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

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

STATE OF WISCONSIN, CIRCUIT COURT,

COUNTY

For Official Use

Amended

Order on Petition for

Waiver of

Fees and Costs

-vs.-

Case No.

THE COURT FINDS AND ORDERS:

This petition is

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.

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.

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

DENIED because the court finds

the

requestor is not indigent.

allegation of poverty to be untrue.

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

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

[Brief explanation]

BY THE COURT:

Circuit Court Judge

Circuit Court Commissioner

DISTRIBUTION:

Original- Clerk of Circuit Court

Print or Type Name

Date

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

§§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