United States District Court, W.D. Wisconsin
PETER OPPENEER Magistrate Judge
In an order entered on December 16, 2015, plaintiff Julio Leon Sanchez was advised to submit a financial affidavit in support of his request to proceed without prepayment of the filing fee.
The affidavit that plaintiff submitted does not provide any financial information. Without this information, it is impossible, to determine whether plaintiff qualifies for indigent status. Therefore, I will provide plaintiff with the opportunity to supplement the request for leave to proceed without paying the filing fee by completing the enclosed affidavit of indigency. When completing the affidavit, plaintiff should show how basic necessities are paid, and include actual gross monthly income from all sources for the last 12 months.
IT IS ORDERED that plaintiff Julio Leon Sanchez, may have until February 4, 2016, to return the enclosed affidavit of indigency, taking particular care to show how basic necessities are paid, and include actual gross monthly income from all sources for the last 12 months. If plaintiff fails to provide this requested financial information, then I will deny the request for leave to proceed without prepayment of the filing fee for failure to show indigency.
NON-PRISONER REQUEST TO PROCEED IN DISTRICT COURT WITHOUT PREPAYING THE FILING FEE
Answer the following questions to the best of your ability.
Note: If you do not tell the truth, the court may dismiss your lawsuit.
I. Personal Information
1) Are you employed? Yes  No
2) Are you married?  Yes  No
If “Yes, ” is your spouse employed?  Yes  No
3) Do you have any dependents that you are responsible for ...