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The Motion Onforma Paupris Michigan form serves a crucial role for individuals seeking to navigate the legal system without the financial means to cover court fees. This application is specifically designed for incarcerated applicants filing habeas petitions or appeals related to the denial or dismissal of these petitions, as well as for nonprisoners pursuing civil cases or appeals. By completing this form, applicants declare their inability to pay the associated costs and assert their entitlement to the relief they seek. The form requires applicants to provide detailed information about their financial situation, including employment status, income from various sources, and any existing assets. It also prompts applicants to list dependents who rely on their support, helping the court assess their financial need. For nonprisoners, there’s an option to request service by a U.S. Marshal, should the application be approved. Additionally, for incarcerated individuals, a certification section must be completed by an authorized prison official, verifying the applicant's financial status within the institution. Overall, this form is a vital tool that enables individuals to pursue justice, regardless of their financial circumstances.

Form Example

MIED (Rev. 8/08) Application to Proceed In Forma Pauperis - Habeas Petitions, 2255 Motions and Nonprisoner Civil Cases

UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF MICHIGAN

Plaintiff(s),

Case No.

v.

Judge

 

Magistrate Judge

Defendant(s).

 

 

/

APPLICATION TO PROCEED IN FORMA PAUPERIS

For use by incarcerated applicants filing habeas petitions or appeals from the denial or dismissal of habeas petitions or motions under 28 U.S.C. § 2255 and nonprisoners filing civil cases or appeals.

THIS APPLICATION IS FOR (check one):

Habeas Action

Motion Under 28 U.S.C. § 2255

Nonprisoner Action

New Case

Appeal

New Case

Appeal

 

Appeal

 

 

 

I,

petitioner/plaintiff/appellant

declare that I am the:

other

in the above-entitled proceeding. In support of my request to proceed in forma pauperis under 28 U.S.C. § 1915, I declare that I am unable to pay the costs of these proceedings and that I am entitled to the relief sought.

In support of this application, I have provided answers to the following questions.

1.

Are you employed?

Yes

No

If your answer is yes, state the amount of your monthly pay and provide the name and address of your employer.

Salary:

Name of Employer:

Employer’s Address:

2.In the last 12 months, have you received money from any of the following sources?

a.

Business, profession or other self-employment

Yes

b.

Rent payments, interest or dividends

Yes

c.

Pensions, annuities or life insurance payments

Yes

d.

Gifts or inheritances

Yes

e.

Other sources

Yes

No

No

No

No

No

MIED (Rev. 8/08) Application to Proceed In Forma Pauperis - Habeas Petitions, 2255 Motions and Nonprisoner Civil Cases

If you answered yes to any of these questions, state the source of the money and the amount that you received.

Source:

Amount:

3.Do you have any money in a:

a.

Prison or jail account

Yes

b.

Checking account

Yes

c.

Savings account

Yes

If you answered yes, state the total amount. Amount:

No

No

No

4.Do you own or have any interest in real estate, stocks, bonds, notes, vehicles, or other valuable property or assets

(excluding ordinary household furnishings and clothing)?

Yes

No

If you answered yes, describe the property and state its approximate value.

 

Property description:

 

Value:

Property description:

 

Value:

5.List the people who are dependent on you for support, state your relationship to each person and how much you contribute to their support.

Relationship:

 

Amount:

Relationship:

 

Amount:

Relationship:

 

Amount:

Relationship:

 

Amount:

I declare under penalty of perjury that the foregoing is true and correct.

Date:

Signature of Applicant and Prisoner No. if applicable

Address (including name of Institution)

City, State, Zip Code

Telephone Number

REQUEST FOR SERVICE BY U.S. MARSHAL

For use only by nonprisoners filing new civil cases.

If my application to proceed In Forma Pauperis is granted:

a. I request service of the summons and complaint by a U.S. Marshal. Yes

No

Date:

Signature of Applicant

MIED (Rev. 8/08) Application to Proceed In Forma Pauperis - Habeas Petitions, 2255 Motions and Nonprisoner Civil Cases

CERTIFICATE

This section only applies to incarcerated applicants filing habeas petitions or appeals from the denial or dismissal of habeas petitions or

motions under 28 U.S.C. § 2255. (To be completed by an authorized prison official.)

I certify that the applicant named herein has the sum of $

 

on account to his/her

credit at (name of institution)

 

 

.

I further certify that the applicant has the following securities to his/her credit at this institution:

.

Date:

Signature and Title of Authorized Official

Name of Institution

Document Specs

Fact Name Details
Governing Law This form is governed by 28 U.S.C. § 1915, which allows individuals to request to proceed without paying court fees.
Purpose The form is used by individuals who cannot afford court costs to request permission to proceed in forma pauperis.
Applicable Cases This application is specifically for habeas petitions, motions under 28 U.S.C. § 2255, and nonprisoner civil cases.
Employment Inquiry Applicants must disclose their employment status and provide details about their income if employed.
Financial Sources The form requires applicants to report any income received from various sources in the last 12 months.
Asset Disclosure Applicants must declare any money held in accounts or ownership of valuable property, excluding ordinary household items.
Dependents Applicants need to list individuals who rely on them for financial support, detailing their relationship and the amount contributed.
Service Request Nonprisoners may request that the U.S. Marshal serve the summons and complaint if their application is granted.
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