1 2 3 4 5 6 7 8 9 Case No. ________________________ 10 Dept. No. ______ 11 12 Plaintiff, 13 vs. 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Defendant(s).

/ ORDER FOR WAIVER OF FEES AND COSTS IN THE NINTH JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR DOUGLAS COUNTY

Upon consideration of the Application to Proceed In Forma Pauperis filed by the above named Defendant(s) and it appearing that there is not sufficient income, property or resources with which Defendant(s) can defend this action, good cause therefore: IT IS HEREBY ORDERED that Defendant(s) request to waive fees and costs is GRANTED. Defendant(s) shall be permitted to proceed In Forma Pauperis with this action pursuant to NRS 12.015. Defendant(s) shall proceed without the prepayment of costs or fees or the necessity of giving security, and the Clerk of the Court shall file or issues any writ, process, pleading, or paper without charge. The Sheriff or other appropriate officer within this State shall make personal service of any necessary writ, pleading, or paper without charge. \\ \\ \\ -1-

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IT IS FURTHER ORDERED that if Defendant(s) prevails in this action, the Court shall enter an order pursuant to NRS 12.015 requiring the opposing party to pay into the Court, within (5) days, the costs which would have been incurred by Defendant(s), and those costs must then be paid as provided by law. Dated this ____ day of ___________________, 20____.

DISTRICT COURT JUDGE Submitted by:

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CERTIFICATE OF SERVICE Pursuant to NRCP 5(b) I certify that on this ____ day of ____________, 20____, I deposited for delivery the foregoing document described as Order for Waiver of Fees and Costs for service by placing an original or true copy thereof in a sealed envelope placed for collection and mailing on said date addressed as follows: Address of Plaintiff or Plaintiffs Counsel:

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