IN THE CIRCUIT COURT OF THE STATE OF OREGON THIRD JUDICIAL DISTRICT Probate Department In the Matter of the Guardianship of: __________________________________ Respondent. ) ) ) ) ) ) Case No. MARION COUNTY INDIGENT GUARDIANSHIP FUND APPLICATION AND/OR MOTION FOR WAIVER OF FEES AND COSTS I intend to file a petition for the appointment of a guardian for the Respondent named above. There are insufficient funds available to pay for the costs associated with bringing this matter before the Court. I ask the Court for an Order granting approval to have the costs of this case paid by the Marion County Indigent Guardianship Fund and/or waive the fees and costs of this case for the following expenses (mark expenses to be covered): “ “ “ “ Waiver of court fees and costs Payment of Visitor from Marion County Indigent Guardianship Fund Payment of Attorney from Marion County Indigent Guardianship Fund Payment of Guardian from Marion County Indigent Guardianship Fund My Affidavit in support of this request is submitted with this Application/Motion. POINTS AND AUTHORITIES ORS 21.605 provides the Court shall waive or defer all fees and costs in whole or in part if the Court finds the party is unable to pay such fees and costs. Dated: __________________________ ___________________________________ Signature Submitted by: ______________________________________ Name Bar No. (if any) _______________________________________ Address _______________________________________ City, State, Zip ___________________________________ Telephone ___________________________________ E-mail Fax American LegalNet, Inc. www.USCourtForms.com MOTION/APPLICATION FOR WAIVER OF FEES AND COSTS - Page 1 of 1 FC (10/20/04)