Form Cv-410b - Order On Petition For Waiver Of Fees And Costs printable pdf download

STATE OF WISCONSIN, CIRCUIT COURT,

COUNTY

Amended

Kho ntxiv

Order on Petition

for Waiver of

Fees and Costs

-vs- xub nrog

Daim Ntawv Xaaj Kom Zam

Tsis Them Cov Nqis Ntawv

Case No.

Tus Lej Cim

This form does not replace the need for an interpreter, any colloquies mandated by law, or the responsibility of the court and counsel

to ensure that persons with limited English proficiency fully comprehend their rights and obligations.

Tsab ntawv no hloov tsis tau tus neeg txhais lus, txawm hais tias muaj kev sib tham txog dab tsi raws li txoj cai, lossis yog lub luag

haujlwm ntawm lub tsev hais plaub thiab tus kws lij choj kom tus neeg uas tsis txawj lus Meskas muaj kev nkag siab txog nws cov kev

cai thiab nws cov haujlwm yuav tau ua ntawv.

THE COURT FINDS AND ORDERS: LUB TSEV HAIS PLAUB NRHIAV POM THIAB TXIAV TXIM HAIS TIAS:

This petition is

Daim ntawv tau

1. GRANTED because the court finds the requestor is currently indigent. The action may be commenced or

defended without payment of filing fees, including the electronic filing fee. The sheriff shall serve all necessary

documents without payment of service fees. The requestor may be required to pay these fees if the court later

determines the requestor has the ability to pay.

KEV TSO CAI vim hais lub tsev hais plaub no pom tau hais tias tus neeg ua ntawv thov no muaj kev txom nyem tiag. Rooj

plaub no pib tau los yog muab kev pab tiv thaiv yam tsis muaj nqi ntawv, nrog rau cov nqi them ua ntawv hauv tshuab hluav

taws xob. Tub ceev yuav tsum xa cov ntawv no yam tsis muaj nqi tes. Lwm hnub lub tsev hais plaub kuj yuav kom tus

neeg ua ntawv thov no los them cov nqi ntawv no yog hais tias lub tsev hais plaub paub taus hais nws them taus.

2. GRANTED for waiver of

The requestor may be required to

pay fees if the court later determines the requestor has the ability to pay.

KEV TSO CAI tsis muaj nqi

Lwm hnub lub tsev hais plaub kuj yuav

kom tus neeg ua ntawv thov no los them cov nqi ntawv yog hais tias lub tsev hais plaub paub taus hais nws them taus

3. DENIED because the court finds the requestor is not indigent, but is currently not able to pay filing or service

fees. This action may be filed by the Clerk and all necessary documents may be served by the sheriff

without prepayment of fees. Such fees must be paid no later than

TSIS TAU KEV TSO CAI vim hais tias lub tsev hais plaub txiav txim hais tias tus neeg ua ntawv thov no tsis yog neeg

txom nyem, tiam sis tsuas yog them tsis taus nqi ntawv thiab nqi xa ntawv xwb. Rooj plaub no pib tau thiab cov ntaub

ntawv uas tsim nyog tub ceev xwm xa tau yam tsis tas them ua ntej. Cov nqi no yuav tsum them ua ntej hnub

4. DENIED because the court finds

TSIS TAU KEV TSO CAI vim hais tias lub tsev hais plaub txiav txim hais tias

requestor is not indigent.

the allegation of poverty to be untrue.

tus neeg ua ntawv thov no tsis txom nyem. cov lus hais tias txom nyem tsis muaj tseeb

requestor is a prisoner and is required to use form CV-438 or CV-440.

tus neeg ua ntawv thov no yog ib tus neeg raug txim thiab yuav tsum tau siv daim foom CV-438 los yog CV-440.

requestor has not stated a meritorious claim, defense, or appeal upon which the court may grant relief:

tus neeg ua ntawv thov no tsis tau teev kom txaus ntseeg, teb cov lus, lossis tawm tsam kom lub tsev hais plaub tau

kev tso cai:

[Brief explanation] [Piav mentsis]

BY THE COURT: LOS NTAWM TSEV HAIS PLAUB:

Circuit Court Judge/Circuit Court Commissioner

Tus Neeg Txiav Txim /Tus Thawj Txiav Txim

Title (Print or Type Name if not eSigned)

Sau Npe Los Yog Ntaus

Date Hnub Tim

DISTRIBUTION:

1. Clerk of Circuit Court

CV-410B, 02/16 Order on Petition for Waiver of Fees/Costs Hmong 06/16

§§757.675(3), 757.69(2m) and 814.29, Wisconsin Statutes

This form shall not be modified. It may be supplemented with additional material.

Form Cv-410b - Order On Petition For Waiver Of Fees And Costs

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