Rev. 10/07 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS ) ) Plaintiff(s), ) ) v. ) Case No. ) ) ) Defendant(s) ) MOTION TO PROCEED WITHOUT PREPAYMENT OF FEES I, , ask the court for permission to continue with this case without the payment of fees and costs. In support of my request, I state, under penalty of perjury, that the following facts are true: (1) I am the plaintiff in this case and I believe that I am entitled to relief. (2) This case is about: (3) Because of my financial status, I am unable to pay the fees and costs of this case. (4) I have completed and am filing an Affidavit of Financial Status with this motion. Executed this day of , 20. Signature of Plaintiff American LegalNet, Inc. www.FormsWorkFlow.com