Full Name of Party Submitting This Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Number IN THE DISTRICT COURT OF THE ___________________ JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF _____________________ _____________________________________, Case No.: ___________________ Plaintiff, ORDER RE: PARTIAL PAYMENT OF COURT FEES (PRISONER) vs. _____________________________________, Defendant. Having reviewed the [ ] Plaintiff’s [ ] Defendant’s Motion and Affidavit for Partial Payment of Court Fees, THIS COURT FINDS AND ORDERS: [ ] The average monthly deposits in the prisoner’s inmate account total $_____________, the average monthly balance in the prisoner’s inmate account during the last six months has been $___________; 20% of the greater of these amounts is $________ and must be paid as a partial initial fee at the time of filing. The prisoner shall make monthly payments of not less than 20% of the preceding month’s income credited to the prisoner’s inmate account until the remainder of the court filing fees in the amount of $ are paid in full. The agency or entity having custody of the prisoner shall forward payments from the prisoner’s inmate account to the clerk of the court each time the amount in the prisoner’s inmate account exceeds ten dollars ($10.00) until the full amount is paid or [ ] The prisoner has no assets and need not pay any fee at this time. The prisoner shall make monthly payments of not less than 20% of the preceding month’s income credited to the prisoner’s inmate account until the court filing fees in the amount of $ ORDER RE: PARTIAL PAYMENT OF COURT FEES (PRISONER) CAO 1-10D 05/20/2005 are paid in PAGE 1 American LegalNet, Inc. www.USCourtForms.com full. The agency or entity having custody of the prisoner shall forward payments from the prisoner’s inmate account to the clerk of the court each time the amount in the prisoner’s inmate account exceeds ten dollars ($10.00) until the full amount is paid. or [ ] THIS COURT DENIES the motion because [ ] the prisoner did not comply with all the requirements of Idaho Code §31-3220A , or [ ] the Court finds the prisoner has the ability to pay the full filing fee at this time. Date: ____________________ ____________________________________ Judge CLERK’S CERTIFICATE OF SERVICE I certify that a copy was served: To Prisoner: Name: _______________________________ [ ] Hand-delivery Address: _____________________________ [ ] Mailing City, State, Zip: ________________________ [ ] Fax to (number) ______________ To [ ] counsel for the county sheriff [ ] the department of correction or [ ] the private correctional facility: Name: _______________________________ [ ] Hand-delivery Address: _____________________________ [ ] Mailing City, State, Zip: ________________________ [ ] Fax to (number) ______________ Date: _______________ ____________________________________ Deputy Clerk ORDER RE: PARTIAL PAYMENT OF COURT FEES (PRISONER) PAGE 2 CAO 1-10D 05/20/2005 American LegalNet, Inc. www.USCourtForms.com