Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_22-cv-00554/USCOURTS-caed-2_22-cv-00554-0/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 42:1983 Prisoner Civil Rights

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UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF CALIFORNIA

JONATHAN COLLIN AUTRY,

Plaintiff,

v.

SCOTT JONES, et al.,

Defendants.

Case No. 2:22-cv-00554-JDP (PC)

ORDER DIRECTING PLAINTIFF TO 

SUBMIT A COMPLETE IN FORMA 

PAUPERIS APPLICATION AND INMATE 

TRUST ACCOUNT STATEMENT

Plaintiff, a county inmate proceeding without counsel, has filed a civil rights action 

pursuant to 42 U.S.C. § 1983 together with a request for leave to proceed in forma pauperis

pursuant to 28 U.S.C. § 1915. However, the certificate portion of the request, which must be 

completed by plaintiff’s institution of incarceration, has not been filled out. Also, plaintiff has 

not filed a certified copy of his inmate trust account statement for the six-month period 

immediately preceding the filing of the complaint. See 28 U.S.C. § 1915(a)(2). Plaintiff will be 

provided the opportunity to submit a completed in forma pauperis application and a certified 

copy in support of his application.

In accordance with the above, it is hereby ORDERED that:

1. Plaintiff’s motion to proceed in forma pauperis, ECF No. 2, is denied without 

prejudice.

2. The Clerk of the Court is directed to send plaintiff a new Application to Proceed In 

Case 2:22-cv-00554-TLN-JDP Document 4 Filed 04/11/22 Page 1 of 2
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Forma Pauperis By a Prisoner. 

3. Plaintiff shall submit, within thirty days from the date of this order, a completed 

affidavit in support of his request to proceed in forma pauperis on the form provided by the Clerk 

of Court.

4. Plaintiff shall submit, within thirty days from the date of this order, a certified copy of 

his inmate trust account statement for the six-month period immediately preceding the filing of 

the complaint. Plaintiff’s failure to comply with this order will result in a recommendation that 

this action be dismissed without prejudice. 

IT IS SO ORDERED.

Dated: April 11, 2022 

JEREMY D. PETERSON

UNITED STATES MAGISTRATE JUDGE

Case 2:22-cv-00554-TLN-JDP Document 4 Filed 04/11/22 Page 2 of 2