Statement Of Trust Fund Account (Prisoner Application For In Forma Pauperis Status)
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Statement Of Trust Fund Account (Prisoner Application For In Forma Pauperis Status) Form. This is a Idaho form and can be use in District Court Federal.
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Tags: Statement Of Trust Fund Account (Prisoner Application For In Forma Pauperis Status), Idaho Federal, District Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
:
________________________________ Plaintiff(s)
Full Name/Prisoner Number
-against________________________________
________________________________
________________________________
Complete Mailing Address
Calendar No.
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
:
. .Petitioner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.......
IN THE UNITED STATES DISTRICT COURT
THE PEOPLE OF THE STATE OF NEW YORK
FOR THE DISTRICT OF IDAHO
TO
_______________________________________
Petitioner,
)
)
CASE NO. ______________
GREETINGS:
(Full name)
)
(To be assigned by the Court at filing)
)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the )
Court
vs.
located at
County of
)
STATEMENT OF TRUST FUND
in_______________________________________
room
, on the
day of
, 20 ) , at
o'clock in
noon, and at any recessed
ACCOUNT the
or adjourned date, to testify and give evidence as a witness in this action on the part of the
)
_______________________________________
)
Respondent.
)
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
)
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
__________________________________________)
result of your failure to comply.
I certify that ____________________________, Petitioner named herein, has the sum of
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
$____________________ on account to his/her credit at the _____________________________
__________________________________ where he/she is (Attorney must sign above and type name below)
confined.
I further certify that the attached is a true and correct copy of the above-named Petitioner’s
Attorney(s) for
trust fund account statement for the six-month period immediately prior to filing.
Dated this ____ day of ________________________, 20____.
Office and P.O. Address
___________________________________
Authorized Officer of Institution
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
IN FORMA PAUPERIS AFFIDAVIT HABEAS (Rev. 11/02)
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