IFP115 State ENG Rev 8/14www.mncourts.gov/formsPage 1 of 2State Of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: v. Plaintiff/Petitioner (first, middle, last) Respondent (first, middle, last)ORDER In Forma Pauperis in the Court of Appeals (Minn. Stat. 247563.01 & (Minn. R. App. P. 109) DENYING GRANTING Order Denying In Forma Pauperis ApplicationBased on the motion and affidavit of the applicant and the authority of Minn. Stat. 247563.01, the court FINDS: The application is frivolous. The applicant is not found to be indigent and is not entitled to proceed in forma pauperis. The applicant has not provided the court with enough information to make a finding of indigency.The record shall be kept open until to allow the applicant to submitadditional evidence to the court for consideration of the application. If no additional evidence is submitted by this date, the case will be closed.IT IS ORDERED THAT: The applicant's request to proceed in forma pauperis is DENIED. Dated: Judge of District Court Order Granting In Forma Pauperis ApplicationBased on the motion and affidavit of the applicant and the authority of Minn. Stat. 247563.01, the court FINDS:1. The applicant's claims are: not frivolous and the applicant is financially unable to pay any fees and entitled to American LegalNet, Inc. www.FormsWorkFlow.com IFP115 State ENG Rev 8/14www.mncourts.gov/formsPage 2 of 2proceed in forma pauperis. OR not frivolous and the applicant does not meet the eligibility criteria under Minn. Stat. 247563.01, subd. 3(b), but is able to pay a portion of the appellate filing fee and cost bond.IT IS ORDERED THAT: 1. The applicant may proceed in forma pauperis without further application in the Court of Appeals.2. The applicant shall not be required to pay any portion of appellate filing fees or postingcost bond. OR The applicant shall pay $ towards the appellate filing fee and $towards the cost bond or deposit and shall be due immediately.3. The following costs to be paid by the proper governing body: Transcript preparation costs for the following hearing dates: Other: Not to exceed: $4. If, following commencement of the action, the applicant no longer meets the eligibility criteria under Minn. Stat. 247 563.01, subd. 3(b) or becomes able to pay a higher amount than previously ordered, the district court may order reimbursement of all or a portion of the appellate expenses. 5. If funds are recovered by either settlement or judgment in this action, the costs deferred and expenses directed by the district court to be paid in this order shall be included in such settlement or judgment and shall be paid directly to the Court Administrator by the opposing party. Dated: Judge of District Court American LegalNet, Inc. www.FormsWorkFlow.com