Fee Waiver Set Aside Notice (Order Setting Aside Waiver Of Court Fees) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Fee Waiver Set Aside Notice (Order Setting Aside Waiver Of Court Fees) Form. This is a California form and can be use in Sacramento Local County.
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Tags: Fee Waiver Set Aside Notice (Order Setting Aside Waiver Of Court Fees), FL-E-LP-634, California Local County, Sacramento
Superior Court of California, County of Sacramento
Family Law Public Service Unit
IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA
IN AND FOR THE COUNTY OF SACRAMENTO
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, Petitioner
vs.
, Respondent
Case Number:
DECLARATION FOR ORDER SETTING ASIDE
WAIVER OF COURT FEES AND VOIDING
DOCUMENT(S) AND ORDER THEREON
I, the undersigned deputy clerk, declare:
____________ (applicant) filed an application for waiver of court fees and costs on
______________. In accordance with Government Code Section 68511.3(a), reasonable attempts have been
made to verify applicant is currently receiving financial assistance. The Notice to Applicant Re: Verification
Results was mailed on ___________. The applicant has failed to provide proof of financial assistance to the
court or pay the filing fees previously waived within the required time limit. It is, therefore, requested the order
granting a waiver of court fees and costs be set aside and the __________________ filed by applicant be
voided.
I declare under penalty of perjury that the foregoing is true and correct.
DATED:
____________________________________________
Deputy Clerk
ORDER SETTING ASIDE WAIVER OF COURT FEES AND VOIDING DOCUMENT
IT IS SO ORDERED.
DATED:
____________________________________________
JUDGE OF THE SUPERIOR COURT
FL\E-LP-634 (Rev. 1/29/2009)
Order Setting Aside Waiver
Page 1 of 2
of Court Fees and
Government Code Section 685111.3 (a)
Voiding Documents
American LegalNet, Inc.
www.FormsWorkflow.com
Superior Court of California, County of Sacramento
Family Law Public Service Unit
CLERKâS CERTIFICATE OF MAILING
I, declare that I am an employee of the Sacramento Superior Court, over 18 years of age, a United
States Citizen, and not a party to this action. I placed a copy of the Declaration For Order Setting Aside
Waiver of Court Fees and Voiding Document(s) And Order Thereon in a sealed envelope, postage prepaid,
in the United States mail at Sacramento, California on the date indicated below. Said envelope was addressed as
follows:
I declare under penalty of perjury that the foregoing is true and correct.
DATED:
___________________________________
Deputy Clerk
FL\E-LP-634 (Rev. 1/29/2009)
Order Setting Aside Waiver
Page 2 of 2
of Court Fees and
Government Code Section 685111.3 (a)
Voiding Documents
American LegalNet, Inc.
www.FormsWorkflow.com