PEREZ v. SCI FAYETTE SUPERINTENDANT JOHN/JANE DOE et al

Filing 15

ORDER that the Clerk of Court shall enclose with this Order an authorization form which Plaintiff shall complete and return to the Court within TEN (10) DAYS of entry of this Order. On this form, Plaintiff shall sign either the section that authorizes monthly payments from his inmate account or the section that moves to withdraw this action without payment of any portion of the filing fee. IT IS FURTHER ORDERED that this action may be dismissed for failure to prosecute if Plaintiff fails to return the authorization form within TEN (10) DAYS from the date of this Order or if Plaintiff authorizes payments and the initial partial filing fee is not received within THIRTY (30) DAYS from the date of this Order. AND IT IS FURTHER ORDERED that Plaintiffs Motion for Stay of Action Pending Service of Filing Fee Account Deduction Authorization Form #14 is DENIED as moot. Signed by Magistrate Judge Lisa Pupo Lenihan on March 31, 2021. (Attachments: #1 Exhibit Authorization Form) (kcb)

IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF PENNSYLVANIA
PERCY PEREZ,
Plaintiff,
v.
SCI FAYETTE SUPER. M.
CAPOZZA, et al.,
Defendants.

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Civil Action No. 21 – 332
Magistrate Judge Lisa Pupo Lenihan

AUTHORIZATION
I, PERCY PEREZ, hereby authorize the custodian of my inmate account to
accrue/freeze twenty percent (20%) of each item of income on the date received and forward one
payment per month of the amount accrued/frozen each time the amount in my account exceeds
$10.00, to the Clerk, United States District Court, until the entire filing fee of $350.00 for Civil
Action No. 21-332 has been paid.

PLAINTIFF'S SIGNATURE

__________________
DATE

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WITHDRAWAL OF ACTION
I, PERCY PEREZ, hereby move to withdraw this action.

PLAINTIFF'S SIGNATURE

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DATE