Form Fw-003 - Order On Application For Waiver Of Court Fees And Costs - 2007
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1
2FW-003
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
TELEPHONE NO.:
FAX NO.:
end of the form when finished.
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
COURT
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
COUNTY OF
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STREET ADDRESS:
:
Index No.
MAILING ADDRESS:
:
CITY AND ZIP CODE:
Calendar No.
BRANCH NAME:
:
PLAINTIFF/ PETITIONER:
JUDICIAL SUBPOENA
Plaintiff(s)
CASE NUMBER:
DEFENDANT/ RESPONDENT:
-against-
:
ORDER ON APPLICATION FOR WAIVER OF COURT FEES AND COSTS
:
1. The application was filed on (date):
A previous order was issued on (date):
2. The application was filed by (name):
:
3.
IT IS ORDERED that the application is granted
in whole
in part (complete item 4 below).
a.
No payments. Payment of all the fees and costs listed in California Rules of Court, rule 3.61, is waived.
Defendant(s)
:
b.
The applicant shall pay all the fees and costs listed in California Rules of Court, rule 3.61, EXCEPT the following:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(1)
Filing papers.
(6)
Sheriff and marshal fees.
(2)
Certification and copying.
(7)
Reporter’s fees* (valid for 60 days).
(3)
Issuing process and certification.
(8)
Telephone appearance (Gov. Code, § 68070.1 (c))
THE PEOPLE OF THE STATE OF NEW YORK
(4)
Transmittal of papers.
(9)
Other (specify code section):
(5)
Court-appointed interpreter.
TO
Reporter’s fees are per diem pursuant to Code Civ. Proc., §§ 269, 274c, and Gov. Code, §§ 69947, 69948, and 72195.
c. Method of payment. The applicant shall pay all the fees and costs when charged, EXCEPT as follows:
(1)
Pay (specify):
percent. (2)
Pay: $
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
GREETINGS:
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.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
The applicant is ordered to appear in this court as follows for review of his or her financial status:
the Honorable
at the
Court
,
Date:
Time:
Dept.:
Div.:
Room:
County of
located at
e.
The clerk is directed to mail a copy of this order only to the applicant's attorney or to the applicant if not represented.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
f.
All unpaid fees and costs shall be deemed to be taxable costs if the applicant is entitled to costs and shall be a
or adjourned date, to testify and give evidence as a witness in this action on the part of the
lien on any judgment recovered by the applicant and shall be paid directly to the clerk by the judgment debtor
upon such recovery.
4.
IT IS ORDERED that the application is denied
in whole
in part for the following reasons (see Cal. Rules
of Court, rules 3.50–3.63):
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
a.
Monthly household income exceeds guidelines (Gov. Code, § 68511.3(a)(6)(B); form FW-001-INFO).
result of your failure to comply.
b.
Other (Complete line 4b on page 2).
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.
Witness, Honorable
, one of the Justices of the
d. The clerk is directed to mail a copy of this order to all parties who have appeared in this action.
Court in
County,
day of
, 20
5.
IT IS ORDERED that a hearing be held.
a. The substantial evidentiary conflict to be resolved by the hearing is (specify):
b. The applicant should appear in this court at the following hearing to help resolve the conflict:
(Attorney must sign above and type name below)
Date:
Time:
Dept.:
Div.:
Room:
c. The address of the court is (specify):
Attorney(s) for
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.
NOTICE: If item 3d or item 5b is filled in and the applicant does not attend the hearing, the court may revoke or change
the order or deny the application without considering information the applicant wants the court to consider.
Office and P.O. Address
WARNING: The applicant must immediately tell the court if he or she becomes able to pay court fees or costs during this
action. The applicant may be ordered to appear in court and answer questions about his or her ability to pay fees or costs.
Date:
Telephone No.:
, Deputy
Clerk, by
Facsimile No.:
JUDICIAL OFFICER
(Clerk may GRANT in full a nondiscretionary fee waiver; see Cal. Rule of Court, rules 3.56.)
Page 1 of 2
E-Mail Address:
ORDER ON APPLICATION FOR WAIVER OF
Government Code, § 68511.3;
Form Adopted for Mandatory Use
Judicial Council of California
Cal. Rules of Court, rules 3.50–3.63
Mobile Tel. No.:
COURT FEES AND COSTS
(Fee Waiver)
FW-003 [Rev. January 1, 2007]
American LegalNet, Inc.
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