Weller v. Richardson et al
ORDER that within 30 days of the date this Order is filed, Plaintiff must either pay the $400.00 filing and administrative fees or file a complete Application to Proceed In Forma Pauperis. Clerk must enter dismissal without prejudice if plaintiff fails to comply. Signed by Senior Judge Stephen M McNamee on 4/28/14. (LSP)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF ARIZONA
No. CV 14-832-PHX-RCB (MHB)
Sam Richardson, et al.,
Plaintiff Jeffery Weller, who is confined in ASPC-Tucson, has filed a pro se civil
rights Complaint pursuant to 42 U.S.C. § 1983 (Doc. 1).
Application to Proceed In Forma Pauperis or paid the requisite filing and administrative
fees. The Court will give Plaintiff 30 days to pay the filing and administrative fees or file
a complete Application to Proceed In Forma Pauperis.
Plaintiff has not filed an
Payment of Filing Fee
When bringing an action, a prisoner must either pay the $350.00 filing fee and a
$50.00 administrative fee in a lump sum or, if granted the privilege of proceeding in
forma pauperis, pay the $350.00 filing fee1 incrementally as set forth in 28 U.S.C.
Effective May 1, 2013, the Clerks of Court for the United States District Courts are
required to collect a $50.00 administrative fee for the filing of a civil action, suit, or
proceeding in a district court. See Judicial Conference Schedule of Fees, District Court
Miscellaneous Fee Schedule &14 (effective May 1, 2013), foll. 28 U.S.C. § 1914.
However, the administrative fee “does not apply to applications for a writ of habeas
corpus or to persons granted in forma pauperis status under 28 U.S.C. § 1915.” Id.
§ 1915(b)(1). An application to proceed in forma pauperis requires an affidavit of
indigence and a certified copy of the inmate’s trust account statement for the six months
preceding the filing of the Complaint. 28 U.S.C. § 1915(a)(2). An inmate must submit
statements from each institution where the inmate was confined during the six-month
period. Id. To assist prisoners in meeting these requirements, the Court requires use of a
form application. LRCiv 3.4.
If a prisoner is granted leave to proceed in forma pauperis, the Court will assess an
initial partial filing fee of 20% of either the average monthly deposits or the average
monthly balance in Plaintiff’s account, whichever is greater. 28 U.S.C. § 1915(b)(1). An
initial partial filing fee will only be collected when funds exist. 28 U.S.C. § 1915(b)(4).
The balance of the $350.00 filing fee will be collected in monthly payments of 20% of
the preceding month’s income credited to an inmate’s account, each time the amount in
the account exceeds $10.00. 28 U.S.C. § 1915(b)(2).
Because Plaintiff has not paid the $400.00 filing and administrative fees or filed an
Application to Proceed In Forma Pauperis, Plaintiff will be permitted 30 days from the
filing date of this Order to either pay the $400.00 filing and administrative fees, or submit
a properly executed Application to Proceed In Forma Pauperis, using the form included
with this Order, and a certified six-month trust account statement.
If Plaintiff’s address changes, Plaintiff must file and serve a notice of a change of
address in accordance with Rule 83.3(d) of the Local Rules of Civil Procedure. Plaintiff
must not include a motion for other relief with a notice of change of address. Failure to
comply may result in dismissal of this action.
Plaintiff must submit an additional copy of every filing for use by the Court. See
LRCiv 5.4. Failure to comply may result in the filing being stricken without further
notice to Plaintiff.
If Plaintiff fails to timely comply with every provision of this Order, including
these warnings, the Court may dismiss this action without further notice. See Ferdik v.
Bonzelet, 963 F.2d 1258, 1260-61 (9th Cir. 1992) (a district court may dismiss an action
for failure to comply with any order of the Court).
IT IS ORDERED:
Within 30 days of the date this Order is filed, Plaintiff must either pay the
$400.00 filing and administrative fees or file a complete Application to Proceed In
Forma Pauperis and a certified six-month trust account statement.
If Plaintiff fails to either pay the $400.00 filing and administrative fees or
file a complete Application to Proceed In Forma Pauperis within 30 days, the Clerk of
Court must enter a judgment of dismissal of this action without prejudice and without
further notice to Plaintiff.
The Clerk of the Court must mail Plaintiff a court-approved form for filing
an Application to Proceed In Forma Pauperis (Non-Habeas).
DATED this 28th day of April, 2014.
Instructions for Prisoners Applying for Leave to Proceed in Forma Pauperis
Pursuant to 28 U.S.C. § 1915 in a Civil Action (Non-habeas) in Federal Court
You must pay the $350.00 filing fee plus the $50.00 administrative fees for a civil action.
If you later file an appeal, you will be obligated to pay the $455.00 filing fee for the appeal.
If you have enough money to pay the full $400.00 filing and administrative fees, you should
send a cashier’s check or money order payable to the Clerk of the Court with your complaint.
If you do not have enough money to pay the full $400.00 filing and administrative fees, you
can file the action without prepaying the fees. However, the court will assess an initial partial filing
fee. The initial partial filing fee will be the greater of 20% of the average monthly deposits or 20%
of the average monthly balance in your prison or jail account for the six months immediately
preceding the filing of the lawsuit. The court will order the agency that has custody of you to
withdraw the initial partial filing fee from your prison or jail account as soon as funds are available
and to forward the money to the court.
After the initial partial filing fee has been paid, you will owe the balance of the $350.00
filing fee (you will not be required to pay the $50.00 administrative fee). Until the filing fee is paid
in full, each month you will owe 20% of your preceding month's income. The agency that holds you
in custody will collect that money and forward it to the court any time the amount in your account
exceeds $10.00. The balance of the filing fee may be collected even if the action is later dismissed,
summary judgment is granted against you, or you fail to prevail at trial.
To file an action without prepaying the filing fee, and to proceed with an action in forma
pauperis, you must complete the attached form and return it to the court with your complaint. You
must have a prison or jail official complete the certificate on the bottom of the form and attach a
certified copy of your prison or jail account statement for the last six months. If you were
incarcerated in a different institution during any part of the past six months, you must attach a
certificate and a certified copy of your account statement from each institution at which you were
confined. If you submit an incomplete form or do not submit a prison or jail account statement with
the form, your request to proceed in forma pauperis will be denied.
Even if some or all of the filing fee has been paid, the court is required to dismiss your action
if: (1) your allegation of poverty is untrue; (2) the action is frivolous or malicious; (3) your
complaint does not state a claim upon which relief can be granted; or (4) your complaint makes a
claim against a defendant for money damages and that defendant is immune from liability for money
If you file more than three actions or appeals which are dismissed as frivolous or malicious
or for failure to state a claim on which relief can be granted, you will be prohibited from filing any
other action in forma pauperis unless you are in imminent danger of serious physical injury.
Name and Prisoner/Booking Number
Place of Confinement
City, State, Zip Code
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF ARIZONA
, ) CASE NO.
APPLICATION TO PROCEED
IN FORMA PAUPERIS
BY A PRISONER
, declare, in support of my request to proceed in the above
entitled case without prepayment of fees under 28 U.S.C. § 1915, that I am unable to pay the fees for these
proceedings or to give security therefor and that I believe I am entitled to relief.
In support of this application, I answer the following questions under penalty of perjury:
Have you ever before brought an action or appeal in a federal court while you were incarcerated or detained?
If "Yes," how many have you filed?
Were any of the actions or appeals dismissed because they were frivolous, malicious, or failed to state a claim
upon which relief may be granted? GYes
If "Yes," how many of them?
Are you currently employed at the institution where you are confined?
If "Yes," state the amount of your pay and where you work.
Do you receive any other payments from the institution where you are confined?
If "Yes," state the source and amount of the payments.
Do you have any other sources of income, savings, or assets either inside or outside of the institution where
you are confined?
If "Yes," state the sources and amounts of the income, savings, or assets.
I declare under penalty of perjury that the above information is true and correct.
SIGNATURE OF APPLICANT
CONSENT TO COLLECTION OF FEES FROM TRUST ACCOUNT
, hereby consent to having the designated correctional officials at this
institution release to the Court my trust account information. I further consent to having the designated correctional
officials at this institution withdraw from my trust account the funds required to comply with the order of this Court
for the payment of filing fees in accordance with 28 U.S.C. § 1915(b).
My consent includes withdrawal from my account by correctional officials of partial initial payments to this
Court equal to 20% of the greater of:
(A) the average monthly deposits to my account for the six-month period preceding my filing of this
(B) the average monthly balance in my account for the six-month period preceding my filing of this
My consent also includes monthly withdrawals from my account by correctional officials of an amount equal
to 20% of each month’s income. Whenever the amount in my account reaches $10.00, correctional officials will
withdraw that amount and forward it to the Court until the required filing fee is paid in full. I understand that I am
liable for paying the entire fee, even if my case is dismissed by the Court before the fee is fully paid.
SIGNATURE OF APPLICANT
CERTIFICATE OF CORRECTIONAL OFFICIAL
AS TO STATUS OF APPLICANT’S TRUST ACCOUNT
, certify that as of the date applicant signed this application:
(Printed name of official)
The applicant’s trust account balance at this institution is:
The applicant’s average monthly deposits during the prior six months is:
The applicant’s average monthly balance during the prior six months is:
The attached certified account statement accurately reflects the status of the applicant’s account.
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