Application For Determination Of Civil Indigent Status - Lee County, Florida - 2009 Page 2
Download a blank fillable Application For Determination Of Civil Indigent Status - Lee County, Florida - 2009 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 For Determination Of Civil Indigent Status - Lee County, Florida - 2009 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
26.
I have a private lawyer in this case………… Yes No
A person who knowingly provides false information to the clerk or the court in seeking a determination of indigent status under s.
57.082, F.S. commits a misdemeanor of the first degree, punishable as provided in s.775.082, F.S. or s. 775.083, F.S. I attest
that the information I have provided on this application is true and accurate to the best of my knowledge.
Signed this
day of
20
_______
_________________
____.
Signature of Applicant for Indigent Status
Date of Birth
Driver’s License or ID Number
Print Full Legal Name
Phone Number
Address, P O Address, Street, City, State, Zip Code
CLERK’S DETERMINATION
Based on the information in this Application, I have determined the applicant to be ( ) Indigent ( ) Not Indigent,
according to s. 57.082, F.S.
Dated this
day of
20
Linda Doggett, Clerk of Court
_______
_________________
____.
By:
Deputy Clerk
________________________,
This form was completed with the assistance of:
Clerk/Deputy Clerk/Other authorized person
APPLICANTS FOUND NOT TO BE INDIGENT MAY SEEK REVIEW BY A JUDGE BY ASKING FOR A HEARING TIME.
THERE IS NO FEE FOR THIS REVIEW.
Sign here if you want the Judge to review the Clerk’s decision
F.S. 57.081
Rev. 7-09
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal