IN THE SUPERIOR COURT OF FULTON COUNTY STATE OF GEORGIA FAMILY DIVISION In re the Family of: Petitioner: _____________________________ Civil Action File No: _____________________ and Respondent: ___________________________ ORDER This Court, having considered the Petitioner’s request to file a ___________________________________ __________________________ (type or name of petition) in forma pauperis, hereby grants the request. This __________ day of ___________________ , ___________ . Judge Superior Court of Fulton County Atlanta Judicial Circuit Poverty Affidavit Order Form ©2006 Fulton County Superior Court Family Division Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com