Dawkins v. Yahoo et al

Filing 3

MOTION for Leave to Proceed in forma pauperis by Elkino Denardo Dawkins, Sr. (mb)

Dec. 14, 2011

AO 23 ( / Ap iatont Pr e i Diti Cou-Wihout e yigFe o Coss( ngFor
9 0109) plc i o oced n srct l t Prpa n es r t Lo
t
m)

NI
TED STATES I
STRI
CT OU RT
t 1t1)
- - 1t
o
I ..

/ , z eo- .
J ù f -s / ,
cé
.

w, ) - s j
.Tc
.

Plitlpelite
ctt' lt îl
l '
'îtî 'o

v
.
t-j. o t s .w .vl. gtc
i (m ot
- ,
' t.v
,

.

L
,, u.

Ci lAci No.
vi ton

rg
r

,
.

11-62647-CIV-DIMITROULEAS/SNOW

.

Dqèl6l' s li t
jllltRepoîel
t .
lt

APPLI
CATI TO PROCEED I DI
ON
N STRI COURT W I
CT
THOUT PR EPAYI FEES OR CO STS
NG

( ng Fo m)
Lo
r
Af
ndavi i Suppor oft Applcaton
tn
t he
i i

I t i
nsructons

Ia apl ntf orpeii i t scas a de a e
m
ai if
ttoner n hi e nd clr
t tIam una et pay t cossoft epr ee ngs
ha
bl o
he t hes oc di
a t la e il t t r ifr quesed. ldecl e
nd hat m ntted o he ele e t
ar

Col ee alquesi i t sapplc i andt si i.
nplt 1
tons n hi
iaton
hen gn t
Do notl ve a bl
ea ny anks:i heans rt aquesi i t)'
ft
we o
ton s - (t
' ' orL applca e ( A )-wrt t tr pons l
noner' t
not i bl N/ s' ie ha es e. f

t d rp n l ofp ruyta t if n to b lw i
l e e at ej r h the n o nain eo s
n
y

y un e mo es c t a we aq e to o t e li yo r
o e d r pa e o ns r u sin r o xpan u

tue a unde sa t af s saementmay r ul i
r nd
r tnd hat ale tt
es t n
adil s alo y. li $,.
snis
. a. -,
. m
c

a wer ata as part s tofpaperi i- wihyotr
ns , ' ch e a e hee
dentfed t
i
l
nam e yourcas ' docke num be -and t quesi num be .
,
es
t
r
he
ton
r

.

.

Snd (
ie.
g

.

-

.

&.

ot I // g(/
a, z c .
e
j
/

Forbot you and yours e e tma et ave a a ountofmoney r ei t- eac oft t l ng
h
pous si t he r ge m
ec ved iom h he blowi

s u c sd rn t p s 1 mo t . u ta a tn t twa r c i e we k y, i e l , tre l o r e u ig he a t 2 n hs Adi s ny mo l t ha s e e v d e l b we k y qt try
a
s l annual ora l l t s t l ont y r t Us gr sal
eni
ly, nntaly o how he - hl ae. e os uountst ti,al kunt bet eany deduc i
n
s ha s u l s br
tons
f t xesorot wie.
or a
her s
Incom es ce
our

Aver m ont y i
age
hl ncom e
am ountduri t pas 12
ng he t
m ont
hs
You
S ous
e

El pl nent
- oyl
n
Sel- upl uent
fel oyl

S

l ol efol r pr t lu l/:? ?' ic te
nc - r ' cal opery ' cl7 v?t/l ol )
n
n
s . /? t t

Y ou

Sn e
ous

$

$

$

$

$ G cao
t

$

$

$

$

$

l e es and di dends
ntr t
vi

$

$

$

$

Gi
hs

$

$

$

$

Almony
i

$

$

$

$

Chid s
l uppof
'
t

1 of 5

$

I
ncom eam ounte
xpec ed
t
ne m ont
xt
h

$

$

$

$

.

c.CD
l

A( 23 ( l09)Ap i tont Pr ee l DltitC' t W l Prpa lgIesorCoss( l For
. 9 0/
)
pl l o oc d n src okn t
ca
hout e yi 7e
l
t Lolg m)

letr nen /17 a -?//scli,/t?')y a lte, $
k ier .t3 , . ? lt J?$.2
2
t,
l /?
i
ilullce) t'// s$c/ L l- , ?-f.. nntis
ls vn

(

$

$
(
)

$

$

$

'

$ (
.

$

$

$

$

$

.

'
ï
'

Iiait (ct'oi-c?Jiuacyt/rs $
Dsbly k h?scl(l/zn rnepv???
i u - av ?( s tr?.
î ? -,
: t/
Unempl e pa nt
oym nt yme s

$

Publc- ssa e (u ha &g /.)
i as itnc s c s fpà g
' ?-

-

$

.
.

$,

Ot t cf':
her s li
pv . .s
il

$
T

ot m ont y i
al
hl ncom e:

Em pl
oyer

$

$

$

$

0. $
00

0. $
00

/
'

,
/
;
'

0. $
00

Addr s
es

0.
00

Dat sofem pl ent
e
oym

Gr s
os

. .x
.--

m on

8
.

/
?

v a'

$

l

'

x.

$
'
.e

L1tyours
s
pous ' el oylenthit y f t pas t oyea s l os r ente-pl rtrt ( oslo?/)y( 's/a(7
es npl m
sor or he t w
r ,' t ec
n
l oye ' s.Gr s 7 ? ?'.)i ?./?v
n
i
? f/ ?
? tt-e (rote ce /7.?-)
uz s ) h r ld. / ?$
(/ /'
( .
Em pl
oyer

,
,

l
r
,
,
.

A ddr s
es

Dat ofem pl e
es
oym nt

G ros
s
n) t l' a '
on h

. '
-..

't
'
h
'
l

.- .
..

.
?

.
.

z
.'

.

$

.
/

$

$
g

Ho muhcs d yuady u sos hv,s
w c ah o o n orp ue ae
?

.
*

D

Bel sat any money you oryours ehavei ba a ount ori any ot rfna i i tt i
ow, t e
pous
n nk cc s n
he i ncal nsiuîon.
Fi
nanci i tt i
al ns iuton

Type ofac
count
.
.
.

A m ountyou have

$

... . x
j

A m ountyour
s ous has
e

j
;

.
.
,
.,
..

,

/

$

$

$

$

I you a eaprs r yot 1 ts a t h a satm entc tfed by t appr i ei tt i
f
r
ione , l4 1t tac t e
:
erii
he
oprat nsiutonalofs s i al r ei s
tcer how ng 1 ec pt,
e ndiur ,a balnc durngt ls sxm ont i yotri tt i ac
xpe t es nd a es i he a t i
hs n l nsiutonal count .I you ha l uli ea l s,
s f
ve m tpl ccotnt
per
hapsbec eyou havebee i muli e i tt i ,a t h one c tfed saementofe h ac l .
aus
n n tpl nsiutons tac
erii tt
ac cotnt

2 of 5

AO 2 9 ( /9) piaint P o e di Di r Co r Wi o t rp yn F e o Cot (wn F n
3 010 Ap l to k rc e n s i ut t u P e a ig e s r ss l g o n)
c
l
td
h
o

5.

Litt as es and t rval s,whi youown oryours eowns Donotls cl hi a or nar
s he s t,
hei ue
ch
pous
.
it ot ng nd di y
hous hol f mihi
e d ul s ngs.

'

A s et owned by ytu tr your s
s s
l )
pous
e

iOle('l)
' - Ilt
ln zt
a?

j
'
z
'

Ot rr alesa e('/0
he e tt 17n
/

$

1
,
.

$

.

%
'
'
o

i
.

Nl orvehil #1 r'nt
ot
ce r?/?
- ?
t

'
.

$

ds'

$

.

,

t
.

M a andyea :
ke
r

1
)
/

sl :
odel

/
,

Regit a i #:
sr ton

î

v
'

,
.

j
'

Moo vhil # ('/t
tr e ce J r/f/
-g,
éa

(
X
.

.
M a and yea .
ke
r

M odel
:

Regitaton #:
sr i
Clhera S s('lv
t s et l u l
u

$

Cte aS t ('ul
lh r ses l le
a

$

C2
)

Stt eve y pe s busnes ,oror z i owi you oryours le money,and t amountowe
a e r r on, i s
ganiaton ng
pots
he
d.
Pe on ow i you oryours
rs
ng
pouse

A m ountow ed t you
o

Am ountow e t yours
d o
pous
e

$

.

s
.

l

$

$

)

s

e

'

-

$

St et pe s whor y on you oryours le f s
al he r ons
el
pots or uppor.
t

Na ( r i u d r1 ,ntaso l)
me o ,f n e 8 iiil ny

Rea in hp
lto s i

A.
j

yn o
o
,

N

-

3 of 5

$

(
W
3
o

x

&'
.

Ag
e

.

AO 239 ( 10 ) iai t Pr e i DititCultW lh lPrpa ngFesorCoss(- For )
0 /9 Applcton o oced n src tr tott e yl e
t Iong m

8.

Esiuaet ake a l hl expe e ofyou a yourf niy. Show s r t y t al nt pai by you
tl t he r ge uont y
ns s
nd
al l
epa ael he nou s d
r

s e.Adi tany payl st ta emadeweell bi ekl quale l s Aa
pous
us
uent ha r
ky, we 'y, - ry. en innualy,orannutl t s t
t
l
t y o hou.he
l
l ont y r e.
' hl at
n
You

n
e t
Re torhol e l orgagepa ne ln ld ? I r?t,/rmo l :v?
m -- t
n
yl nt icu ng otepv 8' bi t?p
/ /l
.

Ar ra ett tx sicu e ? E Ye ( No
e e l sae a e n ld d D s D

s our spous
'
e

/
.
V

$

$

Utltes(lcrcl,?t/g./?/wt/?x' l au ////:??
iii èetiiy /?/? i(, ?t. t ' llfep3)e
e? ? ? ?, ? , . t?
we
? .

$

$

ll ne f nt ncel- is(? u epl
-ol nai ena ipar -J pke
e
?
>

$

$

Food

$'

$

Cl hi
ot ng

$

$

Laundr a dl cea ng
y nd - l ni
y-

$

$

Meiln dn lxess
daad et epne
c
a

$J

Tr ns tton t t/c?:, mofrJ/?/pt mel )
a porai no ? /( ? o ,?cg l tl
7 f# g
e' y s

$

$

Re e i ent - nl nt ne paper,magazi ,et
cr aton. elai ne , ws
t
s
nes c.

$ ç

(

$

l r e t i ur nc i uded? E Ye ( No
s o rv ns a e ncl
D s D
%

( $
)

l ul nce(ol eïcet/t/'t f8o pl/ftfI pc/ /el(vtltl
ns a n J tf/t /r;k- ; r'ckg' ' /pgc l. et%
l
t/ ' r f f I r g ll
'# .
ft î
Hol eownersorr nt rs:
n
1 e e'

$

Lief

$

$

Heat :
lh

$

$

M ot v i l .
or eh c e'

$

$

Ot :
her

$

$

$

$

'a s( tts/fft// 'a e f/iîhd t/ l lq g /f' ?/.l etv.
T xe ho 't//f/-lb g s) l lel/ no- a e ?.Ne05 . c()
/ k-i t ?v
f ? a
p
-c
7 l
7/ ' % ''
k 2p

'
'
Z

$

''
Y'
A

l t l e paym ent
nsalm nt
s

M ot vc cl
or hi e:

$

Cr i c d lînez
ed t ar l l :
a

$

Deparl Sor ((ne.
tnent t e nll)

.' '
.-'

$

$

' '
--%

$
$
#

Ot r
he :
Almony,l ntna a s
i
uai e nce, nd uppor pai t ot s
t d o her

4 of 5

$

$

$

$

'

'

AO 239 (-/ )Ap iai t Pr r dl Diti'CotrS toutPrpa i FeskrC' t (- Forn)
(109 plcton o ok n srt ltvlh
)
ee
t
e yng e ) oss long l

Regul expe esf oper i ofbusne s pr e son,orf r r?t /deald
ar ns or aton
i s , of s i
a m t?c? tie
7?

$

c.
a
o

$

Ot (pe l':
her j cj)
y

$

.
D

$

T
$
ot m ont y expens :
al
hl
es

0, $
00

0.
00

Doy te p c a mao c a g st y rmo t yic meore p nsso i yol as t orl biie dligte
ol x e t ny j r h n e o ou nhl n o
x e e r n t ses i lis t n h
r
a t r
ne l m on hs?
xt 2
t '
s
V?96 6r c 'b
>1 Q $
'
Y
@ Y
e E
s D
lye, ecieo a atc e seri/z
f sd srb n n ta hd h'tz'
5./'
ez4
r
r
.

.

'
'

Haveyou pai orwilyou bepayi
d
l
ng a atol a m one f s vi i connec i wiht scas
n t mey ny
y or er ces n
ton t hi ei udi t complton oft sf
ncl ng he
ei
hi onn? E Ye 1 No
D s

l ye how l ? $
f s,
nuch'
I ye saet at ne sna a es .andt l
f s, t t he tor y' me, ddr s
eephone number
:

Haveyou pai orwi1you bepayi
d
1
ng anyone ot t an at e tuht tparlgi t/tlpitanl I one'
her han tonl y s c / / ae l ? .v sl '' l
y
l '/
n
f s r ce i conne i wih t sc e.i udi t complton oft sf n'
or e vi s n
cton t hi as ncl ng he
ei
hi on-?
D Yes . No
@

l yes how l ? $
f s
nuch'
l yes saet peron' name.a es .andt l
f , t t he s s
ddr s
eephone number
.

Pr deany ot i ornaton t twilhel expl nwhy yotcannotpa t c t oft s p oce ngs
ovi
her nf l i ha l p
ai
l
y he os s he e r edi .

(tyw o
py s
l iy t ciy a sat ofyourl r i e.
dentf he t nd t e
egal esdenc

t
.

n

r>r
a

J

g& , ! (,:
$ .t
?l

Yo l d yt ep on n m b r
tr a i h e u e :
m

/
V

Yotra :
l ge
Yotrye sofs
l ar
chooln :
ig
L,as a 11k: 1SO')0t1S Ci - CC 1t 1tll w .*ag1 l / l O alS U- y 'llbel
w *
tl 1 l (
O l
i 1 - .
'

5 of 5

'

J?
,

.

'. **;
' XR
'
t
:
p