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Order (Indigency) Form. This is a Illinois form and can be use in Office Of The State Appellate Defender Statewide.
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Tags: Order (Indigency), Illinois Statewide, Office Of The State Appellate Defender
IN THE CIRCUIT COURT OF THE ___________________JUDICIAL CIRCUIT
_____________________________COUNTY, ILLINOIS
[ ] THE PEOPLE OF THE STATE OF ILLINOIS )
or
)
[ ] A MUNICIPAL CORPORATION,
)
)
vs.
)
)
_________________________________
)
Defendant/Petitioner.
)
CASE NO. ________________
ORDER
This matter coming before the Court on an Application and Affidavit to Sue or Defend as
an Indigent Person, the Court being fully advised in the premises, IT IS HEREBY ORDERED:
Pursuant to Supreme Court Rule 298 and 735 ILCS 5/5-105:
The Defendant/Petitioner is permitted to sue without payment or fees, costs or charges.
The Defendant/Petitioner may be ordered to pay any portion of the waived fees or costs
out of a settlement or judgment resulting from ths action.
‘
The application is denied for the following reason(s):_____________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
‘
made by _______ OR
(Date)
deferred until ________ OR other_________
‘
‘
Payment shall be:
(Date)
‘
_____________________________________________________________________________.
ENTERED:__________________________________, 20____.
_________________________________________
PRESIDING JUDGE
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