Free Response to Order - District Court of Delaware - Delaware

Case 1 :08-cv-00491-SLR Document 8 Filed 09/03/2008 Page 1 of 3
o 240 (mw. 10/03) M I AI
‘“‘“”“"“"""""""""" . ‘t· · ‘· * " ‘ ‘e ‘ F m ”‘“‘“"‘”"""*""`""”*‘*‘"‘”""‘"‘—"‘_“"’“"""*‘""
r~‘ Ei
UNITED STATES DISTRICT COURT
@:3 "
District of Delaware EL3 X
i ·· =
hilli ~alIen: famil d e non—oor rate enti °‘“° ‘j?§.§Q~z
'° p Y y p° ty APPLICATION ro rnocnnn R ,
Plaintiff WITHOUT PREPAYMENT OF if
FEES AND AFFIDAVIT " I ..
v_ mj : llc, 3
< jg,
STATE OF DELAWARE AND INDYMAC
BANK, FSB: FlTlClOUS FOREIGN STATES CASE NUMBER. 08491 SLR
Defendant
I, ph""p'aHGn: declare that I am the (check appropriate box)
Bpetitioner/plaintiff7movant El other
in the above—entitled proceeding; that in support of my request to proceed without prepayment of fees or costs
under 28 USC §1915 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.
ln support of this application, I answer the following questions under penalty of perjury:
l. Are you currently incarcerated? El Yes Ye No (If "No," goto Part 2)
lf “Yes," state the place of y0l1I' incarceration
Are you employed at the institution? Do you receive any payment from the institution?
Attach a ledger sheet from the institution(s) of your incarceration showing at least the past six months’
transactions.
2. Are you currently employed? I;] Yes E No
a. If the answer is "Yes," state the amount of your take—home salary or wages and pay period and give the
name and address of your employer. (List both gross and net salary.)
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.
Last employment: June 30, 2000. Employer Dupont 10th and Market Street Wilmington, DE 19898. I do not have
any pay records of the last employement.
3. In the past l2 twelve months have you received any money from any of the following sources?
a. Business, profession or other self-employment [Z] Yes F2 No
b. Rent payments, interest or dividends D Yes H No
c. Pensions, annuities or life insurance payments El Yes IZ No
d. Disability or workers compensation payments E] Yes Z No
e. Gills or inheritanccs El Yes Z No
f. Any other sources El Yes B No
If the answer to any of the above is "Yes," describe, on the following page, each source of money and state the
amount received and what you expect you will continue to receive.

Case 1 :O8—cv-OO491—SLFl Document 8 Filed O9/O3/2008 Page 2 of 3
‘ .Ye., ..,_» - -. .e.e ..._..-.-_. -.__.-.--_- .. ..ee -._-. ..,` .- ,..e - - ,.,_..e W. .... --
3 (g). Please do not confuse phiiiip-allen; family dye with the corporation known as PHILLIP A. DYE
and is identified by ID Number 222-26-0692.
4. Do you have any cash or checking or savings accounts? [I Yes ef No
If "Yes," state the total amount.
5. Do you own any real estate, stocks, bonds, securities, other financial instruments, automobiles or any other
thing of value? D Yes E No
lf "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. (If children are dependents, please refer to them by their initials)
rebecca—jan:, spouse is the only dependent
I declare under penalty of perjury that the above information is true and correct.
September 2, 2008 · *·“*·c- 7
Date Signature of Applicant
NOTICE 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 ofiicer
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.

Case 1:08-cv-00491-SLR Document 8 Filed O9/O3/2008 Page 3 of 3
bistrir;t—cn111·t rtf tl): illnitcb §tatzs:
jrrbicial-biatrict of briawarr
phiiiip-allen: & rebecca—jane; non-corporate ) CASE NUMBER: 08-49l
entity )
V ) JUDGE Sue L Robinson
FICTITIOUS FOREIGN STATE; STATE OF g Claim Amended and Added: Related Case:
DELAWARE & INDYMAC BANK, FSB ) Judge Kim R Gibson, Case 3-2008-183
AND NOW, this day of September 2008, the matter coming before the Court on the Plaintiff
phiilip-alieni Motion for Leave to Proceed In Forma Pmrperis (Document No ), is GRANTED
and the clerk shall notice the Pl ai ntiff of the matter with instructions to proceed.
By the Court:
Sue L. Robinson
district court of the united states

Case 1:08-cv-00491-SLR

Document 8

Filed 09/03/2008

Page 1 of 3

Case 1:08-cv-00491-SLR

Document 8

Filed 09/03/2008

Page 2 of 3

Case 1:08-cv-00491-SLR

Document 8

Filed 09/03/2008

Page 3 of 3