Spreadbury v. Bitterroot Public Library et al
Filing
9
NOTICE of Receipt of State Court File. (Attachments: # 1 1_Notice of Recusal and Invitation to Assume Jurisdiction, # 2 2_Affidavit of Indigence and Order, # 3 3_Complaint, # 4 4_Motion for Substitution of District Judge, # 5 5_Order of Recusal, # 6 6_Letter with Copy of Invitation to Assume Jurisdiction, # 7 7_Invitation to Assume Jurisdiction re Judge Townsend, # 8 10_Affidavit for Non Corporate Status; Judicial Not Administrative Proceeding, # 9 11_Summons Returned Executed - Lee Enterprises, # 10 12_Summons Returned Executed - Bitterroot Public Library, # 11 13_Summons Returned Executed - City of Hamilton, # 12 14_Summons Returned Executed - Boone Karlberg, # 13 15_Objection to Removal, Use of Public Funds by Defense) (ASG, )
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HON. JEFFREY H. LANGTON
District Judge, Dept. No. 1
HON. JAMES A. HAYNES
District Judge, Dept. No.2
Twenty-first Judicial District
Ravalli County Courthouse
205 Bedford Street, Suite A & B
Hamilton, Montana 59840-2853
Phone (406) 375-6780
Fax (406) 375-6785
MONTANA TWENTY-FIRST JUDICIAL DISTRICT COURT, RAVALLI COUNTY
_
Dept. No. _3 _
Cause No. :ill" - 11 -
fa 4-
/1
AFFIDAVIT OF INDIGENCE
AND ORDER
ANSWER ALL QUESTIONS. USE N/A IF NOT APPLICABLE.
STATE OF MONTANA
Countyof
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:ss.
)
M I AAot.\:J.Jc1being first duly sworn, depose and say:
Ict.ke
'
That I have a good
cause of action or defense but am unable to pay the costs or get security to secure the cause ofactIOn
or defense. I request the Court or administrative tribunal to waive the costs and approve indigence
status. I declare the following:
AFFIDAVIT OF INDIGENCE AND ORDER (Rev.5-14-1O)
Page I
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PERSONAL INFORMATION
~'~~~-i"~b.-"~
Name d r e s s : : S : ~§t\
Ad
Telephonejjjj6ij Age_~;
~
Employed? Yes_ _ No~., Self-Employed? Yes_V _ 1 o,_ _
_ N
Employer's name and address,_....;tJie!..U/t\~._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~onthlye~ empl~yed..ki
Smgle
Dependents?
MarrIed
Spouse
po
Job
MhlAq 'ri\\.\S(k(~p'l)!l
Divorced
Sep:;Jlted
()
Number of childrenL_--l~~' _ _ _ _ __
_
ot1
Spouse's name'_-llotJ.J-i/lL.!~:3-_ _ _ _ _ _ _ _ _ _ _ _- _ _ __
Spouse's Age._ _ __
Spouse's employer and address._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~
No
Yes,_ _ __
Are you sharing expenses with anyone?
Explain,---;-----;_-;--_ _~,...------------------::.,...Are you sharing income with anyone?
Yes,____
No
~
Explain_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
II.
INCOME -- If filing a joint petition BOTH incomes must be included.
Income available:
My wages/salary
$_-+-~_
Other wages/salary $_..-.¥~_
Workers' Comp
$'--F-~Food Stamps
$-~r.r-Pension
$- - - . 4 ' ' + -
Child Support
$:-=--~_ _
Total House~ Inc me:
Last month $,---}ZL""'-----/
AFDC
Unemployment
SSI
Medicaid
Retirement
Other Income
Previous 12 months $
$_~--$,_~-$,~~_
$---J.~=-$
ro --
$~-
'i~uJ \
\).J
KMlL.y
R~/~v~~I'iI
f5, ~'O
III.
ASSETS
A.
Motor vehicles? Yes / ' No
How rnany?_D=-Y\L _ _ _ _-
_
Spouse's motor vehicles,,.....,,.--,-_~-_~_ _ _
Is/are the vehicle(s) paid for?
Yes
V'
No
Ifnot, how much do you owe? $,_ _ _ _ Year, make and model "2Do\
--=_------
fl.
£:mW rttofI~'f~
GS """de]
B.
Do you or your spouse own any land or other real estate, or are you or your spouse buying
Wh~t is ~~sapproximate value?
$ No
J~O('C
How much did you pay for it? $
eOD
When?
Is it paid for? Yes
No,_.::::.-__
If not, how much do you or your spouse owe? $
C.
\T\ r,"\"\.,
2..a:::J{e
t 5 \ I 000
..\,L.:....oo:::--_ _ __
Checking accounts? Yes.../' No__ $'_..l..,)]J.£.'
Savings accounts Yes~ No__ $
5" . t.o
Stocks or bonds? Yes_ _ No__ $._ _~N.:=....:::.D _ _ _ __
AFFIDAVIT OF INDIGENCE AND ORDER (Rev.5-14-1O)
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&!\..\Qi.:\bl.s;' cr.qJ;'f- Vf)~o."
Wages due but not yet received
$'----fo-)C,,?,~-------Money owed to me or my spouse
$,__-I?I--_ _ _ _ _ _ __
Guns, boats, sporting equipment,
;;::::,. t;
trailer, camper, or tools
$,_..!:.~...;:",:::,.u.;-=- _ _ _ _ _ _ __
Stereo or TV
$'-J':..u;",L..1....c_r._ _ _ _ _ _ __
Furniture & appliances
$._~_~ _ _ _ _ _ _ __
_
Other personal prop?,
$,_~;P:=::.- _ _ _ _ _ _ _ __
Specify:_ _ _-d-)lJ-I'l- _ _ _ _ _'_ _ _ _ _ _ _ _ _ _ _ _ _ __
_
Bank
IV.
W
OBLIGATIONSIDEBTS
Do you or your spouse have any outstanding debts or obligations (specify and list amount):
, G' ,lOCO .s:Jy;h4- loanS
I further declare that I am the person named above, that I have read the foregoing questions
and information and know the same to be true of my own knowledge, AND THAT IF ANY PART
OF THE ABOVE IS MADE FALSELY I AM SUBJECT TO PROSECUTION FOR
PERJURY.
SUBSCRIBED AND SWORN TO before me this
_--!-'1_ day of
II/ c, I
,2olL.
(' "
--------~----------------RITA l. GILL
NOTARY PUBLIC for the
State of Montana
Residing at Hamilton. MT
My Comm. Expires
Ma~ 10. 2011,
AFFIDAVIT OF INDIGENCE AND ORDER (Rev,S-14-IO)
Notary Public for the State of Montana
Residing at d <5,,,,' 111.}, Itt J
My Commission expires
$-'/ c ~
"L IJ
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ORDER
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The Petitioner in this action having filed an affidavit of indigence pursuant to §25-10-404,
M.C.A., and good cause appearing,
IT IS HEREBY ORDERED that it shall be the duty of the officers of this Court to perform
all required services in this action without demanding or receiving their fees in advance.
IT IS FURTHER ORDERED that upon final judgment the Court reserves the power to direct
one or both parties to be responsible for and to pay the fees and costs so deferred and to issue
execution in the name ofthe parties to this action for the benefit ofthe Clerk ofCourt and/or Sheriff,
as provided in §25-10-10~.C.A.
DATED this
j/
day of
AFFIDAVIT OF INDIGENCE AND ORDER (Rev.5-14-1O)
'$
~, 20-/L.
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