Free Letter - District Court of Delaware - Delaware

Case 1 :06-cv-00228-JJF Document 4 Filed O4/07/2006 Page 1 of 4
OFFICE OF THE CLERK
UNITED STATES DISTRICT COURT
DISTRICT OF DELAWARE
Peter T. Dalleo LOCKBOX 18
cLERi< or couar 844 kmc smear
us. counraouse
witmmcrou, r>ELAwARE moi
(302) smswo
April 7, 2006
TO: Herman Kelly, Pro se
P.O. Box 14157
Detroit, MI 48214
RE: New Civil Action, CA 06-228 UNA, Herman Kelly v. MBNA, National Arbitration
Forum, and Wolpoff & Abramson LLP
Date Filed: 4/6/2006
We have received and filed the above civil action. In regard to your new Complaint
and Memorandum of Law, the Memorandum of Law appears to contain numerous citations
of credit card account numbers and possibly other personal information. A copy of the
Court’s Notice Regarding Personal Information is provided for your reference.
Your Motion to Proceed In Forma Pauperis does not contain the information required
by the Court in order to make a detenmination as to your financial status as an indigent
person. Please complete the enclosed Application to Proceed Without Prepayment of Fees
and Affidavit and retum it to the Clerk of Court within 30 days.
Please contact our office if you have any questions or concerns. Your attention is
invited to example (4) described in the notice.
{ W In
. Q _. ( _
\ ' .13.,% - ‘
` Ronald B. berhard
cc: Case File (ECF) Deputy Clerk

Case 1:06-cv-00228-JJF Document 4 Filed O4/07/2006 Page 2 of 4
OFFICE OF THE CLERK
UNITED STATES DISTRICT COURT
DISTRICT OF DELAWARE
Peteri`. Dalleo LOCKBOX 18
CLERK or couar 844 KING STREET
us. COURTHOUSE
WILMINGTON, DELAWARE 19801
(302) 572-6170
NOTICE REGARDING PERSONAL INFORMATION
On March I, 2005, the United States District Court for the District of Delaware adopted an
electronic filing system which makes documents submitted for filing available on the internet. The
Court, in its Administrative Procedures Goveming Filing and Service by Electronic Means, has
recognized that certain kinds of personal infomiation should not be included on public filings except
in limited fashion. For example; (l) the names of minor children should not be used, only their
initials; (2) only the last four digits of a social security number should be used; (3) a full date of birth
should not be used, only the year of birth need be given; (4) only the last four digits of any financial
account should be included; and (5) in criminal cases, only the city and state of a personal address
need be given. Caution should also be used when filing documents that contain the following: (I)
personal identifying numbers, such as driver’s license numbers; (2) medical records; (3) employment
history; (4) individual financial information; (5) proprietary or trade secret information; (6)
information regarding cooperation with the government; (7) victim information; and (8) national
security information.
It is not the responsibility ofthe Court to review each document and determine whether
personal information has properly been protected. Every document submitted for filing will
be docketed and made publicly accessible over the Court’s electronic tiling system. It; after
docketing, you determine that a document contains personal information that you want to treat as
confidential, you must file a "Motion to Seal” with the Court, giving your reasons for your privacy
concerns. If the Motion to Seal is granted, the Court will remove the electronic link to the document
in question from the public docket and mark the entry "sealed". The Court may also require you to
file another version of the document that does not contain the private information or that contains
only limited personal information.
Peter T. Dalleo,
Clerk of Court

Case 1:06-cv-00228-JJF Document 4 Filed O4/07/2006 Page 3 of 4
AO 240 (Rev IO/O3)
DELAWARE Rev. 4/05
UNITED STATES DISTRICT COURT
DISTRICT OF DELAWARE
Plaintiff APPLICATION TO PROCEED
V. WITHOUT PREPAYMENT OF
FEES AND AFFIDAVIT
Defendant(s)
CASE NUMBER:
I, __ __ g _ _ declare thatl am the (check appropriate box)
Cl Petitioner/Plaintiff/l\/Iovant E Other
in the above-entitled proceeding; that in support ofmy request to proceed without prepayment of fees or costs under
28 USC §l9l 5, I declare that I am unable to pay the costs of these proceedings and that I am entitled to the relief
sought in the complaint/petition/motion.
In support ofthis application, I answer the following questions under penalty of perjury;
i. Are you currently incarcerated? El Yes El No (If "No" go to Question 2)
If "YES" state the place of your incarceration_ _ g
Inmate Identification Number (Required):
Are you employed at the institution? Do you receive any payment from the institution? r
Attach a ledger sheet Qom the institution otyottr incarceration showing at least the gast six months ’
transactions
2. Are you currently employed? El Yes D No
a. If the answer is "YES" state the amount of your tal and give the name and address of your employer.
b. If the answer is "NO" state the date of your last employment, the amount of your take—home
salary or wages and pay period and the name and address of your last employer.
3. In the past I2 twelve months have you received any money from any of the following sources?
a. Business, profession or other self—employment D Yes E1 No
b. Rent payments, interest or dividends E1 Yes El No
c. Pensions, annuities or life insurance payments U Yes D No
d. Disability or workers compensation payments E1 Yes E! No
e. Gifts or inheritances D Yes D No
f. Any other sources E! Yes Cl No
Ifthe answer to any of the above is "YES" describe each source of money and state the amount
received AND what you expect you will continue to receive.

Case 1:06-cv-00228-JJF Document 4 Filed O4/07/2006 Page 4 of 4
AO 240 Reverse (Rev l0/O3)
DELAWARE Rev. 4/05
4. Do you have any cash or checking or savings accounts? E1 Yes U No
If "Yes" state the total amount $
5. Do you own any real estate, stocks, bonds, securities, other financial instruments, automobiles or other
valuable property?
K! Yes E1 No
If "Yes" describe the property and state its value.
6. List the persons who are dependent on you for support, state your relationship to each person and
indicate how much you contribute to their support, OR state NONE if applicable.
I declare under penalty of perjury that the above information is true and correct.
DATE SIGNATURE OF APPLICANT A
NOTE TO PRISONER: A Prisoner seeking to proceed without prepayment of fees shall submit an
affidavit stating all assets. In addition, a prisoner must attach a statement certified by the appropriate
institutional officer showing all receipts, expenditures, and balances during the last six months in your
institutional accounts. If you have multiple accounts, perhaps because you have been in multiple
institutions, attach one certified statement of each account.