CV-410B, 05/17 Order on Petition of Waiver of Fees/Costs 247247757.675(3), 757.69(2m), and 814.29, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY - vs - Amended Order on Petition for Waiver of Fees and Costs Case No. THE COURT FINDS AND ORDERS: Upon reviewing the petition of [Name] for waiver of fees and costs, this petition is 1. GRANTED because the court finds the requestor is currently indigent. The action may be commenced or defended without payment of filing fees, including the electronic filing fee. The sheriff shall serve all necessary documents without payment of service fees. The requestor may be required to pay these fees if the court later determines the requestor has the ability to pay. 2. GRANTED for waiver of . The requestor may be required to pay fees if the court later determines the requestor has the ability to pay. 3. DENIED because the court finds the requestor is not indigent, but is currently not able to pay filing or service fees. This action may be filed by the Clerk and all necessary documents may be served by the sheriff without prepayment of fees. Such fees must be paid no later than . 4. DENIED because the court finds requestor is not indigent . the allegation of poverty to be untrue. requestor is a prisoner and is required to use form CV-438 or CV-440. requestor has not stated a meritorious claim, defense, or appeal upon which the court may grant relief: [Brief explanation] Other: DISTRIBUTION: 1. Clerk of Circuit Court American LegalNet, Inc. www.FormsWorkFlow.com