FEE WAIVER APPLICATION ADVISEMENT Any pleading will be accepted for filing subject to being stricken if the fee waiver is subsequently denied and proper fees are not posted. If the fee waiver is granted, or is denied and fees are paid within ten days after notice of denial, the original filing date will be used to determine whether legal time limits for filing were met. When submitting your application for waiver of court fees and costs the clerk of the court will request verification of your financial condition (California Rules of Court 985(b)). Please follow the instructions on the INFORMATION SHEET ON WAIVER OF COURT FEES AND COSTS and on the APPLICATION FOR WAIVER OF COURT FEES AND COSTS. Your application is confidential and as such will be placed in a sealed envelope marked confidential after consideration of the order. COUNTY JAIL OR STATE PRISON INMATES: You must also submit the required proof based on what boxes you have checked. You will also need a certified copy of your statement of account for any sums due you for the six-month period immediately preceding the filing of the civil action or appeal. State prison inmates: you also need to submit the Inmate Trust Account Withdrawal form, when filing complaints and petitions, showing you've paid the $3 to DOC pursuant to Penal Code section 2601(d). American LegalNet, Inc. www.USCourtForms.co m Sup Crt 207 (01/2001)