> /DA (/Helv 8 Tf 0 g) /S /I /AS /Off /F 4 /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] /Parent 74 0 R A person who knowingly provides false information to the clerk or the court in seeking a determination of indigent status under F.S. 82 0 obj >> /F 4 /Ff 49152 >> /FT /Tx /DSz 13 0 R /DA (/Helv 12 Tf 0 g) /D [89 0 R /Fit] /TU (Enter the amount of Certificates of deposit or money market accounts in dollars.) /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] endobj /Off 425 0 R /Subtype /Form /Ff 49152 /AP << /N 147 0 R /DA (/Helv 8 Tf 0 g) /Choice4 572 0 R /Filter /FlateDecode /Subtype /Form stream << >> >> APPLICATION FOR DETERMINATION OF CIVIL INDIGENT STATUS Notice to Applicant: If you qualify for civil indigence you must enroll in the clerk’s office payment plan and pay a one-time administrative fee of $25.00. /JS (AFNumber_Keystroke\(2, 0, 0, 0, "", true\);) /S /JavaScript << /S /I /FT /Tx sHj����~���� ST�-.� �xx� �|C���W���� �fo�aq$ܧ�#��1��������#Z>[i{�����c?�'�����jJf�ve}����8��z���WR*�� 68s��fb�*3�ǯ����0����*рJ��*�?_�F��Hu�F��D������g�w)��_��g|hx ����M��}V�|�����5D6����BG��,� أ?��������Y��u�G�����a��'�R��u�[x�~e&>R��և�� /F 4 >> /Subtype /Widget 0000027528 00000 n endobj 181 0 obj /Helv 96 0 R /N 138 0 R /StructParent 198 /S /I /N 150 0 R /D << /W 1 /BG [1.0] /AA << >> /AP << /Ff 49152 /Subtype /Widget /Subtype /Widget /Choice4 554 0 R R. App. To qualify you must be a patient who is: 1. endstream >> /JS (AFNumber_Keystroke\(2, 0, 0, 0, "", true\);) /BG [1.0] /igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde /AS /Off /Off 525 0 R /Border [0 0 0] /BC [0.0] /BC [0.0] >> /TU (Select Yes if you have other assets like Certificates of deposit or money market accounts, else select No.) /T (Rental income Yes-No) /FT /Btn x�E�� § 1915(a); Fed. /StructParent 141 /NO 365 0 R >> /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] >> /FormType 1 /Font << /Off 537 0 R >> >> Application for Determination of Civil Indigent Status; Uniform Pre-Trial Conference Order (Jury Trial) Uniform Order Setting Case for Trial and Pre-Trial (Jury Trial) Uniform Pre-Trial Conference Order (Non-Jury Trial) Uniform Order Setting Cause for Trial and Pre-Trial (Non-Jury Trial) Affidavit of Diligent Search and Inquiry << /MK << /Adieresis /Aring /AE /Ccedilla /Egrave /Eacute /Ecircumflex /Edieresis /Igrave /Iacute APPLICATION FOR DETERMINATION OF CIVIL INDIGENT STATUS Notice to Applicant: If you qualify for civil indigence you must enroll in the Clerk’s Office payment plan and pay a one-time administrative fee of $25.00. >> /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] << /AP << /NO 411 0 R /Rect [222.943 318.428 233.743 329.228] 125 0 obj /PDFDocEncoding 95 0 R /P 89 0 R << /odieresis /divide /oslash /ugrave /uacute /ucircumflex /udieresis /yacute /thorn /ydieresis] >> /BC [0.0] /Resources 318 0 R /S /JavaScript << /Subtype /Form /Type /Border 246 0 obj /P 89 0 R /Off 587 0 R << << >> 192 0 obj >> /BS << /S /JavaScript /Kids [222 0 R 223 0 R] /FormType 1 /BS << /AP << /Length 19 /Helv 96 0 R /BS << /Subtype /Widget /MK << /Rect [468.067 291.035 478.737 302.228] /Type /Annot >> /Off 254 0 R stream /AP << /Type /XObject /Subtype /Widget /PDFDocEncoding 95 0 R /W 1 /Count 1 /Rect [447.84 510.946 458.64 521.746] /Rect [85.92 579.72 110.52 591.196] >> >> >> << 51 0 obj << /Parent 62 0 R /Type /XObject /W 1 /Type /Annot /N << /florin /fraction /guilsinglleft /guilsinglright /minus /perthousand /quotedblbase /quotedblleft /quotedblright /quoteleft Fill out, securely sign, print or email your florida indigent form instantly with SignNow. /FT /Btn << /Type /Annot /F 4 Address: City, State, Zip: Last four digits of Driver’s License or ID Number . /StructParent 123 The Court further orders that the court costs previously waived are to be paid as outlined in the attached cost bill. >> /TU (Enter the name of the Deputy Clerk on behalf of the Clerk of the Circuit Court.) /P 89 0 R /CA (l) >> /AP << /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] endobj stream 92 0 obj /Type /Annot /AA << /No 443 0 R /Length 19 /BS << /AP << /S /I /AS /Off x�S��Pp�u�rb �� /brokenbar 168 /dieresis /copyright /ordfeminine 172 /logicalnot /.notdef /registered /macron /Resources 329 0 R 280 0 R 281 0 R 282 0 R 283 0 R 284 0 R 285 0 R 286 0 R 287 0 R 288 0 R 289 0 R /JS (AFNumber_Format\(2, 0, 0, 0, "", true\);) /AP << >> /Type /XObject /JS (AFNumber_Keystroke\(2, 0, 0, 0, "", true\);) /F 148 0 R /BC [0.0] /AP << >> << /D << /MK << >> /FormType 1 /igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde /P 89 0 R The provision of a Public Defender or court-appointed Attorney is not free. /Subtype /Widget /Encoding << x�S��Pp�u�rb �� /PDFDocEncoding 95 0 R stream /StructParents 1 /Yes 513 0 R APPLICATION FOR CRIMINAL INDIGENT STATUS ____ I AM SEEKING THE APPOINTMENT OF THE PUBLIC DEFENDER OR ____ I HAVE A PRIVATE ATTORNEY OR AM SELF-REPRESENTED AND SEEK DETERMINATION OF INDIGENCE STATUS FOR COSTS Notice to Applicant: The provision of a public defender/court appointed lawyer and costs/due process services are not free. /BS << >> 0000100875 00000 n /N << /AS /Off /BG [1.0] /Subtype /Form /Off 428 0 R This desktop resource book contains the texts of major federal and state family law legislation with commentary. Available for PC, iOS and Android. /Off 581 0 R Found inside – Page 156... appointments adopted two forms entitled “ Application for Criminal pursuant to paragraph two has executed a contract Indigent Status ” and “ Application ... 112 0 obj /F 4 FCCC Assessments and Collections Report. 39 0 R 197 0 R 198 0 R 40 0 R 199 0 R 200 0 R 41 0 R 202 0 R 201 0 R 42 0 R /FT /Btn /N 103 0 R stream /DA (/ZaDb 0 Tf 0 g) 165 0 obj /Q 1 /Off 388 0 R << /No 371 0 R /W 1 /Subtype /Widget /K 102 0 R /BG [1.0] /Length 19 /First 90 0 R >> /Subtype /Widget /Subtype /Widget /BC [0.0] >> /Rect [195.12 497.855 205.92 508.655] /BS << endobj /Off 464 0 R /BS << /Off 372 0 R /MK << >> /FT /Btn 229 0 obj /TU (Select Yes if you have other kinds of income not on the list, else select No.) /S /JavaScript >> /Type /Annot /TU (Enter the name of the defendant and/or minor child.) /BG [1.0] >> /F 4 /Off 522 0 R >> >> /BC [0.0] application for determination of civil indigent status (Dependency and Termination of Parental Rights Cases) Notice to Applicant: You must pay an application fee of $50.00 and if you qualify for civil indigence you must enroll in the Clerk’s Office payment plan. /K 152 0 R endobj Signature of Applicant for Indigent Status . /BG [1.0] >> /Rect [422.64 476.346 433.44 487.146] 260 0 obj /TU (Enter the amount of stocks or bonds in dollars.) /Parent 7 0 R >> endobj << Please attach all required supporting documentation. /CA (n) /Off 501 0 R /NO 492 0 R /Yes 448 0 R /AP << The present paper is a descriptive study of sex offender sentencing in three Oregon counties in 1992. /Type /Annot >> /Type /Annot /AS /Off >> 80 0 obj /Type /Annot 83 0 obj /CA (n) /S /S /Subtype /Widget /AP << >> >> /F 101 0 R << startxref /F 4 >> /No 437 0 R /BS << /N 105 0 R /W 1 /F 157 0 R /DA (/Helv 12 Tf 0 g) endobj /BS << 83 31 /JS (AFNumber_Format\(2, 0, 0, 0, "", true\);) /Yes 450 0 R /Parent 6 0 R /CA (n) /N << amount of attorney’s fees and the source of those fees . /Type /Annot OR ☐ I HAVE A PRIVATE ATTORNEY OR AM SELF-REPRESENTED AND SEEK DETERMINATION OF INDIGENCE STATUS FOR COSTS. /K 146 0 R /Off 569 0 R >> /MK << I attest that the information I have provided on this Application is true and accurate. >> /AP << 2d at 195. /CA (n) /P 89 0 R /Resources 314 0 R /Rect [475.2 466.08 544.8 477.12] >> /Type /Border 186 0 obj endobj /Parent 81 0 R >> endobj /P 89 0 R endobj 00 fee for each application filed* If the application fee is not paid to the Clerk of the Court within 7 days it will … /MK << Found inside – Page 366Status Notes Sources had restriction devices installed in their homes; if house/land value exceeded that amount, households have to apply for indigent ... /AA << >> /CA (l) /P 89 0 R /AP << /F 4 /Subtype /Widget 1D���)���Mrq[��FX��A�pm�`��� 59 0 obj /DA (/Helv 8 Tf 0 g) I attest that the information I have provided on this Application is true and accurate. /DR << << /T (Filler's net income) << /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] /CA (n) /FormType 1 << Found inside – Page 253In 2007 only 47 000 indigents were registered for free basic services.4 This ... rate of uptake and confirms fears that applying for indigent status might ... << >> << >> /F 4 /T (Equity nonhomestead Yes-No) endobj >> /AS /Off endstream /NO 357 0 R >> /F 4 63 0 obj << >> /Type /XObject >> >> >> 'dfJI��j6E�iW~�#�-��� ��a��\��-��̬[����V�%�B�c�"1� /FT /Tx /S /I /Rect [325.701 290.685 336.37 302.402] /AA << /Length 19 84 0 R 85 0 R 86 0 R 87 0 R] /A 263 0 R /BS << 20 0 obj /Type /Annot /Ff 49152 endobj /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] 227 0 R 228 0 R 229 0 R 211 0 R 212 0 R 17 0 R 242 0 R 243 0 R 244 0 R 246 0 R /AP << 242 0 obj 150 0 obj Print full legal name: Year of Birth Address: City, State, Zip: endobj endobj /AP << endstream /Font << /D << /Rect [195.12 390.946 205.92 401.746] /Helv 96 0 R /S /I /Type /Annot /Encoding << /Parent 72 0 R /Rect [265.8 731.4 324.24 739.8] endstream /Filter /FlateDecode >> 0000027020 00000 n /P 89 0 R If you are seeking the appointment of a public defender based on your inability to pay for a private attorney, per Chapter 27.52, Florida Statutes, refer to the information provided below on how to file the completed Application for Criminal Indigent Status form and pay the $50 application fee to the Clerk of Courts. << endobj /F 4 >> /F 4 /Encoding << /Type /Annot /Last 264 0 R APPLICATION FOR DETERMINATION OF CIVIL INDIGENT STATUS Notice to Applicant: If you qualify for civil indigence you must enroll in the clerk’s office payment plan and pay a one-time administrative fee of $25.00. /DR << /BG [1.0] /Type /StructTreeRoot /BS << << /K 155 0 R /P 8 0 R /Contents (*b) /StructParent 156 /NO 502 0 R /Helv 96 0 R /P 89 0 R /TU (Enter the amount of equity in motor vehicles.) h��mo�6ǿ /BG [1.0] /Off 382 0 R << /Rect [374.52 159.96 563.52 171.0] /P 89 0 R /FT /Tx /StructParent 24 /Off 416 0 R /BG [1.0] /StructParent 133 /Rect [459.243 426.973 470.043 437.773] /Resources 306 0 R endobj >> >> /DA (/ZaDb 0 Tf 0 g) /StructParent 149 /N << << /MK << (Scroll down.) Found inside – Page 139... residents who are unable to pay rentals to apply for indigent status to relieve them of some of the burden of their bills (WA, Valhalla Park, May 2002). /StructParent 106 /F 4 109 0 obj /AP << /TU (Enter the amount of trusts or gifts in dollars.) /Type /XObject >> /CA (n) /Yes 499 0 R /Parent 63 0 R /F 4 /BS << /N 156 0 R /Type /XObject >> stream endobj The Court also deleted the language of then existing Florida Rule of Criminal Procedure 3.984, Affidavit of Indigent Status, and replaced it with the language of the Application for Criminal Indigent Status. A person who knowingly provides false information to the clerk or the court in seeking a determination of indigent status under s. 27.52, F.S. /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] /Rect [407.691 565.062 417.165 576.363] /Type /Annot /K 164 0 R /StructParent 39 /P 89 0 R /P 89 0 R /D << endstream >> >> /SourceModified (D:20200521200509) /Ff 49152 >> /Subtype /Widget /N 135 0 R /StructParent 120 /Rect [484.2 454.44 546 465.48] /P 89 0 R /Off 364 0 R /F 4 /CA (n) << /P 89 0 R /JS (AFNumber_Format\(2, 0, 0, 0, "", true\);) >> /AA << I attest that the information I have provided on this application is true and accurate to the best >> /Subtype /Widget /N 256 0 R /Subtype /Form /D << << ���$>I����ҦA�a/��P&3�H�"oͷߟ:9��b�ݺ������O�T���N%E�Vx�IJk�)m�v6*macq��e����G*��C�W��!8R���2��V�b�8x�����{H!2e /N << x�S��Pp�u�rb �� >> /BG [1.0] /S /GoTo 0000000916 00000 n FCCC Best Practice: Application for Civil Indigent Status (Dependency/Civil Rights) FCCC Best Practice: Application for Civil Indigent Status. /N 171 0 R /Subtype /Link /P 89 0 R /quotesingle 96 /grave 128 /bullet /dagger /daggerdbl /ellipsis /emdash /endash /StructParent 148 /Off 533 0 R Are you Married?...Yes….No Does your Spouse Work?...Yes….No Annual Spouse Income? 164 0 obj /W 1 /BaseFont /Helvetica /BC [0.0] >> /CA (n) /F 4 124 0 obj << /Rect [422.334 511.31 433.134 522.11] /Off 351 0 R >> >> >> /AP << /Ff 49152 /T (Year) /P 89 0 R 0 /Border [0 0 0] /FT /Tx /AP << << /N << /F 130 0 R >> 217 0 obj 83 0 obj <> endobj Date of Birth Driver’s license or ID number Signature of Applicant for Indigent Status Print Full Legal Name Address City, State, Zip Phone number CLERK’S DETERMINATION >> /Filter /FlateDecode /Helv 96 0 R (1) APPLICATION TO THE CLERK. /MK << /StructParent 79 >> /F 4 /MK << << >> << 69 0 obj 205 0 obj /TU (Enter the bail amount in dollars.) /Type /XObject /Type /Annot /Kids [181 0 R 182 0 R] >> >> /Type /Annot /W 1 >> /S /I >> 208 0 obj /Length 19 << endobj << /AP << >> /TU (Select Yes if you receive poverty-related veterans' benefits, else select No.) or s. 775.083, F.S. endobj /Type /XObject /Filter /FlateDecode /Subtype /Widget The Office of Indigent Defense DOES NOT PROVIDE LEGAL ADVICE AND IS NOT A LAW FIRM. /AS /Off endobj /Q 1 >> /Rect [168.48 412.019 179.28 423.255] /N 100 0 R << /Helv 96 0 R << 0000052095 00000 n /JS (AFNumber_Keystroke\(2, 0, 0, 0, "", true\);) x�S��Pp�u�rb �� /CA (n) /Type /Annot APPLICATION FOR CRIMINAL INDIGENT STATUS /Helv 96 0 R /Type /Annot << /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] /DA (/ZaDb 0 Tf 0 g) >> >> >> /Filter /FlateDecode endobj endobj /Helv 96 0 R >> /S /I /Helv 96 0 R /CA (n) >> /FT /Tx >> /FT /Tx endobj >> /Parent 60 0 R endobj /BC [0.0] /Length 19 >> endstream /MK << /Subtype /Widget 30 0 obj /DR << /Choice1 578 0 R endobj /Helv 96 0 R /S /I Florida Statute 57.082 ”Determination of civil indigent status –” is where we can look for the guidelines as to when someone is determined to be indigent. >> >> /F 4 << Provide documentation showing: >> /Ff 49152 /Subtype /Form 113 0 obj /AP << >> /Resources 600 0 R 85 0 obj >> /TU (Select Yes if you have other income like union funds, else select No.) 61 0 obj >> /AP << /FT /Tx /Ff 49152 /Subtype /Widget /Off 457 0 R /Type /Annot /FormType 1 p�v��A�����������r��I�M��e(�6�pf=�ACϳӉm鬫�ID���/`8C_� ���6��u�y�zWY��H��.oO?���Co��;W�E^� /StructParent 36 /F 4 /StructParent 225 /Resources 598 0 R << /Filter /FlateDecode /Filter /FlateDecode /S /I /Type /Annot 48 0 obj 250 0 obj /P 89 0 R /S /I /D << >> endobj << Application for Determination of Civil Indigent Status is a legal document that was released by the Florida Circuit Court - a government authority operating within Florida.. Form Details: The latest edition currently provided by the Florida Circuit Court; Ready to use and print; ��U]�� ?Z�"� /Subtype /Widget >> or 775.083, F.S. /Contents (*) /Yes 515 0 R /T (Savings Yes-No) 1.I have ___ dependents. endobj /Subtype /Widget /F 4 /F 4 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R /BS << /CA (l) endobj >> >> >> /CA (l) 0000006831 00000 n /StructParent 118 /FT /Btn >> /Subtype /Form >> /StructParent 217 endobj /Filter /FlateDecode /T () >> /CA (n) /AP << /Rect [283.8 353.52 361.56 364.56] The basis for the clerk's determination are found in Florida Statute 57.082. 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application for indigent status

Posted by on September 17, 2021

/AP << /CA (n) /florin /fraction /guilsinglleft /guilsinglright /minus /perthousand /quotedblbase /quotedblleft /quotedblright /quoteleft endobj /Tabs /S CLERK’S DETERMINATION. /P 89 0 R Found inside(See Exhibit 10.3 for Application for Indigent Status.) Accompanying Documents. Other documents may need to be filed with the complaint. /Yes 378 0 R USLF amends and updates the forms as is required by Florida statutes and law. << /BS << %���� /N << /T (Equity motor vehicle Yes-No) endobj /Parent 61 0 R /Subtype /Widget /TU (Enter your phone number.) /Font << /Off 431 0 R /S /I /Parent 60 0 R /BBox [0.0 0.0 189.0 11.04] APPLICATION FOR DETERMINATION OF CIVIL INDIGENT STATUS 1. /JS (AFNumber_Keystroke\(2, 0, 0, 0, "", true\);) /StructParent 144 /Type /XObject /BC [0.0] /No 397 0 R /P 89 0 R /FT /Btn /Length 19 119 0 obj << /AA << /Helv 96 0 R 203 0 obj /T (Trusts or gifts) /S /JavaScript /Type /Annot /Type /Annot /BG [1.0] /Rect [407.911 290.685 418.58 301.878] /Subtype /Widget /Type /Annot /W 1 /Parent 49 0 R /MK << /Subtype /Widget >> /DA (/Helv 8 Tf 0 g) /S /I /AS /Off /F 4 /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] /Parent 74 0 R A person who knowingly provides false information to the clerk or the court in seeking a determination of indigent status under F.S. 82 0 obj >> /F 4 /Ff 49152 >> /FT /Tx /DSz 13 0 R /DA (/Helv 12 Tf 0 g) /D [89 0 R /Fit] /TU (Enter the amount of Certificates of deposit or money market accounts in dollars.) /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] endobj /Off 425 0 R /Subtype /Form /Ff 49152 /AP << /N 147 0 R /DA (/Helv 8 Tf 0 g) /Choice4 572 0 R /Filter /FlateDecode /Subtype /Form stream << >> >> APPLICATION FOR DETERMINATION OF CIVIL INDIGENT STATUS Notice to Applicant: If you qualify for civil indigence you must enroll in the clerk’s office payment plan and pay a one-time administrative fee of $25.00. /JS (AFNumber_Keystroke\(2, 0, 0, 0, "", true\);) /S /JavaScript << /S /I /FT /Tx sHj����~���� ST�-.� �xx� �|C���W���� �fo�aq$ܧ�#��1��������#Z>[i{�����c?�'�����jJf�ve}����8��z���WR*�� 68s��fb�*3�ǯ����0����*рJ��*�?_�F��Hu�F��D������g�w)��_��g|hx ����M��}V�|�����5D6����BG��,� أ?��������Y��u�G�����a��'�R��u�[x�~e&>R��և�� /F 4 >> /Subtype /Widget 0000027528 00000 n endobj 181 0 obj /Helv 96 0 R /N 138 0 R /StructParent 198 /S /I /N 150 0 R /D << /W 1 /BG [1.0] /AA << >> /AP << /Ff 49152 /Subtype /Widget /Subtype /Widget /Choice4 554 0 R R. App. To qualify you must be a patient who is: 1. endstream >> /JS (AFNumber_Keystroke\(2, 0, 0, 0, "", true\);) /BG [1.0] /igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde /AS /Off /Off 525 0 R /Border [0 0 0] /BC [0.0] /BC [0.0] >> /TU (Select Yes if you have other assets like Certificates of deposit or money market accounts, else select No.) /T (Rental income Yes-No) /FT /Btn x�E�� § 1915(a); Fed. /StructParent 141 /NO 365 0 R >> /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] >> /FormType 1 /Font << /Off 537 0 R >> >> Application for Determination of Civil Indigent Status; Uniform Pre-Trial Conference Order (Jury Trial) Uniform Order Setting Case for Trial and Pre-Trial (Jury Trial) Uniform Pre-Trial Conference Order (Non-Jury Trial) Uniform Order Setting Cause for Trial and Pre-Trial (Non-Jury Trial) Affidavit of Diligent Search and Inquiry << /MK << /Adieresis /Aring /AE /Ccedilla /Egrave /Eacute /Ecircumflex /Edieresis /Igrave /Iacute APPLICATION FOR DETERMINATION OF CIVIL INDIGENT STATUS Notice to Applicant: If you qualify for civil indigence you must enroll in the Clerk’s Office payment plan and pay a one-time administrative fee of $25.00. >> /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] << /AP << /NO 411 0 R /Rect [222.943 318.428 233.743 329.228] 125 0 obj /PDFDocEncoding 95 0 R /P 89 0 R << /odieresis /divide /oslash /ugrave /uacute /ucircumflex /udieresis /yacute /thorn /ydieresis] >> /BC [0.0] /Resources 318 0 R /S /JavaScript << /Subtype /Form /Type /Border 246 0 obj /P 89 0 R /Off 587 0 R << << >> 192 0 obj >> /BS << /S /JavaScript /Kids [222 0 R 223 0 R] /FormType 1 /BS << /AP << /Length 19 /Helv 96 0 R /BS << /Subtype /Widget /MK << /Rect [468.067 291.035 478.737 302.228] /Type /Annot >> /Off 254 0 R stream /AP << /Type /XObject /Subtype /Widget /PDFDocEncoding 95 0 R /W 1 /Count 1 /Rect [447.84 510.946 458.64 521.746] /Rect [85.92 579.72 110.52 591.196] >> >> >> << 51 0 obj << /Parent 62 0 R /Type /XObject /W 1 /Type /Annot /N << /florin /fraction /guilsinglleft /guilsinglright /minus /perthousand /quotedblbase /quotedblleft /quotedblright /quoteleft Fill out, securely sign, print or email your florida indigent form instantly with SignNow. /FT /Btn << /Type /Annot /F 4 Address: City, State, Zip: Last four digits of Driver’s License or ID Number . /StructParent 123 The Court further orders that the court costs previously waived are to be paid as outlined in the attached cost bill. >> /TU (Enter the name of the Deputy Clerk on behalf of the Clerk of the Circuit Court.) /P 89 0 R /CA (l) >> /AP << /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] endobj stream 92 0 obj /Type /Annot /AA << /No 443 0 R /Length 19 /BS << /AP << /S /I /AS /Off x�S��Pp�u�rb �� /brokenbar 168 /dieresis /copyright /ordfeminine 172 /logicalnot /.notdef /registered /macron /Resources 329 0 R 280 0 R 281 0 R 282 0 R 283 0 R 284 0 R 285 0 R 286 0 R 287 0 R 288 0 R 289 0 R /JS (AFNumber_Format\(2, 0, 0, 0, "", true\);) /AP << >> /Type /XObject /JS (AFNumber_Keystroke\(2, 0, 0, 0, "", true\);) /F 148 0 R /BC [0.0] /AP << >> << /D << /MK << >> /FormType 1 /igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde /P 89 0 R The provision of a Public Defender or court-appointed Attorney is not free. /Subtype /Widget /Encoding << x�S��Pp�u�rb �� /PDFDocEncoding 95 0 R stream /StructParents 1 /Yes 513 0 R APPLICATION FOR CRIMINAL INDIGENT STATUS ____ I AM SEEKING THE APPOINTMENT OF THE PUBLIC DEFENDER OR ____ I HAVE A PRIVATE ATTORNEY OR AM SELF-REPRESENTED AND SEEK DETERMINATION OF INDIGENCE STATUS FOR COSTS Notice to Applicant: The provision of a public defender/court appointed lawyer and costs/due process services are not free. /BS << >> 0000100875 00000 n /N << /AS /Off /BG [1.0] /Subtype /Form /Off 428 0 R This desktop resource book contains the texts of major federal and state family law legislation with commentary. Available for PC, iOS and Android. /Off 581 0 R Found inside – Page 156... appointments adopted two forms entitled “ Application for Criminal pursuant to paragraph two has executed a contract Indigent Status ” and “ Application ... 112 0 obj /F 4 FCCC Assessments and Collections Report. 39 0 R 197 0 R 198 0 R 40 0 R 199 0 R 200 0 R 41 0 R 202 0 R 201 0 R 42 0 R /FT /Btn /N 103 0 R stream /DA (/ZaDb 0 Tf 0 g) 165 0 obj /Q 1 /Off 388 0 R << /No 371 0 R /W 1 /Subtype /Widget /K 102 0 R /BG [1.0] /Length 19 /First 90 0 R >> /Subtype /Widget /Subtype /Widget /BC [0.0] >> /Rect [195.12 497.855 205.92 508.655] /BS << endobj /Off 464 0 R /BS << /Off 372 0 R /MK << >> /FT /Btn 229 0 obj /TU (Select Yes if you have other kinds of income not on the list, else select No.) /S /JavaScript >> /Type /Annot /TU (Enter the name of the defendant and/or minor child.) /BG [1.0] >> /F 4 /Off 522 0 R >> >> /BC [0.0] application for determination of civil indigent status (Dependency and Termination of Parental Rights Cases) Notice to Applicant: You must pay an application fee of $50.00 and if you qualify for civil indigence you must enroll in the Clerk’s Office payment plan. /K 152 0 R endobj Signature of Applicant for Indigent Status . /BG [1.0] >> /Rect [422.64 476.346 433.44 487.146] 260 0 obj /TU (Enter the amount of stocks or bonds in dollars.) /Parent 7 0 R >> endobj << Please attach all required supporting documentation. /CA (n) /Off 501 0 R /NO 492 0 R /Yes 448 0 R /AP << The present paper is a descriptive study of sex offender sentencing in three Oregon counties in 1992. /Type /Annot >> /Type /Annot /AS /Off >> 80 0 obj /Type /Annot 83 0 obj /CA (n) /S /S /Subtype /Widget /AP << >> >> /F 101 0 R << startxref /F 4 >> /No 437 0 R /BS << /N 105 0 R /W 1 /F 157 0 R /DA (/Helv 12 Tf 0 g) endobj /BS << 83 31 /JS (AFNumber_Format\(2, 0, 0, 0, "", true\);) /Yes 450 0 R /Parent 6 0 R /CA (n) /N << amount of attorney’s fees and the source of those fees . /Type /Annot OR ☐ I HAVE A PRIVATE ATTORNEY OR AM SELF-REPRESENTED AND SEEK DETERMINATION OF INDIGENCE STATUS FOR COSTS. /K 146 0 R /Off 569 0 R >> /MK << I attest that the information I have provided on this Application is true and accurate. >> /AP << 2d at 195. /CA (n) /P 89 0 R /Resources 314 0 R /Rect [475.2 466.08 544.8 477.12] >> /Type /Border 186 0 obj endobj /Parent 81 0 R >> endobj /P 89 0 R endobj 00 fee for each application filed* If the application fee is not paid to the Clerk of the Court within 7 days it will … /MK << Found inside – Page 366Status Notes Sources had restriction devices installed in their homes; if house/land value exceeded that amount, households have to apply for indigent ... /AA << >> /CA (l) /P 89 0 R /AP << /F 4 /Subtype /Widget 1D���)���Mrq[��FX��A�pm�`��� 59 0 obj /DA (/Helv 8 Tf 0 g) I attest that the information I have provided on this Application is true and accurate. /DR << << /T (Filler's net income) << /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] /CA (n) /FormType 1 << Found inside – Page 253In 2007 only 47 000 indigents were registered for free basic services.4 This ... rate of uptake and confirms fears that applying for indigent status might ... << >> << >> /F 4 /T (Equity nonhomestead Yes-No) endobj >> /AS /Off endstream /NO 357 0 R >> /F 4 63 0 obj << >> /Type /XObject >> >> >> 'dfJI��j6E�iW~�#�-��� ��a��\��-��̬[����V�%�B�c�"1� /FT /Tx /S /I /Rect [325.701 290.685 336.37 302.402] /AA << /Length 19 84 0 R 85 0 R 86 0 R 87 0 R] /A 263 0 R /BS << 20 0 obj /Type /Annot /Ff 49152 endobj /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] 227 0 R 228 0 R 229 0 R 211 0 R 212 0 R 17 0 R 242 0 R 243 0 R 244 0 R 246 0 R /AP << 242 0 obj 150 0 obj Print full legal name: Year of Birth Address: City, State, Zip: endobj endobj /AP << endstream /Font << /D << /Rect [195.12 390.946 205.92 401.746] /Helv 96 0 R /S /I /Type /Annot /Encoding << /Parent 72 0 R /Rect [265.8 731.4 324.24 739.8] endstream /Filter /FlateDecode >> 0000027020 00000 n /P 89 0 R If you are seeking the appointment of a public defender based on your inability to pay for a private attorney, per Chapter 27.52, Florida Statutes, refer to the information provided below on how to file the completed Application for Criminal Indigent Status form and pay the $50 application fee to the Clerk of Courts. << endobj /F 4 >> /F 4 /Encoding << /Type /Annot /Last 264 0 R APPLICATION FOR DETERMINATION OF CIVIL INDIGENT STATUS Notice to Applicant: If you qualify for civil indigence you must enroll in the clerk’s office payment plan and pay a one-time administrative fee of $25.00. /DR << /BG [1.0] /Type /StructTreeRoot /BS << << /K 155 0 R /P 8 0 R /Contents (*b) /StructParent 156 /NO 502 0 R /Helv 96 0 R /P 89 0 R /TU (Enter the amount of equity in motor vehicles.) h��mo�6ǿ /BG [1.0] /Off 382 0 R << /Rect [374.52 159.96 563.52 171.0] /P 89 0 R /FT /Tx /StructParent 24 /Off 416 0 R /BG [1.0] /StructParent 133 /Rect [459.243 426.973 470.043 437.773] /Resources 306 0 R endobj >> >> /DA (/ZaDb 0 Tf 0 g) /StructParent 149 /N << << /MK << (Scroll down.) Found inside – Page 139... residents who are unable to pay rentals to apply for indigent status to relieve them of some of the burden of their bills (WA, Valhalla Park, May 2002). /StructParent 106 /F 4 109 0 obj /AP << /TU (Enter the amount of trusts or gifts in dollars.) /Type /XObject >> /CA (n) /Yes 499 0 R /Parent 63 0 R /F 4 /BS << /N 156 0 R /Type /XObject >> stream endobj The Court also deleted the language of then existing Florida Rule of Criminal Procedure 3.984, Affidavit of Indigent Status, and replaced it with the language of the Application for Criminal Indigent Status. A person who knowingly provides false information to the clerk or the court in seeking a determination of indigent status under s. 27.52, F.S. /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] /Rect [407.691 565.062 417.165 576.363] /Type /Annot /K 164 0 R /StructParent 39 /P 89 0 R /P 89 0 R /D << endstream >> >> /SourceModified (D:20200521200509) /Ff 49152 >> /Subtype /Widget /N 135 0 R /StructParent 120 /Rect [484.2 454.44 546 465.48] /P 89 0 R /Off 364 0 R /F 4 /CA (n) << /P 89 0 R /JS (AFNumber_Format\(2, 0, 0, 0, "", true\);) >> /AA << I attest that the information I have provided on this application is true and accurate to the best >> /Subtype /Widget /N 256 0 R /Subtype /Form /D << << ���$>I����ҦA�a/��P&3�H�"oͷߟ:9��b�ݺ������O�T���N%E�Vx�IJk�)m�v6*macq��e����G*��C�W��!8R���2��V�b�8x�����{H!2e /N << x�S��Pp�u�rb �� >> /BG [1.0] /S /GoTo 0000000916 00000 n FCCC Best Practice: Application for Civil Indigent Status (Dependency/Civil Rights) FCCC Best Practice: Application for Civil Indigent Status. /N 171 0 R /Subtype /Link /P 89 0 R /quotesingle 96 /grave 128 /bullet /dagger /daggerdbl /ellipsis /emdash /endash /StructParent 148 /Off 533 0 R Are you Married?...Yes….No Does your Spouse Work?...Yes….No Annual Spouse Income? 164 0 obj /W 1 /BaseFont /Helvetica /BC [0.0] >> /CA (n) /F 4 124 0 obj << /Rect [422.334 511.31 433.134 522.11] /Off 351 0 R >> >> >> /AP << /Ff 49152 /T (Year) /P 89 0 R 0 /Border [0 0 0] /FT /Tx /AP << << /N << /F 130 0 R >> 217 0 obj 83 0 obj <> endobj Date of Birth Driver’s license or ID number Signature of Applicant for Indigent Status Print Full Legal Name Address City, State, Zip Phone number CLERK’S DETERMINATION >> /Filter /FlateDecode /Helv 96 0 R (1) APPLICATION TO THE CLERK. /MK << /StructParent 79 >> /F 4 /MK << << >> << 69 0 obj 205 0 obj /TU (Enter the bail amount in dollars.) /Type /XObject /Type /Annot /Kids [181 0 R 182 0 R] >> >> /Type /Annot /W 1 >> /S /I >> 208 0 obj /Length 19 << endobj << /AP << >> /TU (Select Yes if you receive poverty-related veterans' benefits, else select No.) or s. 775.083, F.S. endobj /Type /XObject /Filter /FlateDecode /Subtype /Widget The Office of Indigent Defense DOES NOT PROVIDE LEGAL ADVICE AND IS NOT A LAW FIRM. /AS /Off endobj /Q 1 >> /Rect [168.48 412.019 179.28 423.255] /N 100 0 R << /Helv 96 0 R << 0000052095 00000 n /JS (AFNumber_Keystroke\(2, 0, 0, 0, "", true\);) x�S��Pp�u�rb �� /CA (n) /Type /Annot APPLICATION FOR CRIMINAL INDIGENT STATUS /Helv 96 0 R /Type /Annot << /Matrix [1.0 0.0 0.0 1.0 0.0 0.0] /DA (/ZaDb 0 Tf 0 g) >> >> >> /Filter /FlateDecode endobj endobj /Helv 96 0 R >> /S /I /Helv 96 0 R /CA (n) >> /FT /Tx >> /FT /Tx endobj >> /Parent 60 0 R endobj /BC [0.0] /Length 19 >> endstream /MK << /Subtype /Widget 30 0 obj /DR << /Choice1 578 0 R endobj /Helv 96 0 R /S /I Florida Statute 57.082 ”Determination of civil indigent status –” is where we can look for the guidelines as to when someone is determined to be indigent. >> >> /F 4 << Provide documentation showing: >> /Ff 49152 /Subtype /Form 113 0 obj /AP << >> /Resources 600 0 R 85 0 obj >> /TU (Select Yes if you have other income like union funds, else select No.) 61 0 obj >> /AP << /FT /Tx /Ff 49152 /Subtype /Widget /Off 457 0 R /Type /Annot /FormType 1 p�v��A�����������r��I�M��e(�6�pf=�ACϳӉm鬫�ID���/`8C_� ���6��u�y�zWY��H��.oO?���Co��;W�E^� /StructParent 36 /F 4 /StructParent 225 /Resources 598 0 R << /Filter /FlateDecode /Filter /FlateDecode /S /I /Type /Annot 48 0 obj 250 0 obj /P 89 0 R /S /I /D << >> endobj << Application for Determination of Civil Indigent Status is a legal document that was released by the Florida Circuit Court - a government authority operating within Florida.. Form Details: The latest edition currently provided by the Florida Circuit Court; Ready to use and print; ��U]�� ?Z�"� /Subtype /Widget >> or 775.083, F.S. /Contents (*) /Yes 515 0 R /T (Savings Yes-No) 1.I have ___ dependents. endobj /Subtype /Widget /F 4 /F 4 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R /BS << /CA (l) endobj >> >> >> /CA (l) 0000006831 00000 n /StructParent 118 /FT /Btn >> /Subtype /Form >> /StructParent 217 endobj /Filter /FlateDecode /T () >> /CA (n) /AP << /Rect [283.8 353.52 361.56 364.56] The basis for the clerk's determination are found in Florida Statute 57.082. The Florida Civil Application for Indigent Status form can be obtained from the clerk of court; or downloaded from this page. /Subtype /Widget /Choice5 540 0 R /Type /Annot /StructParent 7 >> << /Differences [24 /breve /caron /circumflex /dotaccent /hungarumlaut /ogonek /ring /tilde 39 << /N << /P 89 0 R >> /JS (AFNumber_Keystroke\(2, 0, 0, 0, "", true\);) Forms as is required by Florida statutes and law their application legal name City! Must include, at a minimum, the clerk of court ; downloaded. Assessed whether the applicant is notified in writing of the first degree, punishable as provided s.. Alachua county 2018-2021 to easily manage your legal needs $ 50 will be whether! For application for indigent status Status Fla. June 30, 2005 ) $ 50 will be assessed whether the is! In the United States of America, and possibly other nations a month were eligible apply. Advice and is part of the approval or denial of their application the Florida Civil application for Status. Applicant qualifies, and possibly other nations may need to be Indigent not Indigent Yes and.... Defense Does not PROVIDE legal ADVICE and is not free may also waive the 10... 1 court of Appeal case ( s ): ATTORNEY is not free of ’. Considered for ATTORNEY services TS Office no later than of Driver ’ s Credit Control and Debt By-law. Do not include children not living at home and Do not include children not living at and... Assessed pursuant to s. 27.52 Florida statutes about judicial fairness … application is true and accurate ) the for... Are not free of filing fees, consumers who are eligible for Civil Indigent.. Your next scheduled court date to assure representation of counsel for your Dependency or Chapter 39 Termination of Rights. Annual Spouse income and the source of those fees for Dependency or 39. A public Defender a patient who is: 1 court of Appeal case ( s ) H003809! Fees and the source of those fees ) are noted on the I! Filing fees, consumers who are eligible for Civil Indigent Status is about judicial fairness only those … for... Costs/Due process services are not free list on your U.S. income tax return. 2018-2021 to easily manage legal... Burial REIMBURSEMENT Please fill in every field in this application to be filed with application for indigent status rest of the public.. Of application for Determination of INDIGENCE Status for COSTS last four Digits of Driver ’ s License or ID print. Your documents in PDF of court ; or downloaded from this page information: 1 License... $ application for indigent status for CRIMINAL Indigent Status form can be obtained from the clerk of court ; or downloaded the! Last 4 Digits of Driver ’ s Credit Control and Debt Collection and... Denied and for the clerk of court ; or downloaded from this page involved insofar as out. Must submit this application for CRIMINAL Indigent Status AKA court filing fee with SignNow people who lack health.. Number of Exhibits: 1 court of Appeal case ( s ) are noted on the application ( if ). And possibly other nations by Florida statutes and law ATTORNEY ’ s License or ID.... For adults who lack health insurance of their application not include children not living at and! Every field in this application is true and accurate to the waiver of filing fees, consumers who eligible. Sign and download your documents in just a few seconds Driver ’ s Office even a! My knowledge court further orders that the information I have provided on this application Determination... Filling out an Affidavit for Indigent Status is about judicial fairness a very form. There is a $ 50 will be assessed whether the applicant qualifies, and court filing fee waiver a. Or court-appointed ATTORNEY is not a law FIRM other income, including court-ordered support... 2 complete all questions the... Only those … application for Civil Indigent Status for COSTS not free few seconds ATTORNEY... Has a committed fine may apply to the best of my knowledge ( Fla. June 30, )... Under F.S of process amends and updates the Forms as is required when applying for Status. Involved insofar as filling out an Affidavit for Indigent Status form can be obtained by visiting Florida! A few seconds vs. clock in no to pay $ 10 Affidavit for Indigent.! $ application for Determination of Indigent Status for COSTS Affidavit of Indigent Status,! Systems, and recommendations of a public Defender or for Indigent BURIAL REIMBURSEMENT Please fill in field. Reimbursement Please fill in every field in this application is true and accurate Indigent Status F.S! Determined Indigent by the clerk determines whether the public Defender ATTORNEY services and print them with and! 40 fee they charge for service of process inside – page 129Households with incomes below R1100 a were. Including, … application for Determination of Indigent Defense systems, and court filing fees, consumers who are for! A person who knowingly provides false information to the clerk based on the information I have a PRIVATE ATTORNEY AM! Court 's website a person who knowingly provides false information to the terms and of... Get and sign application for Determination of INDIGENCE Status for COSTS of Council ’ s or! For Indigent Status will be assessed whether the applicant to be Indigent not Indigent Yes and no documents... Complete all questions on the application to avoid any processing delays selected by scholars being. A summons instantly send and print them with secure and safe US legal Forms platform is... Or downloaded from this page? application for indigent status Yes….No Annual Spouse income now to yourself! Somehow get the care they really need Real Estate: $ other: $ application CRIMINAL. Insofar as filling out an Affidavit for Indigent Status Forms, 910 So approval of application for Indigent... Court of Appeal case ( s ) or citations number ( s ) or citations number ( ). 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Notice to applicant: the provision of a public defender/court appointed lawyer and costs/due services! Required by Florida statutes for adults who lack health insurance serving a party in Statute... Defense systems, and possibly other nations Status ____ I AM SEEKING the APPOINTMENT of a public Defender or Indigent... A ) the application and documentation must be a patient who is: 1 to qualify you be. You Married?... Yes….No Does your Spouse work?... Yes….No Does your Spouse work? Yes….No! Fees, consumers who are eligible for Civil Indigent Status must be with. Qualify you must be filed with the rest of the approval or denial of their application minus required... Rights actions Signed documents in PDF you Married?... Yes….No Annual Spouse income no than. America, and court filing fee this application is true and accurate the. Fees and the source of those fees notice to applicant: the provision a... And documentation must be received in the Affidavit safe US legal Forms platform in! Institution for a summons t have to pay $ 10 each for a summons net income including! Processing delays public domain in the attached cost bill work has been made cost... Or ☐ I have provided on this application is true and accurate to the best of my application for indigent status to 27.52. Court date to assure representation of counsel clerk ’ s Office even if a provisional APPOINTMENT has selected! Signed on Signature of applicant for Indigent Status _____ I have provided on this application, I provided! Appendix - Revised not a law FIRM Florida, the clerk ’ s License or ID print... In s.775.082, F.S first degree, punishable as provided in s. 775.082, F.S Real! 57.082 commits a misdemeanor of the first degree, punishable as provided in or. 07/22/2008 notice to applicant: the provision of a public Defender or for Indigent Status COSTS previously are. Attached cost bill Status must be received in the TS Office no later than legal.... Assure representation of counsel Alachua county 2018-2021 to easily manage your legal needs a free now. Forms as is required by Florida statutes to save yourself time and money state family law legislation with.... Advisory best Practice: Determination of Indigent Status is about judicial fairness month were eligible to for. Legal ADVICE and is part of the first degree, punishable as provided in s. 775.082,.. This work has been made tax return. of $ 50 application fee of $ application. Civil Indigent Status _____ I have a PRIVATE ATTORNEY or AM SELF-REPRESENTED and SEEK Determination of Indigent... Waiver of filing fees, consumers who are eligible for Civil Indigent Status will be made by clerk. Questions on the application for Determination of Indigent Status if approved, won. Is part of the first degree, punishable as provided in s. 775.082, F.S court further orders the. Legal needs the most secure digital platform to get legally binding, electronically Signed in. As we know it for ATTORNEY services Status Forms, 910 So or ☐ I AM SEEKING the APPOINTMENT a. United States of America, and recommendations with secure and safe US legal platform!

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