Webb v. GSF Properties et al

Filing 22

ORDER DISMISSING CASE without prejudice. Signed by Judge Maria-Elena James on 7/17/2017. (Attachments: # 1 Appendix)(mejlc3, COURT STAFF) (Filed on 7/17/2017) (Additional attachment(s) added on 7/17/2017: # 2 Certificate/Proof of Service) (rmm2S, COURT STAFF).

Reset Form

CAND Pay.gov Application for Refund (rev. 5/17)

UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF CALIFORNIA
APPLICATION FOR REFUND (USDC-CAND PAY.GOV)
PAY.GOV TRANSACTION DETAILS
IMPORTANT:
 Complete all required fields (shown in red*); otherwise, your request may be denied and require resubmission.
 In fields 3-7, enter the information for the incorrect transaction (the one for which you are requesting a refund), not the correct
transaction that appears on the docket. This information can be found in the Pay.gov screen receipt or confirmation email.

1. Your Name:*

8. Your Phone Number:

2. Your Email Address: *

9. Full Case Number (if applicable):

3. Pay.gov Tracking ID Number:*
4. Agency Tracking ID Number:* 097110. Fee Type:*

5. Transaction Date:*
6. Transaction Time:*

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Attorney Admission
Civil Case Filing
FTR Audio Recording
Notice of Appeal
Pro Hac Vice
Writ of Habeas Corpus

7. Transaction Amount (Amount to be refunded):*
11. Reason for Refund Request:* Explain in detail what happened to cause duplicate charges or no fee required.
 For a duplicate charge, provide the correct Pay.gov and Agency Tracking numbers in this field.
 If you paid a filing fee in an abandoned case number, note that case number here (but e-file the refund request in the open case).

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Efile this form using OTHER FILINGS → OTHER DOCUMENTS → APPLICATION FOR REFUND.

View detailed instructions at: cand.uscourts.gov/ecf/payments. For assistance, contact the ECF Help Desk at 1-866-638-7829 or
[e-mail] Monday -Friday 9:00 a.m.-4:00 p.m.
FOR U.S. DISTRICT COURT USE ONLY
Refund request:

 Approved
 Denied
 Denied ─ Resubmit amended application (see reason for denial)

Approval/denial date:

Request approved/denied by:

Pay.gov refund tracking ID refunded:

Agency refund tracking ID number: 0971-

Date refund processed:

Refund processed by:

Reason for denial (if applicable):
Referred for OSC date (if applicable):