Motion And Declaration For Waiver Of Civil Filing Fees And Surcharges (Mtaf) printable pdf download

Motion And Declaration For Waiver Of Civil Filing Fees And Surcharges (Mtaf)

Court of Washington

For

No. ________________________

Petitioner/Plaintiff,

Motion and Declaration For Waiver of

vs.

Civil Filing Fees and Surcharges

(MTAF)

Respondent/Defendant.

I. Motion

1.1

I am the [ ] petitioner/plaintiff [ ] respondent/defendant in this action.

1.2

I am asking for a waiver of all filing fees and surcharges.

II. Basis for Motion

GR 34 allows the court to waive “filing fees or surcharges the payment of which is a

2.1.

condition precedent to a litigant's ability to secure access to judicial relief” for a person

who is indigent. As outlined below, I am indigent.

Dated:

Signature of Requesting Party

Print or Type Name

III. Declaration

I declare that,

3.1

I cannot afford to meet my necessary household living expenses and pay the filing fees

and surcharges imposed by the court. Please see the attached Financial Statement,

which I incorporate as part of this declaration.

Mt and Decl for Civil Fee Waiver (MTAF) - Page 1 of 2

WPF GR 34.0100 (2/2011) – GR 34

Motion And Declaration For Waiver Of Civil Filing Fees And Surcharges (Mtaf)