Chapter 2 - FORM 2-9 : MOTION AND ORDER TO WAIVE OR POSTPONE COSTS (JDF 403)

JurisdictionColorado

Form 2-9: Motion and Order to Waive or Postpone Costs (JDF 403)

[ ] Municipal Court [ ] County Court [ ] District Court

__________County, Colorado

Court Address:

▲ COURT USE ONLY ▲

Plaintiff(s)/Petitioner(s):

v.

Defendant(s)/Respondent(s):

Attorneys for Plaintiff (Name and Address)

Phone Number:

FAX Number:

E-mail:

Atty. Reg. #:

Case Number:

Div.: Ctrm.:

MOTION TO WAIVE OR POSTPONE COSTS AND ORDER

I request the Court to allow me to file a Verified Complaint for Protection Order without payment of court costs, and in support of my request submit the following information under oath.

1. My occupation is: __________.

2. [ ] I am employed ___ hours per week. [ ] I am unemployed.

3. My gross monthly income (before deductions) is as follows (include ALL sources of income such as wages or salary, AFDC, child support, maintenance, food stamps, unemployment or worker's compensation): $__________.

4. Other monthly income to the household not listed in 3: $__________.

5. There are ___ adults and ___ children living in my household.

6. I [ ] can [ ] cannot pay the filing fee now.

I DECLARE UNDER PENALTY OF PERJURY THAT THE ABOVE STATEMENTS ARE TRUE.

DATE: __________

__________
Plaintiff/Defendant

Subscribed and affirmed, or sworn to before me in the County of __________, State of __________, this __________ day of __________, 20___.

My Commission Expires: __________

__________
Notary Public/Clerk

ORDER

[ ] Court costs are waived.

[ ] Payment of court costs is postponed until (date) __________.

[ ] The Defendant may be ordered to pay the Plaintiff's court costs.

[ ] The motion to waive or postpone costs is denied.

Dated: __________

BY THE COURT:

__________
[ ] Judge [ ] Magistrate

NOTES ON USE:

This form was created by the Colorado Judicial Branch. Forms are located on the Colorado Judicial Branch website in the self-help center at http://www.courts.state.co.us/chs/court/forms/selfhelpcenter.htm.

Form 2-10: Instructions for Completing Civil Cover Sheet (JDF 603)

NOTES ON USE:

This form was created by the Colorado Judicial Branch. Forms are located on the Colorado Judicial Branch website in the self-help center at http://www.courts.state.co.us/chs/court/forms/selfhelpcenter.htm.

Form 2-11: Civil Case Cover Sheet (JDF 601)

District Court, __________ County, Colorado

Court Address:

▲ COURT USE ONLY ▲

Plaintiff(s):

v.

Defendant(s):

Attorneys for Plaintiff (Name and Address)

Phone Number:

FAX Number:

E-mail:

Atty. Reg. #:

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