Doyle v. McConagha et al
Filing
79
MOTION for Leave to Appeal in forma pauperis by Plaintiff Wayne Doyle. (bev1, )
B9/04 / 2 0 0 7
Case 3:07-cv-00003-TMR-MRM
18:37
5145 21'31 0'3
Document 79
DOWNTOWN COLUMBUS OH
Filed 09/05/2007
Page 1 of 6
PAGE
B3 / 08
Doyle v. McConagha et al
Doc. 79
FORM 4.
PERMISSION '!'0 p_PPE_~_!_
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/-\FFIDAvrr ACCOlVlPA N Y I N G MOTION FOR
~1 P0P..~~ h D & T 11>ITPl~
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Jnited Court of A p p e a l s for the Sixth Circuit J
]
. ._ .
WAYNE DOYLE
v.
JOHN Me CONAGHA AND TIff;: ClARK COUNTY LIBRARY, et al.,
J
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Case No. ic-3..() -0 0 3 7
]
Affida:vit in Support of M o t i o n
Instructions Complete-all questions in this application and then sign it. Do not leave any blanks: if the answer to a questjon is 1'0:' "none," or '110t 1 applicable (N/A)," write that response. If you need more space to answer a question or to explain your answer, attach a separate sheet of paper identified with your name, your case's
I s w e a r or a f f i r m under penalty of'perjtrry that, because of my poverty, J cannot prepay the
docket tees of my appeal or post a bond for them. I b c l i e v e I a m entitled t o r e d r e s s . I swear
or affirm under penalty of perjury under United States laws that my answers on this fonn arc true and correct. (28 U.S-C. §§ 1746; 18 U .S .C. §§ 1 6 2 1 . )
docket number, and t h e question number.
Signed:
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My Tl>SUeS on appeal are :
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1. The court has not been fair nor impartial throughout the entire case. 2. During the court hearing the court answered most of Plaintiff Doyle's questions . asked of defendants. 3. The court reoord remains incomplete after many correction and mistakes made by (Chief Magistrate JUdge Merz) and (District Judge Thomas Rose). 4. According to the Orders end motions on the record, I, Wayne Doyle have not been given a opportunity to properly amend my complain. 5. This case is a (CASE OF FIRST IMPRESSION) BEING MERZ SAID IT WAS HEARSAY AND HE WOULD HAVE TO 00 SOME RESEARCH TO SEE IF MC CONAGHA HAD THE RIGHT KICK SOMEBODY OUT OF THE LIBRARY ON HEARSAY EVIDENCE. NO RESPONSE NOR RESEARCH HAS BEEN INDICATED ON THE REGORD FROM MERZ OR ROSE. .11
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United St:I~ Court ofAppen til FORM 4 - AFFIDAVIT ACCOMPANYING MOTION FOR PERMJSSION TO AP1'EAL TNFORMA PAUPEtus
09 /04 / 2007 TUE 10 :32
[ T X l R X NO 9856]
[4]003
Dockets.Justia.com
0 9 / 0 4 /2007
Case 3:07-cv-00003-TMR-MRM
10:37
5145219109
Document 79
DOWNTOWN COLUMBUS OH
Filed 09/05/2007
Page 2 of 6
PAGE
04 / 08
"
roll~WilJK sources/during the past 1.2 months . Adjust any amount that was received weekly,
1. For both you and y o u r spouse estimate the average amount ofmoncy received from each ofthe
biweekly, quarterly, semiannually, or annually to show the monthly rate. Usc gross amounts, that is, amo~~~rorc any deductions for taxes or otherwise.
' .
_
......
Income source
Avenge monthly amount during the past 12 montbs You
Spouse
Amount expected
next month
You Spouse
0
mPloym; 0
Self-employment
Income from real property
(such as rental income)
Interest and dividends
-Gifts
Alimony
Child ,supporl
Retirement (such as social security,
pensions, annuities, inS\1t'.!lt1ce)
Disability (such as social
security, insurance payments) Unemployment payments _
o
o
IY
P u bl i c - a s s i s t an c e (such as welfare) NOIl( Other (specify):
tv on
!VOhe:..
$0.00
e. )\)one
$0.00
'Total monthly income:
11 CJ 00 q IY/ 6t)t~
t-: ]71y..5 e/ ~
01'}1'1
$0.00
$0.00
C(j jrri'(1 tL-fl. List your ~ploymenthistory, most recent employer first. (Gross monthly pay is before taxes ~ 9l BOBot~cr d~'tf0ns.) Le.F~e Is LtX'le. ' :J. 'f~ , tJO ",pto If - . . er S dress ',/ p,ate,s pfEm"p1oy tJ ro ss monthly pay () e. , Y · Cdl
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F i n a n c i a l Institution
Amount your spouse has
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If you are a prisoner, you must attach a statement certified by the appropriate institutional oftloer showing all receipts, expenditures, and balances during the last six months in your institutional accounts. If y o u have multiple accounts, perhaps because you have been in multiple institutions, attach one certified statement of each account. 5. List th~ assc!S, and the~r values, whish yo~ own or your spouse owns. Do not list clothing and , '. . ordinary household furnishings.
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Motor Vehicle #1 (V,glllc)
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f{egiRtrAtion #i
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Mot:or Veb.iclc #2 (Valuc)
Other :It;Set!; (Value)
Other asacts (VlIJUC)
Model:
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United Snit"" COIIIf ofApP<:&'"
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FORM 4 - AFFTDA l T ACCOMPANYnl"G MOTION FO~ PERMJSSION TO APPEAL tN FORMA PAUPERIS V
09 /04 /2007 TUE 10: 32
[TX /RX NO 9856]
[4] 005
09/84/ 2 8 8 7
Case 3:07-cv-00003-TMR-MRM
10:37
61462191 0 9
Document 79
DOWNTOWN CO UM U OH L BS
PAGE
05 / 0 8
Filed 09/05/2007
Page 4 of 6
6. State every person. business! or organization owing you or your spouse money, and the amount owed .
Amoun t owed tQ you
Arnounr owed to your !qlOU!\C
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7.
State the persons who rely on you or your SpOU5C for support.
Relationship
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..
09 /04 /2007 TUE 10 :32
(TXlRX NO 9856]
141006
B9/04/2007
Case 3:07-cv-00003-TMR-MRM
10:37
5145 2 1 9 1 B 9
Document 79
DOWNTOWN COLUMBUS OH
Filed 09/05/2007
Page 5 of 6
PAGE
07/B8
8. Estimate t h e a v e r a g e m o n t h l y e x p e n s e s ofyou and y o u r family. Show s e p a r a t e l y t h e a m o u n t s paid by your Hpouse. Adjuat anypayments that arernade weekly, biweekly, quarterly, semiannually, or annually to show the monthly rate.
Y,m r
You
Spou se
Rent -orhome-mcrtgage payment
(including lot rented for mobile home)
~
U t i l i t i e s (electricity, beating fuel, water, sewer, and telephone) Horne mamtenanoe (repairs and upkeep]
. I
Is property insurance included? . '
Are real estate taxes included? DYes DYes
[!!No __ ~
.../..
~OO 00
' DO 0 ,
(I
Food
Clothing
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'UI 0..' r-1''/ r... '\~ .: ~ Vl\t>,t'l
Laundry and dry-cleaning <:
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0
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Medical and dental (!~8es
Transportation (not includil1g tt1~t6f v~ffiele expenses) -t Recreation. enrortainment, newspapers, magazines, etc,
,... pa.V '" v+ 0 'F p ()( . . er.,
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(VIe ICCl£"',I..- ." - ,-''-'-'.
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Insurance (not deduced from wages or included in mortgage payments) s Homeowner's or renter's . Life Health
Motor vehicle ,Other:
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Taxes (not ded,:! cted from wages or included in mortgage p a y m e n t s )
. specify: -,
Installment payments
Motor Vehicle
Credit card (name); :
(namc)~ :
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Department store
Othert
Alimony. rnamtenauce; and support paid to others
"
Regular expenses for operation of b u s i n e s s , profession or farm (attach
deta~l) ,
Other (specify): '
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Total monthly expenses:
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$0.00]
United SI,,"'" CtJurI.afI\ppc:l!~
l~ORM 4 ..AFFIDA
vrr ACCOMPANYING MOnON FOR PER,MTSSION TO APPEAr, IN FORMA. PAUPERIS
09 /04 /2007 TUE 10:32
[TXlRX NO 9856]
[4J 007
09 / 0 4 / 2 0 0 7
514521'310'3 10:37 Case 3:07-cv-00003-TMR-MRM
Document 79
DOWNTOWN COLUMBUS OH
Filed 09/05/2007
Page 6 of 6
PAGE
08 / 08
~
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9 . Do you expect any major changes to your monthly income or expenses or in your assets or liabilities durin2 the next 12 months? '~ Yes
0
No
If yes, describe
'£I?\ p J~ y~cl~ Po...'"t:-.·fil"rt e.
DYes
M If Cur r eY\
+ £J 'Y1 Pl~ L{ e.
Oil
f
an attached sheet.
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10" Have y o u paid-or will YQU be p a y i n g - a n a t t o r n e y any m o n e y for s e r v i c e s in connection with this case, including the completion of t h i s form?
~
If yes. how much? $ '
If yes. state the attorney's name, address, and telephone number:
II. Have yOl;l paid-or will you be paying-anyone other than an.attorney (such as a paralegal OT a typist) any money for services in connection with this case, including the completion of this form?
DYes
l3'No
If yes,. how much? $ .
{ryes, state the p e r s o n ' s name , address. and telephone number:
12. ~rovJdeanyot.henntbrmation that wu I help ~~.
cxpl8.An whyyou c a n n o t p a y t h e d o c k e t fees t q r y o u r
I m 90 ; rl? Ito mQt~ Qbeu-t- 5- 6 0 , 0 6
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13. State the address of Y Q U l : legal residence.
Your d a y t i m e p h o n e n u m b e r :
Your a g e : .
(9-s.., );~ 5""o lJ~ I g O "
of.. 1I
Yonr y e a r s o f s c h o o l i n g: :
"') .? -
Y o u r social-security number:
-yo.s. .T. _ c .S""9:S ..... . u 1 . ..:
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FORM 4 · AFFIDAVIT ACCOMPANYlNG MOTION FoR PERMISSION TO APPEAL IN FORMA PAUPERIS
09 /04 /2007 TUE 10 :32
[TX /RX NO 9856)
I4i 008
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