Tina Lewis v. TESLA, INC. WHICH WILL DO BUSINESS IN CALIFORNIA A Document 5: Fee Waiver Order-Grant

Superior Court of California, County of Santa Clara
Case No. 21SC085858
Filed September 9, 2021

Guide & File FW-003 Fee Waiver Order

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Page 1 FW
®
Order on Court Fee Waiver
o o
Clerk stamps date here
Electronically Filed
by SUPerior court 0f CA,
Coungyggoszfinta Clara,
0r malllng address: 172 Louisburg St
Reviewed By: D. Pinheiro
case #21sc
I
State:
Cltyi San Francisco
®
is filed.
(Superior Court)
Person who asked the court to waive court fees:
Name; Tina Lewis
St-reet
when form
CA
ZIP:
Lawyer, if person in CD has one (name,firm name,
phone number, e-mail, and State Bar number):
Envelope:
address,
court name and street address:
Superior Court of California, County of
Fill in
Santa Clara
Downtown
Superior Court
191 North First Street
San
A request t0 waive court fees
D
AM
was filed 0n (dateyfllzozll 12 :
Jose,
F”, in case
CA number and name:
Cas
The court made a previous
fee waiver order in this case
0n
'
5 r§85%
(date):
Case Name:
.
Read thlsform
carefully. All
checked boxes
v.
TESLA, INC. WHICH WILL
n0 Rmmmg m CALIFORNIA A
Tina Lewis
M are court orders.
Notice: The court
may order you t0 answer questions about your finances and later order you t0 pay back the waived
happens and you d0 not pay, the court can make you pay the fees and also charge you collection fees. If there
is a change in your financial circumstances during this case that increases your ability t0 pay fees and costs, you must
notify the trial court Within five days. (Use form FWeOlO.) Ifiyou Win your case, the trial court may order the other side
t0 pay the fees. If you settle your civil case for $10,000 0r more, the trial court Will have a lien 0n the settlement in the
amount 0f the waived fees. The trial court may not dismiss the case until the lien is paid.
fees. If this
D
Request t0 Waive Court Fees
After reviewing your:
the court makes the following orders:
a.
X
a
The court grants your request,
(1)
E
Request
t
Waive Additional Court Fees
as follows:
Fee Waiver. The court grants your request and waives your court fees and costs listed below. (Cal.
You d0 not have t0 pay the court fees for the following:
° Court fee for phone hearing
Filing papers in superior court
° Giving notice and certificates
Making copies and certifying copies
Rules ofCourt, rules 3.55 and 8.818.)
°
°
°
Sheriff s fee t0 give notice
°
Reporter’s fee for attendance at hearing 0r
°
trial, if the
Sending papers t0 another court department
court
is
not electronically recording the proceeding
and you request that the court provide an official reporter
° Assessment for court investigations under Probate Code section
1513, 1826, 0r °
clerk’s
transcript 0n appeal
Preparing, certifying, copying, and sending the
(2)
0n appeal under
°
Holding
in trust the deposit for a reporter's transcript
°
Making
a transcript or copy 0f an official electronic recording under rule 8.
D
rule 8.130 0r 8.
Additional Fee Waiver. The court grants your request and waives your additional superior court fees
and costs
that are
checked below.
(Cal.
Rules ofCourt, rule 3.56.)
You d0 not have t0 pay
for the
checked items.
D
D
D
Jd"|C
Ruev'fs'gd
'IfCI'f',
Fees for court—appointed experts
Other
.rt..
Sggqgggerii'ggqg {Avmggfiyigfnfw
Government Code, § 68634(e)
Cal. Rules of Court, rule 3.
D
D
Jury fees and expenses
Fees for a peace officer t
testify in court
Court-appointed interpreter fees for a Witness
(specifiz):
'
'
Order on Court Fee Walver (Superior Court)
FW
_
003, Page

0f 3
Page 2 Case Number:
Your name:
b.
21 SC
Tina Lewis
D The court denies your fee waiver request because:
Warning!
you
(1)
D
If
you miss the deadline below, the court cannot process your request for hearing or the court papers
If the papers were a notice of appeal, the appeal may be dismissed.
with your original request.
filed
Your request
service
'
Pay your
File a
D
(2)
D
is
incomplete.
0n next page)
and
fees
You have
costs, 0r
new revised request that
D
Below
10 days after the clerk gives notice 0f this Order (see date 0f
t0:
includes the incomplete items listed:
On Attachment 4b(1)
The information you provided 0n the request shows that you are not eligible
Below
On Attachment 4b(2)
requested for the reasons stated:
D
for the fee waiver
you
D
The court has enclosed a blank Requestfor Hearing About Court Fee Waiver Order (Superior Court)
(form FW-OO6).Y0u have 10 days after the clerk gives notice 0f this order (see date 0f service below)

Pay
your fees
-
Ask
for a hearing in order t
and costs
amount listed in c below, 0r
show the court more information. (Useform FW-
t0:
in full 0r the
t0 request
hearing.)
c.
(1)
D
The court needs more information t0 decide Whether t0 grant your request. You must g0 t0 court 0n
date 0n page 3. The hearing Will be about the questions regarding your eligibility that are stated:
On Attachment 40(1)
Below
D
(2)
D
D
Bring the items of proof t0 support your request,
D
Below
D
if reasonably available, that are listed:
On Attachment 40(2)
This
ReV-Septembemm
the
is
a Court Order.
Order on Court Fee Waiver (Superior Court)
FW-003, Page
0f 3
Page 3 Your name:
Case Number:
21 SC
Tina Lewis
Name
Hearing
Date
Warning!
Date:
Time:
Dept:
Room:
and address 0f court
if different
from above:
checked, and you do not go to court on your hearing date, the judge will deny your
request to waive court fees, and you will have 10 days to pay your fees. If you miss that deadline, the court cannot
process the court papers you filed with your request. If the papers were a notice of appeal, the appeal may be
If
item 0(1)
is
dismissed.
D. PinheirO
9/9/
Date:
Signature 0f(check one):
D
Judicial Ofiicer
E
Clerk,
Deputy
Request for Accommodations
Assistive listening systems, computer—assisted real-time captioning, 0r sign language interpreter services
are available if you ask at least five days before the hearing. Contact the clerk’s office for Requestfor
Accommodations by Persons With Disabilities and Response (form MC-410). (CiV. Code, § 54.8.)
Clerk's Certificate of Service
I
certify that I
D
E
am not involved in this
case and (check one):
Ihanded a copy 0f this Order t0 the party and
attorney, if any, listed in Cl)
This order was mailed first class, postage paid, t0 the party and attorney,
from (city):
QM
I’m
D A cefiifiEcé'fé‘gfmailing
Date:
,
is
California,
,
at the court,
if any, at the
0n the date below.
addresses listed
in® and®
,
0n the date below.
attached.
9/9/
Clerk,
by
Name:
This
ReV-Septembe’1'
and®
is
D. Plnhelro
U.
Plnheer
a
Deputy
a Court Order.
Order on Court Fee Waiver (Superior Court)
FW'°°3’ Page
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