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Hermann v. State

United States District Court, W.D. Wisconsin

March 31, 2016

TIMOTHY LOUIS HERMANN, Plaintiff,
v.
STATE OF WISCONSIN, et al. Defendants.

ORDER

PETER OPPENEER Magistrate Judge

Plaintiff Timothy Louis Hermann has filed a proposed civil action. Plaintiff seeks to commence this lawsuit without prepayment of the filing fee pursuant to 28 U.S.C. § 1915.

From plaintiff’s affidavit of indigency, I cannot determine whether plaintiff qualifies for indigent status. The affidavit indicates that plaintiff is a farmer and that he and his wife’s monthly income is N/A. Plaintiff must include all income that he has received for the last 12 months. Without this information, I am unable 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 take care to show how basic necessities are paid, and include plaintiff’s actual gross income from all sources for the last 12 months.

ORDER

IT IS ORDERED that plaintiff Timothy Louis Hermann, may have until April 22, 2016, to amend and return the affidavit of indigency, taking particular care to show how basic necessities are paid, and include actual gross income from all sources for the last 12 months. If plaintiff fails to provide this requested financial information, then the court 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 supporting?

□ Yes □ No

If “Yes, ” list them below:

Name or initials (for minor children only)

Relationship to You

Age

Amount of Support Provided per Month

____________________

_________________

____

$ ________________

____________________

_________________

____

$ ________________

____________________

_________________

____

$ ________________


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