IFP104 State ENG Rev 6/15www.mncourts.gov/formsPage 1 of 2State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: Plaintiff/Petitioner (first, middle, last)vs. Defendant/Respondent (first, middle, last)ORDER DENYING GRANTINGIn Forma Pauperis Application (Minn Stat. 247 563.01) Order Denying In Forma Pauperis Application Based on the affidavit of the applicantand the authority of Minn Stat. 247 563.01, the Court FINDS: The action is frivolous. The applicant is not found to be indigent and is not entitled to proceed in forma pauperis. The applicant has not provided the court with enough information to make a finding of Other: indigency. The record shall be kept open until toallow the applicant to submit additional evidence to the court for consideration of the application. If no additional evidence is submitted by this date, the case will be closed.IT IS ORDERED THAT: The applicant's request to proceed in forma pauperis is DENIED.Recommended by: Referee of District Court Date Dated:BY THE COURT Judge of District Court Date Dated: American LegalNet, Inc. www.FormsWorkFlow.com IFP104 State ENG Rev 6/15www.mncourts.gov/formsPage 2 of 2Order Granting In Forma Pauperis Application Based on the affidavit of the applicantand the authority of Minn Stat. 247 563.01, the Court FINDS: 1. The applicant's claims are not frivolous and applicant is financially unable to pay any fees and entitled to proceed in not frivolous and applicant does not meet the eligibility criteria under Minn. Stat 563.01,forma pauperis. ORsubd. 3(b), but is able to pay a portion of the fees, costs, and security for costs. IT IS ORDERED THAT: 1. The applicant is authorized to proceed in forma pauperis.2. The applicant shall not be required to pay any fees, costs and security. The applicant shall pay towards fees, costs and security, and shall be dueOR immediately upon filing.3. All necessary pleadings in this proceeding shall be served by the Sheriff of the appropriate county as requested without payment of any fees or costs. 4. If, following commencement of the action, the applicant no longer meets the eligibility criteria under Minn. Stat. 247 563.01, subd. 3(b) or becomes able to pay a higher amount than previously ordered, the Court may order reimbursement of all or a portion of the fees, costs, and security for costs. 5. If funds are recovered by either settlement or judgment in this action, the costs deferred and expenses directed by the Court to be paid in this order shall be included in such settlement or judgment and shall be paid directly to the Court Administrator by the opposing party. 6. This order expires one year from the date of this order, unless otherwise amended or altered by the court. The applicant shall reapply if the applicant seeks to proceed in forma pauperis after the one year period.Recommended by: Referee of District Court Dated:BY THE COURT Judge of District Court Dated: American LegalNet, Inc. www.FormsWorkFlow.com