Nebraska State Court Form ORDER TO PROCEED IN FORMA PAUPERIS (Contempt) DC 6:5(36) Rev. 10/13 Neb. Rev. Stat. §§ 25-2301 to 25-2310 IN THE DISTRICT COURT OF ___________________________ COUNTY, NEBRASKA (county where original action filed) ________________________________, (name of person listed as plaintiff in original action) Plaintiff, vs. ________________________________, (name of person listed as defendant in original action) Case No. CI __________________ (case number assigned by Clerk of Court) ORDER TO PROCEED IN FORMA PAUPERIS (Contempt) Defendant. THIS MATTER came before the Court upon the Affidavit and Application to Proceed In Forma Pauperis and to permit commencement of the above-captioned action without prepayment of fees, costs, and expenses, or provision of security, and for an order directing ____________________________ County, Nebraska, to pay the _____________________ (name of county where original action filed) (plaintiff's/defendant's) costs, fees, and other expenses related to this action. THE COURT, being fully advised in the premises, finds and orders as follows: 1. This action for contempt is brought in good faith. 2. The ______________________ cannot commence the above-captioned action if (plaintiff/defendant) required to prepay fees, costs, and expenses, or provide security. 3. The _______________________ is without adequate income or resources to pay (plaintiff/defendant) such costs, fees, and expenses, or to provide security. 4. Pursuant to Neb.Rev.Stat. §§ 25-2301 to 25-2310, such costs, fees, and expenses may be paid by the county in which the action is filed. Page 1 of 2 Order to Proceed In Forma Pauperis (Contempt) DC 6:5(36) Rev. 10/13 American LegalNet, Inc. www.FormsWorkFlow.com 5. The Clerk of the District Court of _____________________________ County, (name of county where original action filed) Nebraska, shall permit the action to proceed without prepayment of fees, costs, and expenses, or provision of security. 6. The responsible officer of the court shall issue and serve all writs, process, and proceedings without cost to the ________________________. (plaintiff/defendant) 7. _______________________________ County, Nebraska, shall initially pay costs, (name of county where original action filed) including the cost of publication, and other expenses related to this action. Dated this ________ day of _____________________, 20___. BY THE COURT: _______________________________ DISTRICT JUDGE Page 2 of 2 Order to Proceed In Forma Pauperis (Contempt) DC 6:5(36) Rev. 10/13 American LegalNet, Inc. www.FormsWorkFlow.com