Form 259 Rev 8/18 The Family Court of the State of Delaware In and For New Castle Kent Sussex County IN RE: Petitioner , VS. File Number: Petition Number: Respondent ORDER ON APPLICATION TO PROCEED IN FORMA PAUPERIS The Court has reviewed the Petitioner222s application and, if necessary, has questioned the Petitioner under oath. Petitioner222s application is hereby: Granted. The Court waives all fees and costs associated with the filing and notice of this action. This does not include waiver of transcript fees. This Order also does not include a waiver o f publication costs. Granted in part. Denied. Petitioner must pay all fees and costs associated with the filing and notice of this action. Please remit payment to the cashier222s office. If the above provisions are not completed within 30 days of the date of this Order, the underlying petition is dismissed pursuant to this Order. IT IS SO ORDERED , this day of , . PAYMENT IS DUE ON OR BEFORE cc: Petitioner Remit payment to: Cashier222s Office, 500 N. King Street, Wilmington, DE 19801 400 Court Street, Dover, DE 19901 22 The Circle, Georgetown, DE 19947 Date mailed: J udge/Commissioner Signature Judge/Commissioner Print Name American LegalNet, Inc. www.FormsWorkFlow.com