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Icon-UpArrow Sample 'Applications for Civil Indigence Status'

SAMPLE 'APPLICATIONS FOR CIVIL INDIGENCE STATUS'
FROM ACTUAL CASES

USNYWD (US)
#TypeDescription
001logoAdobe✓ Granted. | USNYWD 07-00095 | Income = $903 | Expenses = $895 | Bank = n/a | Social Security.iconPriceTag
002logoAdobe✓ Granted. | USNYWD 07-00274 | Income = $0 | Expenses = $0. Bank = $0 | Married+1 | RetirediconPriceTag
003logoAdobe✓ Granted. | USNYWD 07-00325 | Income = $3,700 | Expenses = $1,100 | Bank = $200 | Married+1.iconPriceTag
004logoAdobe✓ Granted. | USNYWD 07-00343 | Income = $1,000 | Expenses = $580+ | Bank = $8,300 | Caretaker. iconPriceTag
005logoAdobe✓ Granted. | USNYWD 07-00412 | Income = $0 | Expenses = $0 | Bank = $0 | Is Dependent.iconPriceTag
006logoAdobe✓ Granted. | USNYWD 07-06050 | Income = $500 | Expenses = $0 | Bank = $0 | Married+2.iconPriceTag
007logoAdobe✓ Granted. | USNYWD 07-06159 | Income = $0 | Expenses = $0 | Bank = n/a | Is Dependent.iconPriceTag
008logoAdobe✓ Granted. | USNYWD 07-06293 | Income = $850 | Expenses = $754 | Bank = $75 | Income Varies.iconPriceTag
009logoAdobe✓ Granted. | USNYWD 07-06298 | Income = $4,548 | Expenses = $3,076 | Bank = $0. iconPriceTag
DOAH (FL)
#TypeDescription
101logoAdobe✓ Granted. | 2DCA 2D02-5127 | Income = $668 | Expenses = $295 | Bank = n/a | Social Security.iconPriceTag
102logoAdobe¿Unknown Result? | DOAH 03-1626 | Income = $168 | Expenses = $356 | Bank = ¿? | UncommoniconPriceTag
103logoAdobe✓ Granted. | DOAH 05-0910 | Income = $888 | Expenses = ¿? | Bank = $0 | Social Security.iconPriceTag
104logoAdobe✓ Granted. | DOAH 05-2156 | Income = ¿? | Expenses = ¿? | Bank = ¿? | Letter iconPriceTag
105logoAdobe✓ Granted. | DOAH 08-0931 | Income = $1,242 | Expenses = $1,364 | Bank = $300 | 2008 form.iconPriceTag
106logoAdobe✓ Granted. | DOAH 09-0035 | Income = $669 | Expenses = $1,687 | Bank = $0 | 2009 form.iconPriceTag
107logoAdobe✓ Granted. | FCHR 2016-00710 | Income = $735 | Expenses = $0 | Bank = $0 | Social Security.iconPriceTag
108logoAdobe✓ Granted. | FCHR 2017-00035 | Income = $26,820 (A) | Liabilities = $13,711 | Bank = $165 | 1...iconPriceTag
109logoAdobe¿Unknown? Result. | FCHR 2018-09210 | Income = $9,240 (A) | Expenses = $0 | Bank = $0.iconPriceTag
110logoAdobe✓ Granted. | FCHR 2020-22971 | Income = $803 | Liabilities = $70,000 | Bank = $3 | Bankrupt.iconPriceTag
111logoAdobe¿Unknown? Result. | FCHR 2019-20691 | Income = $2,212 | Expenses = $2,639 | Bank = $2,212.iconPriceTag
Duval County (FL)
#TypeDescription
201logoAdobe✓ Granted. | 2017-CA-004274-XXXX | Income = $50 | Expenses = $45 | Bank = n/a | ...iconPriceTag
202logoAdobe✓ Granted. | 2017-CA-005862-XXXX | Income = $3,095 | Expenses = $2,000 | Bank = $500 | Legal Aid.iconPriceTag
203logoAdobe✓ Granted. | 2018-CA-004870-XXXX | Income = $2,100 | Liabilities = $115,400 | Bank = $1,000 | ...iconPriceTag
204logoAdobe✓ Granted. | 2019-CC-000599-XXXX | Income = $1,800 | Expenses = $654 | Bank = $200 | TX Resident.iconPriceTag
205logoAdobe✓ Granted. | 2019-CC-006061-XXXX | Income = $946 | Expenses = $2,110 | Bank = $0iconPriceTag
206logoAdobe✓ Granted. | 2019-CC-015665-XXXX | Income = $1,791 | Liabilities = $150,000 | Bank = $477 | ...iconPriceTag

Templates & Forms

Forms (Free)
#LinkComments
F01Official Court Form. Interactive.Free
F02Official Court Form. Interactive.Free
F03Official Agency Form. Must print out then complete by hand.Free
F04AO 240. Tab through the form to enter your user data (dropdown menus, checkboxes, etc.). Free
F05Official Court Form. Must print out then complete by hand.Free
TBD's Templates (500 ₧)
#LinkComments
T01iconMSWordTBD's Template. Tested & Approved.iconPriceTag
Congratulations! You're getting booked up on Applications for Certificates of Indigence!

Please get the justice you deserve.

Sincerely,



www.TextBookDiscrimination.com
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