Purdue #113333 v. Arizona Department of Corrections et al

Filing 5

ORDER: Plaintiff's Application to Proceed In Forma Pauperis (Doc. #2 ) is denied without prejudice. Within 30 days of the date this Order is filed, Plaintiff must either pay the $350.00 filing fee and $55.00 administrative fee or file a complete Application to Proceed In Forma Pauperis and a certified six-month trust account statement (or institutional equivalent). If Plaintiff fails to do so within 30 days, the Clerk of Court must enter a judgment of dismissal of this action without prejudice and without further notice to Plaintiff and deny any pending unrelated motions as moot. The Clerk of Court must mail Plaintiff a court-approved form for filing an Application to Proceed In Forma Pauperis (Non-Habeas). Signed by Senior Judge James A Teilborg on 6/3/2024. (KJ)

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ASH

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IN THE UNITED STATES DISTRICT COURT

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FOR THE DISTRICT OF ARIZONA

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Jacob J. Purdue,

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No.

CV-24-01121-PHX-JAT (DMF)

Plaintiff,

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v.

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Arizona Department of Corrections, et

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al.,

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ORDER

Defendants.

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JDDL

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On May 14, 2024, Plaintiff Jacob J. Purdue, who is confined in the Arizona State

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Prison Complex-Lewis, filed a pro se civil rights Complaint pursuant to 42 U.S.C. § 1983

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and an Application to Proceed In Forma Pauperis (Doc. 2). The Court will deny the

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deficient Application to Proceed and will give Plaintiff 30 days to pay the filing and

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administrative fees or file a complete Application to Proceed In Forma Pauperis.

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I.

Payment of Filing Fee

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When bringing an action, a prisoner must either pay the $350.00 filing fee and a

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$55.00 administrative fee in a lump sum or, if granted the privilege of proceeding in forma

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pauperis, pay the $350.00 filing fee incrementally as set forth in 28 U.S.C. § 1915(b)(1).

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An application to proceed in forma pauperis requires an affidavit of indigence and a

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certified copy of the inmate’s trust account statement (or institutional equivalent) for the

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six months preceding the filing of the Complaint. 28 U.S.C. § 1915(a)(2). An inmate must

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submit statements from each institution where he was confined during the six-month

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period. Id. To assist prisoners in meeting these requirements, the Court requires use of a

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form application. LRCiv 3.4.

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If a prisoner is granted leave to proceed in forma pauperis, the Court will assess an

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initial partial filing fee of 20% of either the average monthly deposits or the average

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monthly balance in Plaintiff’s account, whichever is greater. 28 U.S.C. § 1915(b)(1). An

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initial partial filing fee will only be collected when funds exist. 28 U.S.C. § 1915(b)(4).

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The balance of the $350.00 filing fee will be collected in monthly payments of 20% of the

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preceding month’s income credited to an inmate’s account, each time the amount in the

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account exceeds $10.00. 28 U.S.C. § 1915(b)(2).

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JDDL

II.

Application Fails to Comply With Statute

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Plaintiff has used the court-approved form, but has left blank the

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“Acknowledgement of Collection of Filing Fees from Trust Account” section. This part

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of the in forma pauperis application must be filled out, signed, and dated by Plaintiff. The

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“Certificate of Correctional Official as to Status of Applicant’s Trust Account” section is

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also not completed, and Plaintiff has not submitted a certified six-month trust account

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statement (or institutional equivalent). In light of these deficiencies, the Court will deny

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the Application to Proceed and will give Plaintiff 30 days to either pay the $405.00 filing

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and administrative fees or file a complete Application to Proceed In Forma Pauperis.

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III.

Warnings

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A.

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If Plaintiff’s address changes, Plaintiff must file and serve a notice of a change of

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address in accordance with Rule 83.3(d) of the Local Rules of Civil Procedure. Plaintiff

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must not include a motion for other relief with a notice of change of address. Failure to

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comply may result in dismissal of this action.

Address Changes

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B.

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If Plaintiff fails to timely comply with every provision of this Order, including these

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warnings, the Court may dismiss this action without further notice. See Ferdik v. Bonzelet,

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963 F.2d 1258, 1260-61 (9th Cir. 1992) (a district court may dismiss an action for failure

Possible Dismissal

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to comply with any order of the Court).

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IT IS ORDERED:

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(1)

Plaintiff’s Application to Proceed In Forma Pauperis (Doc. 2) is denied

without prejudice.
(2)

Within 30 days of the date this Order is filed, Plaintiff must either pay the

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$350.00 filing fee and $55.00 administrative fee or file a complete Application to Proceed

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In Forma Pauperis and a certified six-month trust account statement (or institutional

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equivalent).

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(3)

If Plaintiff fails to either pay the $350.00 filing fee and $55.00 administrative

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fee or file a complete Application to Proceed In Forma Pauperis within 30 days, the Clerk

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of Court must enter a judgment of dismissal of this action without prejudice and without

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further notice to Plaintiff and deny any pending unrelated motions as moot.

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(4)

The Clerk of Court must mail Plaintiff a court-approved form for filing an

Application to Proceed In Forma Pauperis (Non-Habeas).
Dated this 3rd day of June, 2024.

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JDDL

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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 $55.00 administrative fees for a civil action. If you
later file an appeal, you will be obligated to pay the $505.00 filing fee for the appeal.
If you have enough money to pay the full $405.00 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 $405.00 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 $55.00 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.
These installment fees are calculated on a per-case basis. This means that you will be required to pay
20% of your preceding month=s income for each civil non-habeas corpus case in which you have an
outstanding filing fee balance. For example, if you are making payments toward filing fee balances in
two civil non-habeas corpus cases, 40% of your preceding month=s income will be collected each month.
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 damages.
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.

Revised 12/1/23

___________________________________________
Name and Prisoner/Booking Number

___________________________________________
Place of Confinement

___________________________________________
Mailing Address

___________________________________________
City, State, Zip Code

IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF ARIZONA
CASE NO. __________________________________

_____________________________________ ,
Plaintiff,

APPLICATION TO PROCEED
IN FORMA PAUPERIS
BY A PRISONER
CIVIL (NON-HABEAS)

v.
_____________________________________ ,
Defendant(s).

I,
, 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:
1.

Have you ever before brought an action or appeal in a federal court while you were incarcerated or detained?
GYes
GNo
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
GNo
If “Yes,” how many of them?
.

2.

Are you currently employed at the institution where you are confined?
If “Yes,” state the amount of your pay and where you work.

GYes

GNo

3.

Do you receive any other payments from the institution where you are confined?
If “Yes,” state the source and amount of the payments.

GYes

GNo

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Revised 12/1/23

4.

Do you have any other sources of income, savings, or assets either inside or outside of the institution where
you are confined?
GYes
GNo
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.
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DATE

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SIGNATURE OF APPLICANT

ACKNOWLEDGEMENT OF COLLECTION OF FILING FEES FROM TRUST ACCOUNT
I,
, acknowledge that upon granting this Application, the
Court will order designated correctional officials at this institution, or any other correctional institution to
which I am transferred, to withdraw money from my trust account for payment of the filing fee, as required
by 28 U.S.C. § 1915(b).
The Court will require correctional officials to withdraw an initial partial payment 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
action, or
(B) the average monthly balance in my account for the six-month period preceding my filing of this
action.
After the initial payment, if the amount in my account is at least $10.00, the Court will require
correctional officials to withdraw from my account 20% of each month’s income and forward it to the Court
until the required filing fee is paid in full. I understand that I am required to pay the entire fee, even if my
case is dismissed by the Court before the fee is fully paid.
I further understand that if I file more than one action, correctional officials will be ordered to
withdraw 20% of each month’s income, for each action, simultaneously. Accordingly, if I have filed two
actions, correctional officials will withdraw 40% of my income each month; three actions will require 60%
of my income each month, etc.
________________________________
DATE

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SIGNATURE OF APPLICANT

CERTIFICATE OF CORRECTIONAL OFFICIAL
AS TO STATUS OF APPLICANT=S TRUST ACCOUNT
I,

, 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.
DATE

AUTHORIZED SIGNATURE

TITLE/ID NUMBER
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Revised 12/1/23

INSTITUTION