheriff or other appropriate officer within this State shall make personal service of any necessary
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