Request For Exemption From Payment Of Fees, And Order Page 3

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ORDER
IT IS ORDERED that the request for exemption from payment of fees is:
GRANTED. Plaintiff’s/defendant’s request for exemption from paying fees is granted.
DENIED. Plaintiff’s/defendant’s request for exemption from paying fees is denied.
Any fees now due in this case must be paid before any further action is taken. If
payment is not made within 30 days after notice of the order, the court will dismiss the
action without further notice. You may file the action again later if you pay the filing fee or
receive a fee waiver. Admin. Rule 10(d).
To pay a motion to modify filing fee, go to:
Date
Judicial Officer
I certify that on
Type or Print Name
a copy of this order was sent to:
Clerk:
Page 3 of 3
Adm. R. 9(f)(1), Adm. R. 10;
TF-920 (5/16)(cs)
Adm. R. 12(e)(2); Civil R. 90.3
REQUEST FOR EXEMPTION FROM PAYMENT OF FEES, AND ORDER

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