Rev01.20.16taj STATE OF NEW MEXICO COUNTY OF BERNALILLO SECOND JUDICIAL DISTRICT COURT , Plaintiff v. No. , Defendant ORDER ON APPLICATION FOR FREE PROCESS THIS MATTER having come before the court on Plaintiff222s application for free process and affidavit of indigency, and the court being otherwise advised in the premises, FINDS that: [ ] the applicant receives public assistance and is, therefore, entitled to free process. [ ] the applicant's annual income does not exceed percent of the federal poverty guidelines, and the applicant is, therefore, entitled to free process. [ ] the applicant's annual income exceeds percent of the federal poverty guidelines, but the applicant is not reasonably able to pay fees or costs and is, therefore, entitled to free process. [ ] on the basis of the applicant's available funds or annual income, the applicant is not entitled to free process. [ ] the applicant is not entitled to free process for the forgoing reason(s): THE COURT ORDERS that: [ ] the filing fee is waived. American LegalNet, Inc. www.FormsWorkFlow.com Rev01.20.16taj [ ] the filing fee is waived except for the $ alternative dispute resolution (ADR) fee. [ ] the applicant is granted free service of process by the Sheriff in Bernalillo County, New Mexico for 1 2 3 4 5 or summons(es), provided that the applicant first attempts service by certified mail pursuant to Rule 1-004 NMRA. [ ] the applicant is granted free service of process by the Sheriff in Bernalillo County, New Mexico of a temporary restraining order or . [ ] the applicant is to pay the filing fee on , 20 [ ] interpretation services shall be provided to the applicant. [ ] free process is denied. [ ] Other: Unless specifically granted above, this order of free process does not include the following costs: jury fees, certification fees, subpoena fees for witnesses, witness fees for hearings or trials, mailings, long distance charges, transcripts for appeals or record proper, duplication fees for audiotapes or compact discs, copy charges, publication fees, or facsimile services. Application for all other costs are to be made to the judge assigned to your case. If the applicant prevails in this law suit and collects money by judgment or settlement, the court is to be reimbursed for any waived costs. This order is subject to revision, modification or rescission by the judge assigned to your case. JUDGE 226 Second Judicial District Court American LegalNet, Inc. www.FormsWorkFlow.com