SAMPLE 'APPLICATIONS FOR CIVIL INDIGENCE STATUS'
FROM ACTUAL CASES

USNYWD (US)

#	Type	Description	₧
001		✓ Granted. | USNYWD 07-00095 | Income = $903 | Expenses = $895 | Bank = n/a | Social Security.
002		✓ Granted. | USNYWD 07-00274 | Income = $0 | Expenses = $0. Bank = $0 | Married+1 | Retired
003		✓ Granted. | USNYWD 07-00325 | Income = $3,700 | Expenses = $1,100 | Bank = $200 | Married+1.
004		✓ Granted. | USNYWD 07-00343 | Income = $1,000 | Expenses = $580+ | Bank = $8,300 | Caretaker.
005		✓ Granted. | USNYWD 07-00412 | Income = $0 | Expenses = $0 | Bank = $0 | Is Dependent.
006		✓ Granted. | USNYWD 07-06050 | Income = $500 | Expenses = $0 | Bank = $0 | Married+2.
007		✓ Granted. | USNYWD 07-06159 | Income = $0 | Expenses = $0 | Bank = n/a | Is Dependent.
008		✓ Granted. | USNYWD 07-06293 | Income = $850 | Expenses = $754 | Bank = $75 | Income Varies.
009		✓ Granted. | USNYWD 07-06298 | Income = $4,548 | Expenses = $3,076 | Bank = $0.

DOAH (FL)

#	Type	Description	₧
101		✓ Granted. | 2DCA 2D02-5127 | Income = $668 | Expenses = $295 | Bank = n/a | Social Security.
102		¿Unknown Result? | DOAH 03-1626 | Income = $168 | Expenses = $356 | Bank = ¿? | Uncommon
103		✓ Granted. | DOAH 05-0910 | Income = $888 | Expenses = ¿? | Bank = $0 | Social Security.
104		✓ Granted. | DOAH 05-2156 | Income = ¿? | Expenses = ¿? | Bank = ¿? | Letter
105		✓ Granted. | DOAH 08-0931 | Income = $1,242 | Expenses = $1,364 | Bank = $300 | 2008 form.
106		✓ Granted. | DOAH 09-0035 | Income = $669 | Expenses = $1,687 | Bank = $0 | 2009 form.
107		✓ Granted. | FCHR 2016-00710 | Income = $735 | Expenses = $0 | Bank = $0 | Social Security.
108		✓ Granted. | FCHR 2017-00035 | Income = $26,820 (A) | Liabilities = $13,711 | Bank = $165 | 1...
109		¿Unknown? Result. | FCHR 2018-09210 | Income = $9,240 (A) | Expenses = $0 | Bank = $0.
110		✓ Granted. | FCHR 2020-22971 | Income = $803 | Liabilities = $70,000 | Bank = $3 | Bankrupt.
111		¿Unknown? Result. | FCHR 2019-20691 | Income = $2,212 | Expenses = $2,639 | Bank = $2,212.

Duval County (FL)

#	Type	Description	₧
201		✓ Granted. | 2017-CA-004274-XXXX | Income = $50 | Expenses = $45 | Bank = n/a | ...
202		✓ Granted. | 2017-CA-005862-XXXX | Income = $3,095 | Expenses = $2,000 | Bank = $500 | Legal Aid.
203		✓ Granted. | 2018-CA-004870-XXXX | Income = $2,100 | Liabilities = $115,400 | Bank = $1,000 | ...
204		✓ Granted. | 2019-CC-000599-XXXX | Income = $1,800 | Expenses = $654 | Bank = $200 | TX Resident.
205		✓ Granted. | 2019-CC-006061-XXXX | Income = $946 | Expenses = $2,110 | Bank = $0
206		✓ Granted. | 2019-CC-015665-XXXX | Income = $1,791 | Liabilities = $150,000 | Bank = $477 | ...

Templates & Forms

Forms (Free)

#	Link	Comments	₧
F01		Official Court Form. Interactive.	Free
F02		Official Court Form. Interactive.	Free
F03		Official Agency Form. Must print out then complete by hand.	Free
F04		AO 240. Tab through the form to enter your user data (dropdown menus, checkboxes, etc.).	Free
F05		Official Court Form. Must print out then complete by hand.	Free

TBD's Templates (500 ₧)

#	Link	Comments	₧
T01		TBD's Template. Tested & Approved.