Application To Proceed In Forma Pauperis - Us Court Page 2
Download a blank fillable Application To Proceed In Forma Pauperis - Us Court in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application To Proceed In Forma Pauperis - Us Court with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
23.
Do you own any cash, or do you have money in checking, savings, or any other
accounts?
___ Yes ___No
If the answer is "yes", state the total value of the items owned.
4.
Do you own any real estate, stocks, bonds, notes, automobiles or other valuable
property (excluding ordinary household furnishings and clothing)?
___ Yes ___No
If the answer is "yes", describe the property and state its approximate value.
5.
List the persons who are dependent upon you for support, state your relationship to those
persons, and indicate how much you contribute toward their support.
6.
Are you a prisoner? ___ Yes ___No
If the answer is “Yes”, you must submit a certified copy of your trust fund account
statement (or institutional equivalent) for the 6-month period immediately preceding your
filing of the complaint as required by 28 U.S. C. §1915(a) (2) (2000).
I declare under penalty of perjury that the foregoing is true and correct.
(28 U.S.C. § 1746)
Executed on ___________ ___________________________________
(Date)
(Signature of Applicant)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Affidavit And Application Form To Proceed In Forma Pauperis ) (request To Proceed Without Payment Of Fees)
Legal
Motion To Proceed In Forma Pauperis - In The Justice Court Of Reno Township - County Of Washoe - State Of Nevada Form
Legal
Related Categories
Parent category: Legal