Free State of Wyoming - Wyoming

STATE OF WYOMING COUNTY OF ________________

) ) ss )

IN THE DISTRICT COURT _______________ JUDICIAL DISTRICT

Petitioner:___________________________, )Civil Action Case No. _________________ ) ) vs. ) ) Respondent:_________________________. )

ORDER ON REQUEST FOR WAIVER OF FILING FEES AND ALL FEES ASSOCIATED THEREWITH

This matter has come before the Court on the Affidavit of Indigency and Request for Waiver of Filing Fees and All Fees Associated Therewith. The Court having reviewed the Affidavit, the Court hereby finds and orders as follows: 1. The request for waiver of filing fees and all fees associated therewith, including service of process fees, is granted. The request for waiver of filing fees and all fees associated therewith is denied.

2.

DONE this ___________ day of ____________, 20_____.

_______________________ District Court Judge Copies sent to: Petitioner: Respondent:

CSMod 26 Order on Request for Waiver of Filing Fees Revised July 2006 Page 1 of 1