STATE OF NEBRASKA FORM NO. CC 9:8 NEW 01/09
ORDER PERMITTING SMALL CLAIMS APPEAL IN FORMA PAUPERIS
CASE NUMBER:
IN THE COUNTY COURT OF
COUNTY, NEBRASKA
Plaintiff
ORDER PERMITTING SMALL CLAIMS APPEAL IN FORMA PAUPERIS
Defendant
Now on this ______ day of ______________, 20____, this cause comes on for consideration on the application to proceed in forma pauperis filed hereby the Plaintiff/Defendant, ________________________. Upon consideration thereof, the Court FINDS as follows: 1. The Plaintiff/Defendant should be permitted to proceed with the appeal to the District Court of ______________________ County, Nebraska. 2. The costs and expenses attendant to said appeal should be paid by ______________________ County, Nebraska. IT IS, THEREFORE, ORDERED BY THE COURT that the Plaintiff/Defendant be permitted to appeal to the District Court of _________________, County, Nebraska in forma pauperis and that the costs and expenses attendant to said appeal be paid by __________________ County, Nebraska.
Dated: ____________________ BY THE COURT
__________________________ COUNTY JUDGE