Lewis, James v. McClean, Angela et al

Filing 99

ORDER that plaintiff is to submit $505 appeal fee or motion to proceed ifp on appeal. Fee or Motion/Trust Fund Account Statement due 3/3/2016. Signed by Magistrate Judge Peter A. Oppeneer on 2/10/2016. (jef),(ps)

IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF WISCONSIN
JAMES A. LEWIS,

v.

Plaintiff,

ORDER
14-cv-280-jdp
App. No. 16-1220

ANGELA MCLEAN, et al.
Defendants.

Plaintiff James A. Lewis has filed a notice of appeal from the court’s January 6, 2016
order. To date, however, plaintiff has not paid the appellate docketing fee nor requested
leave to proceed without prepayment. For this appeal to proceed, plaintiff must pay the
$505 appellate fee or submit a properly supported motion for leave to proceed without
prepayment of the filing fee no later than March 3, 2016.

ORDER
IT IS ORDERED that plaintiff James A. Lewis may have until March 3, 2016 to
either (1) pay the $505 appellate docketing fee; or (2) submit a motion for leave to proceed
without prepayment of the appellate fee along with a certified trust fund account statement
for the six-month period preceding the filing of the appeal in compliance with 28 U.S.C.
§ 1915(a)(2). Failure to comply as directed may result in the dismissal of this appeal.
Entered this 10th day of February, 2016.
BY THE COURT:

/s/
PETER OPPENEER
Magistrate Judge

UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF WISCONSIN
JAMES A. LEWIS,

Plaintiff,

ORDER

v.
Case No. 14-cv-280-jdp
App. No. 16-1220

ANGELA MCLEAN, et al.

Defendants.
PRISONER REQUEST TO PROCEED IN DISTRICT COURT
WITHOUT PREPAYING THE FULL APPEAL 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

(c)

Do you receive any payment from the institution?

□Yes

□ No
□ 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.
2)

Do you have any dependents that you are responsible for supporting?
□ Yes

□ No

If “yes,” list them below.
Name or initials (for
Relationship to You
minor children only)

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.

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

________________________

____________________ _______________________

________________________

____________________ _______________________

________________________

____________________ _______________________

________________________

____________________ _______________________

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