Filing 4

ORDER DIRECTING PAYMENT OF FILING FEE, DISMISSING COMPLAINT, AND PROVIDING OPPORTUNITY TO AMEND - The plaintiff shall have through October 6, 2020, in which to either pay the $400.00 filing fee for this action or demonstrate that he lacks the financial ability to do so. All claims against GTL are dismissed for failure to state a claim upon which relief may be granted. The plaintiff shall have through October 6, 2020, to file an amended complaint that resolves the deficiencies discuss ed. The clerk is directed to include a complaint form and a form motion for leave to proceed in forma pauperis with the plaintiff's copy of this Order. The clerk is also directed to restrict access to the complaint to case participants, as it includes the Mr. Salter's social security number. See Order. Copy to Plaintiff via US Mail. Signed by Judge James Patrick Hanlon on 9/14/2020. (Attachments: # 1 Complaint Form, # 2 IFP Form)(KAA)

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UNITED STATES DISTRICT COURT FOR THE _________________ DISTRICT OF __________________ ________________________________ Full name of plaintiff(s) v. Case No.___________________________ (Provided by the clerk of court) ________________________________ Full name of defendant(s) PRISONER REQUEST TO PROCEED IN DISTRICT COURT WITHOUT PREPAYING THE FULL FILING FEE Answer the following questions to the best of your ability. Note: If you do not tell the truth, the court may dismiss your lawsuit. I. Personal Information 1) Your name: ___________________________________________________________ (a) State the place of your incarceration and provide your prisoner identification number: _______________________________________ (place) _____________________________ (number) (b) Are you employed at the institution? □Yes □ No (c) Do you receive any payment from the institution? □Yes □ No Attach a printout of your prison trust account statement showing transactions for the six-month period immediately preceding the filing of this request and showing the current balance of your account. Fee Request – 1 2) Do you have any dependents that you are responsible for supporting? □ Yes □ No If “yes,” list them below. Name or initials (for minor children only) Relationship to You Age Amount of Support Provided per Month ________________________ _________________ ________ $____________ ________________________ _________________ ________ $____________ ________________________ _________________ ________ $____________ II. Property or Assets: - If you are married, your answers must include your spouse's property. 1) Do you own a car? □ Yes □ No If “yes,” list the car(s) below: Make and Model Year Approximate Current Value _______________________________________________ __________ $________________ _______________________________________________ __________ $________________ 2) Do you own your home(s)? □ Yes □ No If “Yes,” state the approximate value(s). $ ____________________ What is the amount of equity (assessed value of residence minus outstanding mortgage balance) in the home(s)? $ ____________________ 3) Do you have any cash or checking, savings, or other similar accounts? □ Yes □ No If “Yes,” state the total of such sums. $ ____________________ Fee Request – 2 4) Do you own any other property of value, such as real estate, stocks, bonds, trusts, or individual retirement accounts (e.g., IRA, 401 k), artwork, or jewelry? □ Yes □ No If “Yes,” describe the property and the approximate value(s). ______________________________________________________________________ ______________________________________________________________________ III. Litigation History For each federal lawsuit that you recall having filed, list as much of the following information that you remember about each case: The name of the case (that is, the plaintiffs and the defendants), the case number or year of filing, and the federal district in which you filed the case. Use more paper if needed. Case Name (Plaintiffs and defendants) Case number (or year of filing) Federal district ________________________ ____________________ _______________________ ________________________ ____________________ _______________________ ________________________ ____________________ _______________________ ________________________ ____________________ _______________________ ________________________ ____________________ _______________________ Fee Request – 3 IV. Other Circumstances - Describe any other financial circumstance(s) that you would like the court to consider when reviewing this petition. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ I, ____________________, declare that I am the plaintiff bringing this complaint. I declare that I am unable to prepay the full filing fee and that I am entitled to the relief sought in the complaint. ___________________________ Date _________________________________________ Signature - Signed Under Penalty of Perjury Fee Request – 4

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