Orange — Fee Waiver Packet

Source: https://www.occourts.org/system/files/l80.pdf

Sparse pages use OCR; original PDF remains authoritative.

FEE WAIVER BOOKLET

HOW TO FILE A FEE WAIVER

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE

To have fees waived, refer to and fill out the following forms: • Information Sheet on Waiver of Superior Court Fees and Costs (form FW-001-INFO) • Request to Waive Court Fees (form FW-001) • Order on Court Fee Waiver (Superior Court) (form FW-003)

If you want additional fees waived fill out: • Request to Waive Additional Court Fees (form FW-002)

L-0080 (Rev. July 1, 2015)

FwW-001-INFO INFORMATION SHEET ON WAIVER OF SUPERIOR COURT FEES AND COSTS If you have been sued or if you wish to sue someone, or if you are filing or have received a family law petition, and if you cannot afford to pay court fees and costs, you may not have to pay them in order to go to court. If you are getting public benefits, are a low-income person, or do not have enough income to pay for your household’s basic needs and your court fees, you may ask the court to waive all or part of your court fees. 1, To make a request to the court to waive your fees in superior court, complete the Request to Waive Court Fees (form FW-001). If you qualify, the court will waive all or part of its fees for the following:

• Filing papers in superior court (other than for an appeal in a case with a value of over $25,000)

• Making and certifying copies * Giving notice and certificates
• Sheriff's fee to give notice « Sending papers to another court department
• Court fee for telephone hearing + Having a court-appointed interpreter in small claims court
• Reporter’s fee.for attendance at hearing or trial, ifa reporter is provided by the court. » Assessment for court investigations under Probate Code section 1513, 1826, or 1851. « Preparing, certifying, copying, and sending the clerk’s transcript on appeal.
• Holding in trust the deposit for a reporter’s transcript on appeal under rule 8.833 or 8.834.
• Making a transcript or copy of an official electronic recording under rule 8.835

2. You may ask the court to waive other court fees during your case in superior court as well. To do that, complete a Request to Waive Additional Court Fees (Superior Court) (form F W-002). The court will consider waiving fees for items such as the following, or other court services you need for your case: « Jury fees and expenses * Fees for a peace officer to testify in court

• Fees for court-appointed experts, * Court-appointed interpreter fees for a witness
• Other necessary court fees . ‘

3. If you want the Appellate Division of Superior Court or the Court of Appeal to review an order or judgment against you and you want the court fees waived, ask for and follow the instructions on Information Sheet on Waiver of Appellate Court Fees, Supreme Court, Court of Appeal, Appellate Division (form APP-015/FW-015-INFO). IMPORTANT INFORMATION! ¢ You are signing your request under penalty of perjury. Answer truthfully, accurately, and completely.

• The court may ask you for information and evidence. You may be ordered to go to court to answer questions about your ability to pay court fees and costs and to provide proof of eligibility. Any initial fee waiver you are granted may be ended if you do not go to court when asked. You may be ordered to repay amounts that were waived if the court finds you were not eligible for the fee waiver, ¢ Public benefits programs listed on the application form. In item 5 on the Request to Waive Court Fees, there is a list of programs from which you may be receiving benefits, listed by the abbreviations they are commonly known by. The full names of those programs can be found in Government Code section 68632(a), and are also listed here:
• Medi-Cal * Food Stamps—California Food Assistance Program, CalFresh Program, or SNAP « Supp. Sec, Inc.—-Supplemental Security Income (not Social Security) »* SSP—State Supplemental Payment
• County Relief/General Assistance—County Relief, General Relief (GR) or General Assistance (GA)
• IHSS—In Home Supportive Services
• CalWORKS—California Work Opportunity and Responsibility to Kids Act
• Tribal TANF—Tribal Temporary Assistance for Needy Families
• CAPI—Cash Assistance Program for Aged, Blind, or Disabled Legal Immigrants

• Ifyou receive a fee waiver, you must tell the court if there is a change in your finances. You must tell the court within five days if your finances improve or if you become able to pay court fees or costs during this case. (File Notice to Court of Improved Financial Situation or Settlement (form FW-010) with the court.) You may be ordered to repay any amounts that were waived after your eligibility came to an end.

• Ifyou receive a judgment or support order in a family law matter: You may be ordered to pay all or part of your waived fees and costs if the court finds your circumstances have changed so that you can afford to pay. You will have the opportunity to ask the court for a hearing if the court makes such a decision. duilia Sounca of Calfornia, www courtinfo.ca.gov Information Sheet on Waiver of FW-001-INFO, Page 1 of 2 Revised July 1, 20 . Government Code, §§ 68630-68640 Superior Court Fees and Costs California Rules of Court, rule 3.51

FW-001-INFO

• If you win your case in the trial court: In most circumstances the other side will be ordered to pay your waived fees and costs to the court. The court will not enter a satisfaction of judgment until the court is paid. (This does not apply in unlawful detainer cases. Special rules apply in family law cases. (Government Code, section 68637(d), (e).) « If you settle your civil case for $10,000 or more: Any trial court waived fees and costs must first be paid to the court out of the settlement. The court will have a lien on the settlement in the amount of the waived fees and costs. The court may refuse to dismiss the case until the lien is satisfied. A request to dismiss the case (use form CIV-110) must have a declaration under penalty of perjury that the waived fees and costs have been paid. Special rules apply to family law cases,

• The court can collect fees and costs due to the court. If waived fees and costs are ordered paid to the trial court, or if you fail to make the payments over time, the court can start collection proceedings and add a $25 fee plus any additional costs of collection to the other fees and costs owed to the court.

• The fee waiver ends. The fee waiver expires 60 days after the judgment, dismissal, or other final disposition of the case or earlier if a court finds that you are not eligible for a fee waiver. Tf you are in jail or state prison: Prisoners may be required to pay the full cost of the filing fee in the trial court but may be allowed to do so over time. See Government Code section 68635, FW-O01-NFO (Rev, July 1, 2015) Information Sheet on Waiver of FW-001-INFO, Page 2 of 2 Superior Court Fees and Costs

INSTRUCTIONS

| FW-001 | Request to Waive Court Fees

If you are getting public benefits, are a low-income person, or do not have enough income to pay for household's basic needs and your court fees, you may use this form to ask the court to waive all or part of your court fees. The court may orde: you to answer questions about your finances. If the court waives the fees, youl S AM PLE O N LY may still have to pay later if: ¢ You cannot give the court proof of your eligibility, [| ¢ Your financial situatim improves during this case, or DO NOT F | LL Oo UT L

• You settle your civil case for $10,000 or more. The trial court that waives your fees will have a lien on any such settlement in the amount of the waived TH Is FO RM fees and costs. The court may also charge you any collection costs. (a Your Information (person asking the court to waive the fees): Clerk stamps date here when form is filed. Stet ormaiinggoa yy YOUR NAME, ADDRESS one or mailin AND PHONE NUMBER HERE i | Fill in case number and name: ———— /- | Case Number: | . WRITE CASE NUMBER HERE phone number: _____{ PROVIDE EMPLOYMENT ous | (2)Your Job sif you — INFORMATION ORWRITE |— WRITE CASE NAME HERE | Name of employer: UNEMPLOYED | Employer's address: (3) Your lawyer,if you have one (name, fi iati nd State Bar number): — FILL OUT IF APPLICABLE a.The lawyer has agreed to advance all or a portion of your fees or costs (check one): Yee Nee] b. (if yes, your lawyer must sign here) Lawyer's signature LAWYER MUST SIGN IF YOU CHECK YES if your lawyer is not providing legal-aid type services baséa UIT YOUT TOW TWICONTE, YOU THY TaVe TO JUto hearing to explain why you are asking the court to waive the fees. What court's fees or costs are you asking to be waived? U CHOOSEONE ? Sheet on Waiver of Superior Court Fees and Costs (form FW-001-INFO).) up al, or Appellate Division of Superior Court (See information Sheet on Waiver of Appellate Court Fees and Costs (form APP-015/FW-015-INFO).) Why are y\For question 5, check ONLY one box; a., b. or c. a. . elief/General SiS 1f you check box a.: Check all the government assistance programs _ [! Temporary Assis ou currently receive, sign and date the bottom of page one, and you're |!e4) b. Ee one! ted below. If yo Familf you check box 5b.: Sign and date the bottom of page one, complete #n 6 people F ' dd $389.59 sections 7, 8 and 9 of page two and you're done! tra'person. c. soll you check box 5c.: Sign and date the bottom of page one, complete fk the court to CNET: ALL of page two (sections 7-11) and you're done! pents over: time ut page 2,) (Expl (6) 7 our court fees for this case in the last six months. F yo. CHECK BOX IF APPLICABLE fease attach it to this formand check here: ) im I declare under penalty of perjury under the laws of the State of California that the information | have provided on this form and all attachments is true and correct. Date: €—— WRITE TODAY'S DATE HERE | SIGN HERE <—_ PRINT YOUR NAME HERE > € rint your namé Sign here Judicial Council of Califomia, www. courtinfo. ca. gov Request to Waive Court Fees FW-001, Page 1 of 2 Revised July 2, 2009, Mandatory Form Government Code, § 68633 Cal. Rules of Court, rules 3.51, 8.26, and 8.818

SAMPLE Case Number: Your name:| PRINT YOUR NAME HERE WRITE CASE NUMBER HERE If you checked 5a on page 7, do not fill out below. If you checked 5b, fill out questions 7, 8, and 9 only. If you checked 5c, you must fill out this entire page. If you need more space, attach form MC-025 or attach a sheet of paper and write Financial Information and your name and case number at the top. @) Check here if your income changes a lot from month to month. Fill out below based on your average income for the past 12 Your Money and Property months. a.Gash $ b. All financial accounts (List bank name and amoun?: Your Monthly Income (1) $ a. Gross monthly income (before deductions): List $ Q $ each payroll deduction and amount helow- a ” REMEMBER: 2) 3) ® ___If you checked box 5a. on the previous page: DO = How much You b. Tolal deductions @& NOT FILL OUT THIS PAGE. YOU ARE DONE! ¢. Total monthly take-h d. List the source and al month, including: s security, disability, ui quarters (BAQ), vete low, Much Non income, annuities. nelf you Checked box 5b. on the previous page: pi owe reimbursement for jo . a winnings, ete. Complete sections 7, 8 and 9 on this page. 1) (2) 3) How Much You 4 lf you checked box Sc. on the previous page: pill Owe ® Your toa! mont! Complete EVERYTHING on this page. () Household Income a. List all other persons living in your home and their income; Your Monthly Expenses include only your spouse and all individuals who depend in (Do not include payroll deductions you already listed in 8b.) whole or in part on you for support, or on whom you depend in . a. Rent or house payment & maintenance $ whole or in part for support. | Gross Monthly b. Food and household supplies $ Name Age Relationship Income Cc. Utilities and telephone $ dl) $ d. Clothing $ (2) $ e. Laundry and cleaning $ 3) $ f. Medical and dental expenses $ 4) $ g Insurance (life, health, accident, etc.) $ h. — School, child care $ b. Total monthly income of persons above: $ i. Child, spousal support (another marriage) $ j. Transportation, gas, auto repair and insurance$ Total monthly income and k. Installment payments (list each below): household income (8e plus 9b): $ ant to: 5 To list any other facts you want the court to know, such as 2 $ unusual medical expenses, family emergencies, etc., attach & 5 form MC-025. Or attach a sheet of paper, and write |. Wages/eamings withheld by court order $ Financial Information and your name and case number at m. Any other monthly expenses (list each below). $ the top. Check here if you attach another page. [7] Paid to: How Much? 2 2 se a) $ Important! \f your financial situation or ability to pay oN $ court fees improves, you must notify the court (3) $ within five days on form FW-010. Total monthly expenses (add 47a -11m above): § Request to Waive Court Fees FW-001, Page 2 of 2

| FW-001 | Request to Waive Court Fees CONFIDENTIAL

Clerk stamps date here when form is filed. If you are getting public benefits, are a low-income person, or do not have enough income to pay for your household’s basic needs and your court fees, you may use this form to ask the court to waive your court fees. The court may order you to answer questions about your finances. If the court waives the fees, you may still have to pay later if:

• You cannot give the court proof of your eligibility, Fill in cour name and sireet address:
• Your financial situation improves during this case, or
• You settle your civil case for $16,000 or more. The trial court that waives your fees will have a lien on any such settlement in the amount of the waived fees and costs. The court may also charge you any collection costs. (4) Your Information (person asking the court to waive the fees): Name: Street or mailing address: City: State: Zip: Phone number: (2) Your Job, if you have one (job title): Name of employer: Employer’s address; (3) Your Lawyer, if you have one (name, firm or affiliation, address, phone number, and State Bar number); Superior Court of California, County of Fill in case number and name: Case Number: Case Name: a. The lawyer has agreed to advance all or a portion of your fees or costs (check one): Yes [] No [] b. (if yes, your lawyer must sign here) Lawyer’s signature: If your lawyer is not providing legal-aid type services based on your low income, you may have to go to a hearing to explain why you are asking the court to waive the fees. (4) What court's fees or costs are you asking to be waived? (] Superior Court (See Jnformation Sheet on Waiver of Superior Court Fees and Costs (form FW-001-INFO),) C] Supreme Court, Court of Appeal, or Appellate Division of Superior Court (See Information Sheet on Waiver of Appellate Court Fees (form APP-015/FW-015-INFO).) (5) Why are you asking the court to waive your court fees? a. [] I receive (check all that apply; see form FW-001-INFO for definitions): [) Food Stamps [] Supp. Sec. Inc. C1 SSP [1] Medi-Cal [1] County Relief/Gen. Assist. [] IHSS [] CalWORKS or Tribal TANF [(] CAPI b. LJ My gross monthly household income (before deductions for taxes) is less than the amount listed below. (If you check 5b, you must fill out 7, 8, and 9 on page 2 of this form.) Family Size | Family !ncome | Family Size| Family Income | Family Size_| Family Income | /fmore than 6 people 1 $1,226.05 3 $2,092.71 5 $2,959.38 | at home, add $433.34 2 $1,659.38 4 $2,526.05 6 $3,392.71 Sor each extra person, c. C] Ido not have enough income to pay for my houschold’s basic needs and the court fees. I ask the court to: (check one and you must fill out page 2): [1] waive all court fees and costs [[] waive some of the court fees [| let me make payments over time L] Check here if you asked the court to waive your court fees for this case in the last six months. (if your previous request is reasonably available, please attach it to this form and check here:) |_| I declare under penalty of perjury under the laws of the State of California that the information I have provided on this form and all attachments is true and correct. Date: > Print your name here Sign here Judicial Council of California, www.courts.ca.gov Pr a 9 Revised March 1, 2015, Mandatory Form Request to Waive Court Fees FW-001, Page 1 of 2 Government Code, § 68633 Cal. Rules of Court, > rules 3,51, 8,26, and 8.818

‘Your name: Case Number: If you checked 5a on page 1, do not fill out below. If you checked 5b, fill out questions 7, 8, and 9 only. if you checked 5c, you must fill out this entire page. If you need more space, attach form MC-025 or attach a sheet of paper and write Financial Information and your name and case number at the top. O Check here if your income changes a lot from month to month. If it does, complete the form based on your average income for the past 12 months. (8) Your Gross Monthly Income a, List the source and amount of any income you get each month, including: wages or other income from work before deductions, spousal/child support, retirement, social security, disability, unemployment, military basic allowance for quarters (BAQ), veterans payments, dividends, interest, trust income, annuities, net business or rental income, reimbursement for job-related expenses, gambling or lottery winnings, etc. (1) (2) (3) (4) b. Your total monthly income: $ Pe Household Income a. List the income of all other persons living in your home who depend in whole or in part on you for support, or on whom you depend in whole or in part for support, P P 5 1 18 1 2 4 639 1004 54 17 96.476242 Gross 5 1 18 1 2 5 701 1004 71 21 96.717850 Monthly 2 1 19 0 0 0 243 1073 551 3 -1 3 1 19 1 0 0 243 1073 551 3 -1 4 1 19 1 1 0 243 1073 551 3 -1 5 1 19 1 1 1 243 1073 551 3 95.000000 2 1 20 0 0 0 243 1107 551 5 -1 3 1 20 1 0 0 243 1107 551 5 -1 4 1 20 1 1 0 243 1107 551 5 -1 5 1 20 1 1 1 243 1107 551 5 95.000000 2 1 21 0 0 0 243 1140 551 5 -1 3 1 21 1 0 0 243 1140 551 5 -1 4 1 21 1 1 0 243 1140 551 5 -1 5 1 21 1 1 1 243 1140 551 5 95.000000 2 1 22 0 0 0 217 1029 489 149 -1 3 1 22 1 0 0 217 1029 489 149 -1 4 1 22 1 1 0 241 1029 465 21 -1 5 1 22 1 1 1 241 1029 54 17 95.997864 Name 5 1 22 1 1 2 457 1029 36 21 92.463562 Age 5 1 22 1 1 3 510 1029 113 21 92.463562 Relationship 5 1 22 1 1 4 640 1029 66 17 95.003914 Income 4 1 22 1 2 0 218 1053 430 33 -1 5 1 22 1 2 1 218 1056 20 18 94.678589 (1) 5 1 22 1 2 2 455 1053 78 33 20.731287 —_—— 5 1 22 1 2 3 639 1055 9 17 49.053936 $ 4 1 22 1 3 0 217 1085 431 33 -1 5 1 22 1 3 1 217 1089 21 19 81.175880 (2) 5 1 22 1 3 2 451 1085 45 33 54.824371 __ 5 1 22 1 3 3 639 1090 9 18 63.668808 $ 4 1 22 1 4 0 217 1117 431 33 -1 5 1 22 1 4 1 217 1122 21 18 42.910591 (3) 5 1 22 1 4 2 451 1117 45 33 57.073547 __ 5 1 22 1 4 3 639 1123 9 17 40.451157 $ 4 1 22 1 5 0 217 1155 431 23 -1 5 1 22 1 5 1 217 1155 21 19 96.259583 (4) 5 1 22 1 5 2 455 1175 41 3 51.703232 — 5 1 22 1 5 3 639 1156 9 18 77.232346 $. 2 1 23 0 0 0 243 1174 551 4 -1 3 1 23 1 0 0 243 1174 551 4 -1 4 1 23 1 1 0 243 1174 551 4 -1 5 1 23 1 1 1 243 1174 551 4 95.000000 2 1 24 0 0 0 194 1195 476 21 -1 3 1 24 1 0 0 194 1195 476 21 -1 4 1 24 1 1 0 194 1195 476 21 -1 5 1 24 1 1 1 194 1195 15 16 91.973106 b. 5 1 24 1 1 2 217 1195 48 16 96.924782 Total 5 1 24 1 1 3 273 1195 80 21 96.863083 monthly 5 1 24 1 1 4 361 1195 72 17 73.209831 Income 5 1 24 1 1 5 441 1195 19 16 96.873001 of 5 1 24 1 1 6 467 1199 79 17 96.197197 persons 5 1 24 1 1 7 553 1196 65 16 84.034668 above: 5 1 24 1 1 8 642 1191 11 30 70.436882 = 5 1 24 1 1 9 660 1196 10 18 71.568176 $ 2 1 25 0 0 0 147 1233 523 47 -1 3 1 25 1 0 0 147 1233 523 47 -1 4 1 25 1 1 0 147 1233 294 23 -1 5 1 25 1 1 1 147 1233 55 19 95.942383 Total 5 1 25 1 1 2 211 1234 89 22 96.275955 monthly 5 1 25 1 1 3 309 1234 81 18 96.318733 income 5 1 25 1 1 4 398 1234 43 18 96.418793 and 4 1 25 1 2 0 239 1257 431 23 -1 5 1 25 1 2 1 239 1257 117 18 96.772621 household 5 1 25 1 2 2 365 1258 81 17 96.396782 income 5 1 25 1 2 3 455 1257 32 23 52.625267 (8b 5 1 25 1 2 4 494 1258 43 22 91.227386 pius 5 1 25 1 2 5 545 1257 38 23 75.556625 9b): 5 1 25 1 2 6 660 1257 10 19 44.457241 $ 2 1 26 0 0 0 134 1678 683 5 -1 3 1 26 1 0 0 134 1678 683 5 -1 4 1 26 1 1 0 134 1678 683 5 -1 5 1 26 1 1 1 134 1678 683 5 95.000000 2 1 27 0 0 0 147 1693 658 152 -1 3 1 27 1 0 0 147 1693 617 119 -1 4 1 27 1 1 0 147 1693 610 25 -1 5 1 27 1 1 1 147 1694 15 17 96.527260 To 5 1 27 1 1 2 183 1693 31 19 96.815506 list 5 1 27 1 1 3 221 1699 35 18 96.879753 any 5 1 27 1 1 4 265 1693 53 19 96.549576 other 5 1 27 1 1 5 327 1693 47 19 96.987473 facts 5 1 27 1 1 6 382 1699 37 19 96.353523 you 5 1 27 1 1 7 428 1696 50 16 96.501892 want 5 1 27 1 1 8 486 1693 30 20 96.501892 the 5 1 27 1 1 9 524 1696 53 17 96.664482 court 5 1 27 1 1 10 584 1696 19 17 96.560204 to 5 1 27 1 1 11 611 1693 63 24 96.560204 know, 5 1 27 1 1 12 683 1694 45 19 96.734016 such 5 1 27 1 1 13 737 1700 20 13 96.969536 as 4 1 27 1 2 0 147 1724 585 24 -1 5 1 27 1 2 1 147 1724 78 20 96.488976 unusual 5 1 27 1 2 2 235 1724 80 19 96.245750 medical 5 1 27 1 2 3 324 1730 100 18 93.275200 expenses, 5 1 27 1 2 4 433 1727 42 20 89.453064 etc., 5 1 27 1 2 5 489 1724 61 20 96.546280 attach 5 1 27 1 2 6 558 1725 48 18 93.248695 form 5 1 27 1 2 7 616 1726 85 18 92.345787 MC-025 5 1 27 1 2 8 711 1731 21 13 96.950241 or 4 1 27 1 3 0 147 1755 617 25 -1 5 1 27 1 3 1 147 1755 60 20 96.677124 attach 5 1 27 1 3 2 216 1761 10 13 96.024796 a 5 1 27 1 3 3 234 1755 53 20 95.505493 sheet 5 1 27 1 3 4 294 1756 24 18 95.893959 of 5 1 27 1 3 5 323 1761 57 19 95.893959 paper 5 1 27 1 3 6 388 1756 36 19 96.458710 and 5 1 27 1 3 7 433 1755 52 20 96.014008 write 5 1 27 1 3 8 493 1756 94 19 96.734581 Financial 5 1 27 1 3 9 597 1756 122 19 96.255173 Information 5 1 27 1 3 10 728 1757 36 19 96.592934 and 4 1 27 1 4 0 147 1787 402 25 -1 5 1 27 1 4 1 147 1793 47 18 96.789032 your 5 1 27 1 4 2 201 1793 55 13 96.250153 name 5 1 27 1 4 3 265 1787 35 19 96.221252 and 5 1 27 1 4 4 309 1793 44 13 96.886017 case 5 1 27 1 4 5 361 1787 79 19 96.305016 number 5 1 27 1 4 6 448 1790 18 16 96.904968 at 5 1 27 1 4 7 474 1787 30 19 96.904968 the 5 1 27 1 4 8 512 1790 37 22 96.828224 top. 3 1 27 2 0 0 349 1819 456 26 -1 4 1 27 2 1 0 349 1819 456 26 -1 5 1 27 2 1 1 349 1819 65 19 96.701927 Check 5 1 27 2 1 2 421 1819 45 19 96.847160 here 5 1 27 2 1 3 475 1819 18 24 95.812469 if 5 1 27

09 1793 44 13 96.886017 case 5 1 27 1 4 5 361 1787 79 19 96.305016 number 5 1 27 1 4 6 448 1790 18 16 96.904968 at 5 1 27 1 4 7 474 1787 30 19 96.904968 the 5 1 27 1 4 8 512 1790 37 22 96.828224 top. 3 1 27 2 0 0 349 1819 456 26 -1 4 1 27 2 1 0 349 1819 456 26 -1 5 1 27 2 1 1 349 1819 65 19 96.701927 Check 5 1 27 2 1 2 421 1819 45 19 96.847160 here 5 1 27 2 1 3 475 1819 18 24 95.812469 if 5 1 27 2 1 4 493 1825 38 18 95.812469 you 5 1 27 2 1 5 539 1819 65 19 95.033195 attach 5 1 27 2 1 6 611 1819 81 19 96.866982 another 5 1 27 2 1 7 697 1826 55 18 80.673584 page. 5 1 27 2 1 8 778 1819 27 26 75.565102 [_} 2 1 28 0 0 0 144 1880 639 56 -1 3 1 28 1 0 0 144 1880 639 56 -1 4 1 28 1 1 0 144 1880 597 26 -1 5 1 28 1 1 1 144 1880 118 24 39.657188 Jmportant! 5 1 28 1 1 2 273 1880 19 18 43.045563 Vf 5 1 28 1 1 3 297 1886 51 18 92.321846 your 5 1 28 1 1 4 357 1880 95 19 96.308159 financial 5 1 28 1 1 5 460 1881 95 18 96.894180 situation 5 1 28 1 1 6 565 1886 23 13 96.860420 or 5 1 28 1 1 7 596 1881 69 24 96.906509 ability 5 1 28 1 1 8 673 1883 20 17 94.827087 to 5 1 28 1 1 9 701 1887 40 19 96.729103 pay 4 1 28 1 2 0 146 1912 637 24 -1 5 1 28 1 2 1 146 1913 58 17 96.350487 court 5 1 28 1 2 2 212 1912 40 18 96.654442 fees 5 1 28 1 2 3 261 1912 108 23 96.818314 improves, 5 1 28 1 2 4 377 1917 39 19 96.211365 you 5 1 28 1 2 5 425 1914 54 17 96.454193 must 5 1 28 1 2 6 487 1912 63 24 96.685333 notify 5 1 28 1 2 7 558 1913 34 18 96.797432 the 5 1 28 1 2 8 600 1914 58 17 96.267204 court 5 1 28 1 2 9 665 1913 69 19 96.272209 within 5 1 28 1 2 10 744 1913 39 19 96.272209 five 2 1 29 0 0 0 134 1679 3 293 -1 3 1 29 1 0 0 134 1679 3 293 -1 4 1 29 1 1 0 134 1679 3 293 -1 5 1 29 1 1 1 134 1679 3 293 95.000000 2 1 30 0 0 0 812 1680 6 294 -1 3 1 30 1 0 0 812 1680 6 294 -1 4 1 30 1 1 0 812 1680 6 294 -1 5 1 30 1 1 1 812 1680 6 294 95.000000 2 1 31 0 0 0 146 1943 248 23 -1 3 1 31 1 0 0 146 1943 248 23 -1 4 1 31 1 1 0 146 1943 248 23 -1 5 1 31 1 1 1 146 1943 48 23 96.703209 days 5 1 31 1 1 2 203 1948 25 13 96.684074 on 5 1 31 1 1 3 237 1943 52 18 92.781044 form 5 1 31 1 1 4 299 1943 95 19 45.388084 FW-010, 2 1 32 0 0 0 134 1968 682 6 -1 3 1 32 1 0 0 134 1968 682 6 -1 4 1 32 1 1 0 134 1968 682 6 -1 5 1 32 1 1 1 134 1968 682 6 95.000000 2 1 33 0 0 0 861 387 344 54 -1 3 1 33 1 0 0 861 387 344 54 -1 4 1 33 1 1 0 861 387 344 54 -1 5 1 33 1 1 1 861 387 50 54 79.111435 (40) 5 1 33 1 1 2 920 391 53 19 96.920113 Your 5 1 33 1 1 3 980 392 73 23 96.535934 Money 5 1 33 1 1 4 1061 392 39 18 96.646889 and 5 1 33 1 1 5 1110 392 95 23 96.339310 Property 2 1 34 0 0 0 994 515 555 3 -1 3 1 34 1 0 0 994 515 555 3 -1 4 1 34 1 1 0 994 515 555 3 -1 5 1 34 1 1 1 994 515 555 3 95.000000 2 1 35 0 0 0 994 548 555 4 -1 3 1 35 1 0 0 994 548 555 4 -1 4 1 35 1 1 0 994 548 555 4 -1 5 1 35 1 1 1 994 548 555 4 95.000000 2 1 36 0 0 0 994 582 555 4 -1 3 1 36 1 0 0 994 582 555 4 -1 4 1 36 1 1 0 994 582 555 4 -1 5 1 36 1 1 1 994 582 555 4 95.000000 2 1 37 0 0 0 993 684 556 4 -1 3 1 37 1 0 0 993 684 556 4 -1 4 1 37 1 1 0 993 684 556 4 -1 5 1 37 1 1 1 993 684 556 4 95.000000 2 1 38 0 0 0 993 715 556 4 -1 3 1 38 1 0 0 993 715 556 4 -1 4 1 38 1 1 0 993 715 556 4 -1 5 1 38 1 1 1 993 715 556 4 95.000000 2 1 39 0 0 0 993 744 556 4 -1 3 1 39 1 0 0 993 744 556 4 -1 4 1 39 1 1 0 993 744 556 4 -1 5 1 39 1 1 1 993 744 556 4 95.000000 2 1 40 0 0 0 994 834 555 4 -1 3 1 40 1 0 0 994 834 555 4 -1 4 1 40 1 1 0 994 834 555 4 -1 5 1 40 1 1 1 994 834 555 4 95.000000 2 1 41 0 0 0 919 430 628 437 -1 3 1 41 1 0 0 919 430 628 437 -1 4 1 41 1 1 0 920 430 483 20 -1 5 1 41 1 1 1 920 434 15 12 94.497292 a. 5 1 41 1 1 2 955 430 47 17 94.497292 Cash 5 1 41 1 1 3 1394 431 9 19 79.173737 § 4 1 41 1 2 0 920 464 512 22 -1 5 1 41 1 2 1 920 464 15 16 91.772980 b. 5 1 41 1 2 2 954 464 22 17 92.883568 All 5 1 41 1 2 3 984 464 75 17 92.883568 financial 5 1 41 1 2 4 1066 465 82 16 96.643738 accounts 5 1 41 1 2 5 1156 465 39 20 96.987984 (List 5 1 41 1 2 6 1201 465 46 16 96.186790 bank 5 1 41 1 2 7 1252 469 52 13 96.024643 name 5 1 41 1 2 8 1310 465 36 17 96.204552 and 5 1 41 1 2 9 1351 465 81 21 82.503700 amount): 4 1 41 1 3 0 955 495 448 20 -1 5 1 41 1 3 1 955 495 20 18 70.776443 (1) 5 1 41 1 3 2 1394 497 9 18 54.912872 $ 4 1 41 1 4 0 955 528 448 20 -1 5 1 41 1 4 1 955 528 20 19 81.849510 (2) 5 1 41 1 4 2 1394 530 9 18 66.166809 $ 4 1 41 1 5 0 955 563 448 20 -1 5 1 41 1 5 1 955 563 20 18 92.624680 (3) 5 1 41 1 5 2 1394 564 9 19 55.417271 $ 4 1 41 1 6 0 920 596 385 25 -1 5 1 41 1 6 1 920 600 13 11 90.887161 c. 5 1 41 1 6 2 955 596 47 18 96.533043 Cars, 5 1 41 1 6 3 1011 596 54 19 96.737099 boats, 5 1 41 1 6 4 1073 596 32 16 96.737099 and 5 1 41 1 6 5 1114 596 47 16 96.939064 other 5 1 41 1 6 6 1167 596 74 17 96.113274 vehicles 5 1 41 1 6 7 1303 618 2 3 0.000000 . 4 1 41 1 7 0 955 665 448 20 -1 5 1 41 1 7 1 955 665 20 18 91.271179 (1) 5 1 41 1 7 2 1260 666 9 19 74.108391 $ 5 1 41 1 7 3 1394 666 9 19 63.522026 $ 4 1 41 1 8 0 955 695 448 20 -1 5 1 41 1 8 1 955 695 20 18 96.724838 (2) 5 1 41 1 8 2 1261 696 10 19 73.216171 $ 5 1 41 1 8 3 1394 696 9 19 49.287243 $ 4 1 41 1 9 0 954 725 449 20 -1 5 1 41 1 9 1 954 725 21 18 95.527939 (3) 5 1 41 1 9 2 1262 726 9 18 42.629436 $ 5 1 41 1 9 3 1394 726 9 19 48.855072 $ 4 1 41 1 10 0 919 759 628 23 -1 5 1 41 1 10 1 919 759 16 16 84.909485 d. 5 1 41 1 10 2 955 759 40 16 83.680954 Real 5 1 41 1 10 3 1003 760 56 15 83.680954 estate 5 1 41 1 10 4 1277 765 34 16 96.558701 Fair 5 1 41 1 10 5 1318 766 63 16 57.404819 Market 5 1 41 1 10 6 1408 766 40 16 64.632004 How 5 1 41 1 10 7 1456 766 49 16 96.982147 Much 5 1 41 1 10 8 1512 766 35 16 96.930809 You 4 1 41 1 11 0 998 790 491 18 -1 5 1 41 1 11 1 998 790 77 16 94.685669 Address 5 1 41 1 11 2 1276 791 52 16 96.210388 Value 5 1 41 1 11 3 1408 791 31 16 96.205223 Still 5 1 41 1 11 4 1448 791 41 17 96.734360 Owe 4 1 41 1 12 0 954 815 449 20 -1 5 1 41 1 12 1 954 815 21 17 85.983124 (1) 5 1 41 1 12 2 1261 815 10 19 63.784481 $ 5 1 41 1 12 3 1394 816

7 Much 5 1 41 1 10 8 1512 766 35 16 96.930809 You 4 1 41 1 11 0 998 790 491 18 -1 5 1 41 1 11 1 998 790 77 16 94.685669 Address 5 1 41 1 11 2 1276 791 52 16 96.210388 Value 5 1 41 1 11 3 1408 791 31 16 96.205223 Still 5 1 41 1 11 4 1448 791 41 17 96.734360 Owe 4 1 41 1 12 0 954 815 449 20 -1 5 1 41 1 12 1 954 815 21 17 85.983124 (1) 5 1 41 1 12 2 1261 815 10 19 63.784481 $ 5 1 41 1 12 3 1394 816 9 19 54.654964 $ 4 1 41 1 13 0 954 848 449 19 -1 5 1 41 1 13 1 954 848 21 17 96.175179 (2) 5 1 41 1 13 2 1261 848 10 19 37.579071 $ 5 1 41 1 13 3 1394 849 9 18 50.843029 $ 2 1 42 0 0 0 993 867 556 3 -1 3 1 42 1 0 0 993 867 556 3 -1 4 1 42 1 1 0 993 867 556 3 -1 5 1 42 1 1 1 993 867 556 3 95.000000 2 1 43 0 0 0 919 895 460 55 -1 3 1 43 1 0 0 919 895 460 55 -1 4 1 43 1 1 0 919 895 460 21 -1 5 1 43 1 1 1 919 899 15 12 80.847626 e. 5 1 43 1 1 2 942 895 52 16 96.827629 Other 5 1 43 1 1 3 1001 896 78 20 96.808861 personal 5 1 43 1 1 4 1087 896 75 20 96.834190 property 5 1 43 1 1 5 1170 896 75 20 95.739677 (jewelry, 5 1 43 1 1 6 1253 896 80 19 96.086578 furniture, 5 1 43 1 1 7 1341 896 38 19 96.338020 furs, 4 1 43 1 2 0 943 920 436 30 -1 5 1 43 1 2 1 943 920 62 18 96.781998 stocks, 5 1 43 1 2 2 1014 920 60 18 93.297462 bonds, 5 1 43 1 2 3 1082 921 44 20 83.249603 etc.): 5 1 43 1 2 4 1276 934 34 16 95.085068 Fair 5 1 43 1 2 5 1318 934 61 16 96.578407 Market 2 1 44 0 0 0 954 954 449 81 -1 3 1 44 1 0 0 954 954 449 81 -1 4 1 44 1 1 0 996 954 331 30 -1 5 1 44 1 1 1 996 954 80 30 95.631058 Describe 5 1 44 1 1 2 1275 959 52 16 96.446922 Value 4 1 44 1 2 0 954 983 449 21 -1 5 1 44 1 2 1 954 983 21 18 16.964893 a) 5 1 44 1 2 2 1262 985 9 18 61.879143 § 5 1 44 1 2 3 1320 997 3 3 6.374912 : 5 1 44 1 2 4 1394 985 9 19 81.149628 $ 4 1 44 1 3 0 954 1014 449 21 -1 5 1 44 1 3 1 954 1014 21 19 96.836517 (2) 5 1 44 1 3 2 1262 1016 9 19 59.093063 $ 5 1 44 1 3 3 1394 1017 9 18 46.221184 $ 2 1 45 0 0 0 1408 935 139 41 -1 3 1 45 1 0 0 1408 935 139 41 -1 4 1 45 1 1 0 1408 935 139 16 -1 5 1 45 1 1 1 1408 935 40 16 96.491035 How 5 1 45 1 1 2 1456 935 49 16 96.401749 Much 5 1 45 1 1 3 1512 935 35 16 96.365967 You 4 1 45 1 2 0 1408 960 81 16 -1 5 1 45 1 2 1 1408 960 31 16 96.660049 Still 5 1 45 1 2 2 1448 960 41 16 96.950310 Owe 2 1 46 0 0 0 993 1002 556 5 -1 3 1 46 1 0 0 993 1002 556 5 -1 4 1 46 1 1 0 993 1002 556 5 -1 5 1 46 1 1 1 993 1002 556 5 95.000000 2 1 47 0 0 0 993 1033 556 5 -1 3 1 47 1 0 0 993 1033 556 5 -1 4 1 47 1 1 0 993 1033 556 5 -1 5 1 47 1 1 1 993 1033 556 5 95.000000 2 1 48 0 0 0 918 1066 567 672 -1 3 1 48 1 0 0 918 1066 567 672 -1 4 1 48 1 1 0 919 1066 448 25 -1 5 1 48 1 1 1 919 1066 53 19 96.855690 Your 5 1 48 1 1 2 979 1067 88 23 96.150131 Monthly 5 1 48 1 1 3 1076 1066 126 20 96.486908 Deductions 5 1 48 1 1 4 1210 1068 40 18 96.883255 and 5 1 48 1 1 5 1260 1068 107 23 96.841911 Expenses 4 1 48 1 2 0 919 1101 566 22 -1 5 1 48 1 2 1 919 1101 15 13 86.294502 a. 5 1 48 1 2 2 945 1101 30 17 96.802223 List 5 1 48 1 2 3 982 1105 33 17 96.964890 any 5 1 48 1 2 4 1023 1102 59 20 96.393906 payroll 5 1 48 1 2 5 1089 1102 100 17 96.810898 deductions 5 1 48 1 2 6 1197 1102 32 17 96.652931 and 5 1 48 1 2 7 1237 1102 28 17 96.652931 the 5 1 48 1 2 8 1273 1102 71 21 96.975967 monthly 5 1 48 1 2 9 1352 1103 68 17 96.750465 amount 5 1 48 1 2 10 1427 1103 58 17 96.828140 below: 4 1 48 1 3 0 950 1135 430 21 -1 5 1 48 1 3 1 950 1135 21 19 16.681986 () 5 1 48 1 3 2 1370 1137 10 19 91.047829 $ 4 1 48 1 4 0 950 1165 430 21 -1 5 1 48 1 4 1 950 1165 21 19 95.099442 (2) 5 1 48 1 4 2 1370 1167 10 19 73.753288 $ 4 1 48 1 5 0 950 1195 430 21 -1 5 1 48 1 5 1 950 1195 21 18 78.619774 @) 5 1 48 1 5 2 1370 1197 10 19 45.207523 $ 4 1 48 1 6 0 950 1226 430 20 -1 5 1 48 1 6 1 950 1226 21 18 49.439026 (4) 5 1 48 1 6 2 1370 1227 10 19 84.765671 $ 4 1 48 1 7 0 931 1257 381 20 -1 5 1 48 1 7 1 931 1269 2 3 74.261116 . 5 1 48 1 7 2 952 1257 42 16 96.682480 Rent 5 1 48 1 7 3 1001 1260 18 12 96.682480 or 5 1 48 1 7 4 1026 1257 55 16 96.236504 house 5 1 48 1 7 5 1089 1257 78 20 93.270981 payment 5 1 48 1 7 6 1175 1257 12 16 93.270981 & 5 1 48 1 7 7 1194 1257 118 17 96.035164 maintenance 4 1 48 1 8 0 930 1286 293 21 -1 5 1 48 1 8 1 930 1299 2 3 49.030586 . 5 1 48 1 8 2 952 1286 45 16 96.202171 Food 5 1 48 1 8 3 1004 1286 33 16 96.843971 and 5 1 48 1 8 4 1046 1286 93 16 96.571571 household 5 1 48 1 8 5 1148 1287 75 20 96.571571 supplies 4 1 48 1 9 0 931 1316 224 20 -1 5 1 48 1 9 1 931 1329 2 3 82.009567 . 5 1 48 1 9 2 952 1316 65 16 95.728142 Utilities 5 1 48 1 9 3 1024 1316 33 16 96.746056 and 5 1 48 1 9 4 1064 1316 91 20 96.728645 telephone 4 1 48 1 10 0 931 1346 94 20 -1 5 1 48 1 10 1 931 1358 2 3 35.487141 . 5 1 48 1 10 2 951 1346 74 20 93.050659 Clothing 4 1 48 1 11 0 952 1376 197 20 -1 5 1 48 1 11 1 952 1376 73 20 96.260597 Laundry 5 1 48 1 11 2 1032 1376 33 16 96.726158 and 5 1 48 1 11 3 1073 1376 76 20 96.220726 cleaning 4 1 48 1 12 0 931 1405 290 21 -1 5 1 48 1 12 1 931 1418 2 3 88.573257 . 5 1 48 1 12 2 952 1405 69 17 96.842194 Medical 5 1 48 1 12 3 1029 1406 32 16 96.963142 and 5 1 48 1 12 4 1069 1406 56 16 96.972168 dental 5 1 48 1 12 5 1132 1410 89 16 96.204208 expenses 4 1 48 1 13 0 931 1436 360 21 -1 5 1 48 1 13 1 931 1449 2 3 81.937538 . 5 1 48 1 13 2 952 1436 89 16 95.208740 Insurance 5 1 48 1 13 3 1049 1436 37 21 95.860031 (life, 5 1 48 1 13 4 1094 1436 61 19 96.280319 health, 5 1 48 1 13 5 1163 1437 81 19 95.873444 accident, 5 1 48 1 13 6 1252 1437 39 20 90.552788 etc.) 4 1 48 1 14 0 951 1466 163 19 -1 5 1 48 1 14 1 951 1466 67 19 96.388329 School, 5 1 48 1 14 2 1027 1466 40 16 96.990005 child 5 1 48 1 14 3 1075 1470 39 12 96.896774 care 4 1 48 1 15 0 951 1496 384 22 -1 5 1 48 1 15 1 951 1496 51 19 96.777237 Child, 5 1 48 1 15 2 1010 1496 70 20 96.983078 spousal 5 1 48 1 15 3 1088 1497 69 20 96.145645 support 5 1 48 1 15 4 1164 1497 77 20 96.362930 (another 5 1 48 1 15 5 1248 1497 87 21 96.364639 marriage) 4 1 48 1 16 0 930 1526 449 21 -1 5 1 48 1 16 1 930 1539 2 3 87.902977 . 5 1 48 1 1

48 1 14 3 1075 1470 39 12 96.896774 care

4 1 48 1 15 0 951 1496 384 22 -1 5 1 48 1 15 1 951 1496 51 19 96.777237 Child, 5 1 48 1 15 2 1010 1496 70 20 96.983078 spousal 5 1 48 1 15 3 1088 1497 69 20 96.145645 support 5 1 48 1 15 4 1164 1497 77 20 96.362930 (another 5 1 48 1 15 5 1248 1497 87 21 96.364639 marriage) 4 1 48 1 16 0 930 1526 449 21 -1 5 1 48 1 16 1 930 1539 2 3 87.902977 . 5 1 48 1 16 2 950 1526 139 20 96.488113 Transportation, 5 1 48 1 16 3 1097 1530 38 16 96.606720 gas, 5 1 48 1 16 4 1143 1527 39 16 96.946594 auto 5 1 48 1 16 5 1190 1527 53 20 96.922234 repair 5 1 48 1 16 6 1250 1527 32 16 96.922234 and 5 1 48 1 16 7 1290 1527 89 17 95.868668 insurance 4 1 48 1 17 0 952 1556 357 21 -1 5 1 48 1 17 1 952 1556 99 16 96.615280 Installment 5 1 48 1 17 2 1058 1557 89 19 96.737503 payments 5 1 48 1 17 3 1155 1556 32 20 87.064026 (list 5 1 48 1 17 4 1193 1557 44 16 96.143333 each 5 1 48 1 17 5 1244 1557 65 20 94.653290 below): 4 1 48 1 18 0 972 1582 68 16 -1 5 1 48 1 18 1 972 1582 40 16 96.477287 Paid 5 1 48 1 18 2 1019 1582 21 16 96.972168 to: 4 1 48 1 19 0 953 1607 21 18 -1 5 1 48 1 19 1 953 1607 21 18 63.581558 (1) 4 1 48 1 20 0 953 1642 21 18 -1 5 1 48 1 20 1 953 1642 21 18 85.942787 (2) 4 1 48 1 21 0 953 1676 21 18 -1 5 1 48 1 21 1 953 1676 21 18 94.810493 (3) 4 1 48 1 22 0 918 1717 402 21 -1 5 1 48 1 22 1 918 1718 23 13 90.651360 m. 5 1 48 1 22 2 950 1717 150 20 92.298798 Wages/eamings 5 1 48 1 22 3 1107 1717 76 16 96.379768 withheld 5 1 48 1 22 4 1191 1717 20 21 93.274055 by 5 1 48 1 22 5 1219 1718 46 16 83.006294 caurt 5 1 48 1 22 6 1272 1718 48 16 96.858429 order 2 1 49 0 0 0 918 1750 457 41 -1 3 1 49 1 0 0 918 1750 457 41 -1 4 1 49 1 1 0 918 1750 457 21 -1 5 1 49 1 1 1 918 1751 16 13 87.670258 n. 5 1 49 1 1 2 950 1750 35 20 96.826065 Any 5 1 49 1 1 3 993 1750 47 16 96.469849 other 5 1 49 1 1 4 1046 1750 72 20 96.583817 monthly 5 1 49 1 1 5 1125 1754 88 17 96.498611 expenses 5 1 49 1 1 6 1222 1751 32 20 92.010155 (list 5 1 49 1 1 7 1260 1751 43 16 96.890320 each 5 1 49 1 1 8 1311 1751 64 20 96.095146 below). 4 1 49 1 2 0 972 1775 68 16 -1 5 1 49 1 2 1 972 1775 39 16 96.851219 Paid 5 1 49 1 2 2 1019 1775 21 16 96.998329 to: 2 1 50 0 0 0 952 1810 21 87 -1 3 1 50 1 0 0 952 1810 21 87 -1 4 1 50 1 1 0 953 1810 20 17 -1 5 1 50 1 1 1 953 1810 20 17 85.773827 (1) 4 1 50 1 2 0 953 1845 20 18 -1 5 1 50 1 2 1 953 1845 20 18 70.582542 2) 4 1 50 1 3 0 952 1879 21 18 -1 5 1 50 1 3 1 952 1879 21 18 58.072849 @) 2 1 51 0 0 0 983 1154 543 5 -1 3 1 51 1 0 0 983 1154 543 5 -1 4 1 51 1 1 0 983 1154 543 5 -1 5 1 51 1 1 1 983 1154 543 5 95.000000 2 1 52 0 0 0 983 1184 543 5 -1 3 1 52 1 0 0 983 1184 543 5 -1 4 1 52 1 1 0 983 1184 543 5 -1 5 1 52 1 1 1 983 1184 543 5 95.000000 2 1 53 0 0 0 983 1215 543 4 -1 3 1 53 1 0 0 983 1215 543 4 -1 4 1 53 1 1 0 983 1215 543 4 -1 5 1 53 1 1 1 983 1215 543 4 95.000000 2 1 54 0 0 0 983 1245 543 4 -1 3 1 54 1 0 0 983 1245 543 4 -1 4 1 54 1 1 0 983 1245 543 4 -1 5 1 54 1 1 1 983 1245 543 4 95.000000 2 1 55 0 0 0 1393 1258 10 197 -1 3 1 55 1 0 0 1393 1258 10 197 -1 4 1 55 1 1 0 1393 1258 10 197 -1 5 1 55 1 1 1 1393 1258 10 197 0.000000 PABA 5 1 55 1 1 2 1384 1253 28 48 0.000000 AH 2 1 56 0 0 0 916 1256 493 315 -1 3 1 56 1 0 0 916 1256 493 315 -1 4 1 56 1 1 0 916 1256 14 315 -1 5 1 56 1 1 1 916 1256 14 315 0.000000 rars 5 1 56 1 1 2 908 1370 30 78 0.000000 stem 5 1 56 1 1 3 916 1256 14 102 0.000000 eaas 4 1 56 1 2 0 1393 1467 16 78 -1 5 1 56 1 2 1 1393 1467 16 78 0.000000 OA 2 1 57 0 0 0 992 1625 550 3 -1 3 1 57 1 0 0 992 1625 550 3 -1 4 1 57 1 1 0 992 1625 550 3 -1 5 1 57 1 1 1 992 1625 550 3 95.000000 2 1 58 0 0 0 992 1660 557 3 -1 3 1 58 1 0 0 992 1660 557 3 -1 4 1 58 1 1 0 992 1660 557 3 -1 5 1 58 1 1 1 992 1660 557 3 95.000000 2 1 59 0 0 0 992 1695 557 2 -1 3 1 59 1 0 0 992 1695 557 2 -1 4 1 59 1 1 0 992 1695 557 2 -1 5 1 59 1 1 1 992 1695 557 2 95.000000 2 1 60 0 0 0 1393 1607 10 162 -1 3 1 60 1 0 0 1393 1607 10 162 -1 4 1 60 1 1 0 1393 1607 10 162 -1 5 1 60 1 1 1 1393 1718 10 51 39.078831 On 5 1 60 1 1 2 1393 1607 10 86 42.136436 An 5 1 60 1 1 3 1384 1602 28 22 22.014112 we 2 1 61 0 0 0 1417 1786 108 16 -1 3 1 61 1 0 0 1417 1786 108 16 -1 4 1 61 1 1 0 1417 1786 108 16 -1 5 1 61 1 1 1 1417 1786 40 16 96.521027 How 5 1 61 1 1 2 1465 1786 60 16 96.690765 Much? 2 1 62 0 0 0 992 1829 557 2 -1 3 1 62 1 0 0 992 1829 557 2 -1 4 1 62 1 1 0 992 1829 557 2 -1 5 1 62 1 1 1 992 1829 557 2 95.000000 2 1 63 0 0 0 991 1864 558 2 -1 3 1 63 1 0 0 991 1864 558 2 -1 4 1 63 1 1 0 991 1864 558 2 -1 5 1 63 1 1 1 991 1864 558 2 95.000000 2 1 64 0 0 0 991 1898 549 2 -1 3 1 64 1 0 0 991 1898 549 2 -1 4 1 64 1 1 0 991 1898 549 2 -1 5 1 64 1 1 1 991 1898 549 2 95.000000 2 1 65 0 0 0 1393 1810 10 137 -1 3 1 65 1 0 0 1393 1810 10 137 -1 4 1 65 1 1 0 1393 1810 10 137 -1 5 1 65 1 1 1 1393 1929 10 18 27.939228 a 5 1 65 1 1 2 1393 1810 10 87 8.478346 fe 2 1 66 0 0 0 860 1923 511 25 -1 3 1 66 1 0 0 860 1923 511 25 -1 4 1 66 1 1 0 860 1923 511 25 -1 5 1 66 1 1 1 860 1923 56 18 89.576256 Total 5 1 66 1 1 2 924 1924 89 23 96.479874 monthly 5 1 66 1 1 3 1022 1929 105 18 96.424973 expenses 5 1 66 1 1 4 1137 1925 46 22 96.424973 (add 5 1 66 1 1 5 1192 1925 36 18 71.079742 11a 5 1 66 1 1 6 1235 1925 52 18 40.660583 —11n 5 1 66 1 1 7 1295 1926 76 22 96.448349 above): 2 1 67 0 0 0 132 1986 1419 12 -1 3 1 67 1 0 0 132 1986 1419 12 -1 4 1 67 1 1 0 132 1986 1419 12 -1 5 1 67 1 1 1 132 1986 1419 12 95.000000 2 1 68 0 0 0 136 2010 164 15 -1 3 1 68 1 0 0 136 2010 164 15 -1 4 1 68 1 1 0 136 2010 164 15 -1 5 1 68 1 1 1 136 2010 55 12 96.523094 Revised 5 1 68 1 1 2 197 2010 42 13 94.466888 March 5 1 68 1 1 3 245 2010 11 15 94.466888 1, 5 1 68 1 1 4 266 2010 34 13 96.683769 2015 2 1 69 0 0 0 627 2013 429 29 -1 3 1 69 1 0 0 627 2013 429 29 -1 4 1 69 1 1 0 627 2013 429 29 -1 5 1 69 1 1 1 627 2013 121 29 96.748444 Request 5 1 69 1 1 2 758 2014 28 24 96.642715 to 5 1 69 1 1 3 795 2014 90 23 95.476547 Waive 5 1 69 1 1 4

2010 55 12 96.523094 Revised 5 1 68 1 1 2 197 2010 42 13 94.466888 March 5 1 68 1 1 3 245 2010 11 15 94.466888 1, 5 1 68 1 1 4 266 2010 34 13 96.683769 2015 2 1 69 0 0 0 627 2013 429 29 -1 3 1 69 1 0 0 627 2013 429 29 -1 4 1 69 1 1 0 627 2013 429 29 -1 5 1 69 1 1 1 627 2013 121 29 96.748444 Request 5 1 69 1 1 2 758 2014 28 24 96.642715 to 5 1 69 1 1 3 795 2014 90 23 95.476547 Waive 5 1 69 1 1 4 896 2014 82 24 96.661438 Court 5 1 69 1 1 5 989 2015 67 23 96.323555 Fees 2 1 70 0 0 0 1347 2016 199 22 -1 3 1 70 1 0 0 1347 2016 199 22 -1 4 1 70 1 1 0 1347 2016 199 22 -1 5 1 70 1 1 1 1347 2016 86 21 91.107712 FW-001, 5 1 70 1 1 2 1442 2019 47 19 96.906082 Page 5 1 70 1 1 3 1496 2019 10 15 96.548180 2 5 1 70 1 1 4 1514 2019 32 16 96.548180 of 5 1 70 1 1 5 1538 2012 10 30 96.824104 2

Request to Waive Additional | CONFIDENTIAL —_|

| FW-002 | Court Fees (Superior Court) CONFIDENTIAL

Clerk stamps date here when form is filed. This form asks the court to waive additional court fees that are not covered in a current order. If you have not already received an order that waived or reduced your court fees, you must complete.and file a Request to Waive Court Fees (Superior Court), form FW-001, along with this form. @) Your Information (person asking the court to waive the fees): Name: Fill in court name and street address: Street or mailing address: Superior Court of California, County of City: State: Zip: Phone number: (2) Your lawyer, if you have one (name, firm or affiliation, address, phone number, and State Bar number): Fill in case number and name: Case Number: a. The lawyer has agreed to advance all or a portion of your fees or costs | Case Name: (check one): [] Yes [] No b. Gfyes, your lawyer must sign here): Lawyer’s signature: Uf your lawyer is nat providing legal-aid type services based on your low income, you may have to go toa hearing to explain why you are asking the court to waive the fees, @) Date your /ast court fee waiver order, if any, was granted: Has your financial situation improved since your last Request to Waive Court Fees? [| No [] Yes (If yes, you must fill out a new Request to Waive Court Fees, form FW-001, and attach it to this form.) G6) What other fees do you want your court fee waiver order to cover? (Check all that apply): a. (] Jury fees and expenses b. [J Court-appointed interpreter fees for a witness c. [-] Fees for a peace officer to testify in court d. [] Fees for court-appointed experts e. LC] Other (specify): @) Why do you need these other services? (Explain): Notice: The court may order you to answer questions about your finances and Jater order you to pay back the waived fees, If this happens and you do not pay, the court can make you pay the fees and also charge you collection fees, If there is a change in your financial circumstances during this case that increases your ability to pay fees and costs, you must notify the trial court within five days, (Use form FW-010.) lf you win your case, the trial court may order the other side to pay the fees. If you settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in the amount of the waived fees. The trial court may not dismiss the case until the lien is paid. I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. . Date: Print your name here 5 Sign here dsl Counc of caliomis, wnzcoursce-gov = Request to Waive Additional Court Fees FW-002, Page 1 of 1 Calforia Roles of Cour, Rafa 351 (Superior Court)

Order on Court Fee Waiver . Glerk stamps date here when form is filed. FW-003 : (Superior Court) (4) Person who asked the court to waive court fees: Name: Street or mailing address: City: State: Zip: @) Lawyer, if person in (1) has one (name, address, phone number, e-mail, and State Bar number): Fill in court name and street address: Superior Court of California, County of A request to waive court fees was filed on (date): [| The court made a previous fee waiver order in this case on (date): Fill in case number and name: Case Number: Read this form carefully, All checked boxes are court orders. ; Case Name: © Notice: The court may order you to answer questions about your finances and later order you to pay back the waived fees, If this happens and you do not pay, the court can make you pay the fees and also charge you collection fees, If there is a change in your financial circumstances during this case that increases your ability to pay fees and costs, you must notify the trial court within five days. (Use form FW-010.) If you win your case, the trial court may order the other side to pay the fees. If you settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in the amount of the waived fees, The trial court may not dismiss the case until the lien is paid, After reviewing your: [1] Request to Waive Court Fees (1) Request to Waive Additional Court Fees the court makes the following orders: a, LJ The court grants your request, as follows: (1) Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal. Rules of Court, rules 3.55 and 8,818.) You do not have to pay the court fees for the following:

• Filing papers in Superior Court + Giving notice and certificates
• Making copies and certifying copies * Sending papers to another court department « Sheriff ’s fee to give notice * Court-appointed interpreter in small claims court
• Court fee for phone hearing « Reporter’s fee for attendance at hearing or trial, if reporter provided by the court « Assessment for court investigations under Probate Code section 1513, 1826, or 1851 « Preparing, certifying, copying, and sending the clerk’s transcript on appeal
• Holding in trust the deposit for a' reporter's transcript on appeal under rule 8.130 or 8.834 « Making a transcript or copy of an official electronic recording under rule 8.835 (2)(1 Additional Fee Waiver. The court grants your request and waives your additional superior court fees and costs that are checked below. (Cal. Rules of Court, rule'3.56,) You do not have to pay for the checked items, L] Jury fees and expenses C] Fees for a peace officer to testify in court LJ Fees for court-appointed experts (1 Court-appointed interpreter fees for a witness (1 Other (specify): Fee Ole Menaerceutsceov Order on Court Fee Waiver (Superior Court) FW-003, Page 1 of 2 Government Code, § 68624(e) Cal, Rules of Court, rule 3.52

Case Number: Your name: b, (J The court denies your fee waiver request, as follows: Warning! If you miss the deadline below, the court cannot process your request for hearing or the court papers you filed with your original request. If the papers were a notice of appeal, the appeal may be dismissed. (1) C] The court denies your request because it is incomplete. You have 10 days after the clerk gives notice of this order (see date of service on next page) to:

• Pay your fees and costs, or

• File anew revised request that includes the items listed below (specify incomplete items); (2) (1 The court denies your request because the information you provided on the request shows that you are not eligible for the fee waiver you requested (specify reasons): The court has enclosed a blank Request for Hearing About Court Fee Waiver Order (Superior Court), form FW-006.You have 10 days after the clerk gives notice of this order (see date of service below) to:
• Pay your fees and costs in full or the amount listed in c. below, or ¢ Ask for a hearing in order to show the court more information. (Use form FW-006 to request hearing,) c. LC] The court needs more information to decide whether to grant your request. You must go to court on the date below. The hearing will be about (specify questions regarding eligibility): (1 Bring the following proof to support your request if reasonably available: 1 Name and address of court if different from above: Hearing |? Date: Time: Date Dept. | Room: Warning! If item c is checked, and you do not go to court on your hearing date, the judge will deny your request to waive court fees, and you will have 10 days to pay your fees. If you miss that deadline, the | court cannot process the court papers you filed with your request. If the papers were a notice of appeal, the appeal may be dismissed. - Date: Signature of (check one): (] Judicial Officer [1 Clerk, Deputy Request for Accommodations, Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least 5 days before your hearing. Contact the clerk’s office for Request for Accommodation, Form MC-410. (Civil Code, § 54.8.) Clerk's Certificate of Service I certify that I am not involved in this case and (check one): OA certificate of mailing is attached, C1 Thanded a copy of this order to the party and attorney, if any, listed in(1)and (2) at the court, on the date below. [] This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in@) and ®, from (city): , California on the date below. Date: . “Clerk, by: » Deputy This is a Court Order. Revised July 1, 2015 Order on Court Fee Waiver (Superior Court) FW-008, Page 2 of 2