IN THE ____________ COURT OF ____________ COUNTY, WEST VIRGINIA
_________________________ Plaintiff or Petitioner v. Case No. ____________
_________________________ Defendant or Respondent
ORDER: TO PAY FEES OR COSTS
Now finding that ________________________________________, for whom fees (name of party) or costs were previously waived, is financially able to pay, this Court hereby ORDERS _____________________________________________ to pay costs or fees previously (name of party) waived in this case and to pay any future costs or fees attendant to proceedings and services in this case.
ENTER, this __________ day of ______________________________.
____________________________________ Circuit Judge/Family Court Judge/Magistrate
SCA-C&M205.03