Free FOR CLERK'S USE ONLY - Arizona


File Size: 24.2 kB
Pages: 3
Date: August 28, 2008
File Format: PDF
State: Arizona
Category: Court Forms - Local
Author: Superior Court
Word Count: 1,066 Words, 6,222 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://pinalcountyaz.gov/Departments/JudicialBranch/ClerkoftheCourt/Documents/Downloads/Other/Form2.pdf

Download FOR CLERK'S USE ONLY ( 24.2 kB)


Preview FOR CLERK'S USE ONLY
SUPERIOR COURT OF ARIZONA IN PINAL COUNTY

Name of Petitioner/Plaintiff

Case Number:

ORDER REGARDING DEFERRAL OR WAIVER OF COURT FEES AND COSTS AND NOTICE REGARDING CONSENT JUDGEMENT
Name of Respondent/Defendant

THE COURT FINDS that the applicant (print name):
1. 2. 3. 4. 5. 6. 7. IS NOT ELIGIBLE FOR A DEFERRAL of fees and/or costs. OR IS ELIGIBLE FOR A DEFERRAL of fees and costs based on financial eligibility. As
required by state law, the applicant has signed a consent to entry of judgment.

:

OR IS ELIGIBLE FOR DEFERRAL of fees and/or costs at the court's discretion. (A.R.S. 12302(L)).

OR IS ELIGIBLE FOR DEFERRAL of fees and costs based on good cause shown. As
required by state law, the applicant has signed a consent to entry of judgment.

IS ELIGIBLE FOR WAIVER of fees and costs because the applicant is permanently
unable to pay.

IS ELIGIBLE FOR WAIVER of fees and costs at the court's discretion (A.R.S. 12302(L)).

IS NOT ELIGIBLE FOR WAIVER of fees and costs.

IT IS ORDERED:
1. DEFERRAL DENIED for the following reason(s):
The application is incomplete because

Superior Court of Arizona in Pinal County February 12, 2007 ALL RIGHTS RESERVED

Order for Deferral of Fees Page 1 of 3
Use current form

You are encouraged to submit a complete application. The applicant does not meet the financial criteria for deferral because:

2.

A deferral MUST BE granted if the applicant is receiving public assistance benefits or has an income that is insufficient or barely sufficient to meet the daily essentials of life and that includes no allotment that could be budgeted to pay the fees and/or costs necessary to gain access to the court or if the applicant demonstrates other good cause. DEFERRAL GRANTED for the following fees and/or costs in this court: Any or all filing fees; fees for the issuance of a summons and subpoena; fees for obtaining one certified copy of a temporary order in a domestic relations case or a final order, judgment or decree in all civil proceedings; a copy of child support payment history; and, fees for attending the Domestic Relations Education on Children's Issues Program pursuant to A.R.S. 25-355. Fees for service of process by a sheriff, marshal, constable or law enforcement agency. Fees for service by publication. Filing fees and photocopy fees for the preparation of the record on appeal. Court reporter or transcriber fees if employed by the court for the preparation of the transcript.

IF A DEFERRAL IS GRANTED:
NO PAYMENTS WILL BE DUE UNTIL FURTHER NOTICE SCHEDULE OF PAYMENTS The applicant shall pay $ paid in full, beginning each (week, month, etc.) until

3. 4.

WAIVER DENIED for all fees and/or costs of this case. WAIVER GRANTED for all fees and/or costs of this case that may be waived under A.R.S.
12-302(H). Any or all filing fees; fees for the issuance of a summons and subpoena; fees for obtaining one certified copy of a temporary order in a domestic relations case or a final order, judgment or decree in all civil proceedings; a copy of child support payment history; and, fees for attending the Domestic Relations Education on Children's Issues Program pursuant to A.R.S. 25-355. Fees for service of process by a sheriff, marshal, constable or law enforcement agency. Fees for service by publication. Filing fees and photocopy fees for the preparation of the record on appeal. Court reporter or transcriber fees if employed by the court for the preparation of the transcript.

5.

RIGHT TO JUDICIAL REVIEW. If the application is denied or a payment schedule set by a
special commissioner, you may request the decision be reviewed by a judicial officer. The request must be made within twenty (20) days of the day the order was mailed or delivered to you. If a schedule of payments has been established, payments shall be suspended until a decision is made after the judicial review. The judicial review shall be held as soon as reasonably possible.

Superior Court of Arizona in Pinal County February 12, 2007 ALL RIGHTS RESERVED

Order for Deferral of Fees Page 2 of 3
Use current form

6.

NOTICE REGARDING CONSENT JUDGMENT. Unless any one of the following applies, a
consent judgment shall be entered against the applicant for all fees and costs that are deferred and remain unpaid thirty (30) days after entry of final judgment. A. Fees and costs are taxed to another party; B. The applicant has an established schedule of payments in effect and is current with those payments; C. The applicant filed a supplemental application for waiver or further deferral of fees and costs and a decision by the court is pending; D. In response to a supplemental application, the court orders that the fees and costs be waived or further deferred; or E. Within twenty days of the date the court denies the supplemental application, the applicant either: 1. 2. Pays the fees and/or costs; or, Requests a hearing on the court's order denying waiver or further deferral. If the applicant requests a hearing, the court cannot enter the consent judgment unless a hearing is held, further waiver or deferral is denied and payment has not been made within the time prescribed by the court.

If an appeal is taken, a consent judgment for deferred fees and/or costs that remain unpaid in the lower court shall not be entered until thirty (30) days after the appeals process is concluded. The procedures for notice of court fees and/or costs and for entry of a consent judgment continue to apply. If a consent judgment is signed and the applicant pays the fees and/or costs in full, the court is required to comply with the provisions of A.R.S. 33-964(C).

7.

DUTY TO REPORT CHANGE IN FINANCIAL CIRCUMSTANCES. An applicant who is
granted a deferral shall promptly notify the court of the change in financial circumstances during the pendency of the case that would affect the applicant's ability to pay court fees and/or costs. Any time the applicant appears before the court on this case, the court may inquire as to the applicant's financial circumstances.

Date

Judicial Officer or

Special Commissioner

Superior Court of Arizona in Pinal County February 12, 2007 ALL RIGHTS RESERVED

Order for Deferral of Fees Page 3 of 3
Use current form