COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : ___________________________________, Pro Se Plaintiff(s) Plaintiff’s Name Calendar No. JUDICIAL SUBPOENA -against- : ___________________________________ Address : ___________________________________ : Zip _______________________ Defendant(s) : ...................................................... Phone IN THE DISTRICT COURT OF THE THIRD JUDICIAL DISTRICT OF THE PEOPLE OF THE STATE FOR THE COUNTY OF _________________ THE STATE OF IDAHO, IN AND OF NEW YORK _______________________________________ ) TO ) CASE NO. CV-__________________ __________________________________, ) Plaintiff, ) VERIFIED APPLICATION FOR -vs) FILING FEE WAIVER GREETINGS: ) ) WE COMMAND YOU, that business and excuses being laid aside, you and each of you attend before __________________________________, all) , the Honorable at the Court Defendant. ) _______________________________________) located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed COMES adjourned date, to testify WHO give evidence as a witness in this action on the part of the or NOW THE PLAINTIFF and APPLIES AS FOLLOWS: 1. The plaintiff requests permission under Rule 10(a)(6) of the Idaho Your failure to file an this subpoena is punishable as a contempt Rules of Civil Procedure to comply withaction for divorce without the of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of paying a to comply. requirement of your failure filing fee. 2. The reason for this application is because the plaintiff, one of the Justices of the is Witness, Honorable Court in County, day of , 20 without the necessary funds to pay the filing fee for a divorce action at this time. (Attorney must sign above and type name below) 3. In support of this application, the plaintiff provides the following information to the court about the plaintiff’s costs to live, Attorney(s) for including the support of any children: VERIFIED APPLICATION FOR FILING FEE WAIVER Office and P.O. Address Page 1 of 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : ITEM a. : Housing : Plaintiff(s) b. Food c. d. e. f. g. Index No. COST PER MONTH Calendar No. $__________ JUDICIAL SUBPOENA : $__________ Utilities : $__________ Medical, dental, eye care : $__________ Defendant(s) : ...................................................... Day care $__________ Transportation $__________ Clothing $__________ -against- THE PEOPLE OF THE STATE OF NEW YORK h. Other debt requirements TO _____________________________________________ $__________ _____________________________________________ $__________ GREETINGS: _____________________________________________ $__________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court _____________________________________________ $__________ located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed _____________________________________________ $__________ or adjourned date, to testify and give evidence as a witness in this action on the part of the _____________________________________________ $__________ _____________________________________________ $__________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a _____________________________________________ $__________ result of your failure to comply. TOTAL OF ALL EXPENSES LISTED $__________ Witness, Honorable , one of the Justices of the 4. Court plaintiff isCounty, The in obligated day of to pay the full amount of the expenses , 20 listed above. 5. (Attorney must sign above and type name below) The sum total of all income from every source available to the plaintiff including, but not limited to, wages, salary, commissions, Attorney(s) for bonuses, rent, royalties, trade or business income, interest, dividends, pensions, annuities, social security, worker’s compensation, veteran’s VERIFIED APPLICATION FOR FILING FEE WAIVER Office and P.O. Address Page 2 of 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. benefits, public assistance, welfare benefits, alimony, grants, : JUDICIAL SUBPOENA Plaintiff(s) distributions from trusts, and gifts is -against- : $__________ DATED this ________ day of _________________________, __________. : : Defendant(s) _________________________________ : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Plaintiff. . . . . . . . ......... THE PEOPLE OF THE STATE OF NEW YORK STATE OF IDAHO ) : ss TO County of __________________) GREETINGS: _______________________________, being duly sworn, deposes and says that: (typed name of Plaintiff) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , she/he is the plaintiff and applicant for a filing fee waiver in a the Honorable at the Court located at County of proposed in room divorce action on the in the ThirdofJudicial District of the State of , day , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Idaho, she/he has read the foregoing Verified Application for Filing Fee Waiver, and has personal knowledge that the facts stated therein are true. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, _________________________________ Plaintiff , one of the Justices of the day of , 20 (Attorney must sign above and type name below) SUBSCRIBED AND SWORN TO before me this ____ day of ________________, ______ Attorney(s) for _________________________________ NOTARY PUBLIC FOR IDAHO Residing at: My commission expires: Office and P.O. Address VERIFIED APPLICATION FOR FILING FEE WAIVER Page 3 of 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com