Free IN THE CIRCUIT COURT OF THE STATE OF OREGON - Oregon


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Date: January 28, 2008
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State: Oregon
Category: Court Forms - Local
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http://courts.oregon.gov/Marion/docs/MaterialsAndResources/FeeWaiverOrDeferralRecommendationAndOrder.pdf

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IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT ______________________________________,
Petitioner/Plaintiff,

v. ______________________________________,
Respondent/Defendant.

) ) ) ) ) ) )

Case No. _________________ FEE WAIVER OR DEFERRAL RECOMMENDATION AND ORDER

CLERK'S RECOMMENDATION OR ORDER (to be completed by court clerk) I have reviewed (applicant name) ____________________________'s application for waiver or deferral of fees and RECOMMEND ORDER the following: DENIAL of the applicant's request for waiver or deferral of fees because: the applicant is financially able to pay the fees (see part ______ of the Declaration); the application is not complete or contains insufficient information (see part ______ of the Declaration); the applicant has not shown proof of current eligibility for public benefits; or ____________________________________________________________________. WAIVER of the applicant's fees in whole or in part. Total Fees $___________ The applicant is $_________ Amount to be Waived $___________ ORDERED to pay:

RECOMMENDED

in full by (date) _____________. pursuant to a schedule to be established by court staff. by a payment schedule of $_________ today and $_________ on the same day of each month until paid.

DEFERRAL of the applicant's fees. The applicant is $_________ RECOMMENDED ORDERED to pay:

in full by (date) _____________. pursuant to a schedule to be established by court staff. by a payment schedule of $_________ today and $_________ on the same day of each month until paid.

______________________________
Signature of Clerk

______________________________
Name of Clerk (printed or typed)

___________
Date
Page 1 of 2 FC(1/08)

Fee Waiver or Deferral Recommendation and Order OJIN Code: ORFW (Order Fee Waiver), ORDF (Order Fee Deferral), or ORDN (Order of Denial)

JUDGE'S ORDER (to be completed by judge)

The clerk's recommendation is AFFIRMED. The clerk's recommendation is MODIFIED or I ORDER as follows: The applicant's request for waiver or deferral of fees is DENIED because: the applicant is financially able to pay the fees (see part ______ of the Declaration); the application is not complete or contains insufficient information (see part ______ of the Declaration); or ____________________________________________________________________. The applicant's fees are WAIVED in whole or in part. Total Fees $___________ Amount Waived $___________

The applicant is ORDERED to pay: $_________ in full by (date) _____________. pursuant to a schedule to be established by court staff. by a payment schedule of $_________ today and $_________ on the same day of each month until paid. The applicant's fees are DEFERRED. The applicant is ORDERED to pay: $_________ in full by (date) _____________. pursuant to a schedule to be established by court staff. by a payment schedule of $_________ today and $_________ on the same day of each month until paid. Other findings _______________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ __________
Date

__________________________________________
Signature of Judge

__________________________________________
Name of Judge (printed or typed)

Fee Waiver or Deferral Recommendation and Order OJIN Code: ORFW (Order Fee Waiver), ORDF (Order Fee Deferral), or ORDN (Order of Denial)

Page 2 of 2 FC(1/08)