Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-azd-2_12-cv-01829/USCOURTS-azd-2_12-cv-01829-2/pdf.json

Nature of Suit Code: 555
Nature of Suit: Prisoner - Prison Condition
Cause of Action: 42:1983 Prisoner Civil Rights

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JDDL 

WO KM 

IN THE UNITED STATES DISTRICT COURT 

FOR THE DISTRICT OF ARIZONA 

Bryan Mornyngstarr Bernard, 

Plaintiff, 

vs. 

Yuma County Sheriff's Office, 

Defendant. 

No. CV 12-1829-PHX-GMS (DKD) 

ORDER 

Plaintiff Bryan Mornyngstarr Bernard, who is confined in the Yuma County 

Detention Center, filed a pro se civil rights Complaint pursuant to 42 U.S.C. § 1983 and 

an Application to Proceed In Forma Pauperis. 

In an October 9, 2012 Order, the Court granted Plaintiff 30 days to: (1) pay the 

filing fee or file a complete Application to Proceed In Forma Pauperis; and (2) file an 

amended complaint on the court-approved form. On October 25, 2012, Plaintiff filed a 

First Amended Complaint (Doc. 11). In a November 30, 2012 Order, the Court granted 

Plaintiff an additional 30 days to file an Application to Proceed In Forma Pauperis. On 

December 17, 2012, Plaintiff filed an incomplete Application to Proceed In Forma 

Pauperis (Doc. 13). 

The Court will deny the new Application to Proceed In Forma Pauperis and give 

Plaintiff one final opportunity to file a complete Application to Proceed In Forma 

Pauperis. If Plaintiff fails to file a complete Application to Proceed In Forma Pauperis

within 30 days, the Court will dismiss this action. 

Case 2:12-cv-01829-GMS--DKD Document 14 Filed 03/12/13 Page 1 of 7
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I. Payment of Filing Fee 

 When bringing an action, a prisoner must either pay the $350.00 filing fee in a 

lump sum or, if granted the privilege of proceeding in forma pauperis, pay the fee 

incrementally as set forth in 28 U.S.C. § 1915(b)(1). An application to proceed in forma 

pauperis requires an affidavit of indigence and a certified copy of the inmate’s trust 

account statement for the six months preceding the filing of the Complaint. 28 U.S.C. 

§ 1915(a)(2). An inmate must submit statements from each institution where the inmate 

was confined during the six-month period. Id. To assist prisoners in meeting these 

requirements, the Court requires use of a form application. LRCiv 3.4. 

 If a prisoner is granted leave to proceed in forma pauperis, the Court will assess an 

initial partial filing fee of 20% of either the average monthly deposits or the average 

monthly balance in Plaintiff’s account, whichever is greater. 28 U.S.C. § 1915(b)(1). An 

initial partial filing fee will only be collected when funds exist. 28 U.S.C. § 1915(b)(4). 

The balance of the fee will be collected in monthly payments of 20% of the preceding 

month’s income credited to an inmate’s account, each time the amount in the account 

exceeds $10.00. 28 U.S.C. § 1915(b)(2).

II. Application Fails to Comply With Statute

 Plaintiff has used the court-approved form, but has left blank the “Consent to 

Collection of Fees from Trust Account” section. This part of the in forma pauperis

application must be filled out, signed, and dated. The “Certificate of Correctional 

Official as to Status of Applicant’s Trust Account” section is also not completed, and 

Plaintiff has not submitted a certified six-month trust account statement. In light of these 

deficiencies, the Court will deny the Application to Proceed and will give Plaintiff 30 

days to either pay the $350.00 filing fee or file a complete Application to Proceed In 

Forma Pauperis, including a certified six-month trust account statement. 

. . . 

. . . 

. . . 

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III. Warnings 

A. Address Changes

 Plaintiff must file and serve a notice of a change of address in accordance with 

Rule 83.3(d) of the Local Rules of Civil Procedure. Plaintiff must not include a motion 

for other relief with a notice of change of address. Failure to comply may result in 

dismissal of this action. 

B. Copies

 Plaintiff must submit an additional copy of every filing for use by the Court. See

LRCiv 5.4. Failure to comply may result in the filing being stricken without further 

notice to Plaintiff. 

C. Possible Dismissal

 If Plaintiff fails to timely comply with every provision of this Order, including 

these warnings, the Court may dismiss this action without further notice. See Ferdik v. 

Bonzelet, 963 F.2d 1258, 1260-61 (9th Cir. 1992) (a district court may dismiss an action 

for failure to comply with any order of the Court). 

 IT IS ORDERED:

 (1) Plaintiff’s December 17, 2012 Application to Proceed In Forma Pauperis

(Doc. 13) is denied without prejudice. 

 (2) Within 30 days of the date this Order is filed, Plaintiff must either pay the 

$350.00 filing fee or file a complete Application to Proceed In Forma Pauperis and a 

certified six-month trust account statement. 

 (3) If Plaintiff fails to either pay the $350.00 filing fee or file a complete 

Application to Proceed In Forma Pauperis within 30 days, the Clerk of Court must enter 

a judgment of dismissal of this action without prejudice and without further notice to 

Plaintiff. 

. . . 

. . . 

. . . 

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 (4) The Clerk of the Court must mail Plaintiff a court-approved form for filing 

an Application to Proceed In Forma Pauperis (Non-Habeas). 

 Dated this 12th day of March, 2013. 

Case 2:12-cv-01829-GMS--DKD Document 14 Filed 03/12/13 Page 4 of 7
Revised 4/9/06

Instructions for Prisoners Applying for Leave to Proceed in Forma Pauperis

Pursuant to 28 U.S.C. § 1915 in a Civil Action (Non-habeas) in Federal Court

You must pay the full filing fee of $350.00 for a civil action. If you later file an appeal,

you will be obligated to pay the $455.00 filing fee for the appeal.

If you have enough money to pay the full filing fee, you should send a cashier’s check

or money order payable to the Clerk of the Court with your complaint, petition, or notice of

appeal.

If you do not have enough money to pay the full filing fee, you can file the action

without prepaying the filing fee. However, the court will assess an initial partial filing fee. The

initial partial filing fee will be the greater of 20% of the average monthly deposits or 20% of the

average monthly balance in your prison or jail account for the six months immediately

preceding the filing of the lawsuit. The court will order the agency that has custody of you to

withdraw the initial partial filing fee from your prison or jail account as soon as funds are

available and to forward the money to the court.

After the initial partial filing fee has been paid, you will owe the balance of the filing fee.

Until the filing fee is paid in full, each month you will owe 20% of your preceding month's

income. The agency that holds you in custody will collect that money and forward it to the

court any time the amount in your account exceeds $10.00. The balance of the filing fee may

be collected even if the action is later dismissed, summary judgment is granted against you, or

you fail to prevail at trial.

To file an action without prepaying the filing fee, and to proceed with an action in forma

pauperis, you must complete the attached form and return it to the court with your complaint.

You must have a prison or jail official complete the certificate on the bottom of the form and

attach a certified copy of your prison or jail account statement for the last six months. If you

were incarcerated in a different institution during any part of the past six months, you must

attach a certificate and a certified copy of your account statement from each institution at which

you were confined. If you submit an incomplete form or do not submit a prison or jail account

statement with the form, your request to proceed in forma pauperis will be denied.

Even if some or all of the filing fee has been paid, the court is required to dismiss your

action if: (1) your allegation of poverty is untrue; (2) the action is frivolous or malicious; (3)

your complaint does not state a claim upon which relief can be granted; or (4) your complaint

makes a claim against a defendant for money damages and that defendant is immune from

liability for money damages.

If you file more than three actions or appeals which are dismissed as frivolous or

malicious or for failure to state a claim on which relief can be granted, you will be prohibited

from filing any other action in forma pauperis unless you are in imminent danger of serious

physical injury.

Case 2:12-cv-01829-GMS--DKD Document 14 Filed 03/12/13 Page 5 of 7
Revised 4/9/06 1

Name and Prisoner/Booking Number

Place of Confinement

Mailing Address

City, State, Zip Code

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF ARIZONA

)

 , ) CASE NO. 

Plaintiff, )

)

 vs. ) APPLICATION TO PROCEED

) IN FORMA PAUPERIS 

 , ) BY A PRISONER

Defendant(s). ) CIVIL (NON-HABEAS)

)

I, , declare, in support of my request to proceed in the above

entitled case without prepayment of fees under 28 U.S.C. § 1915, that I am unable to pay the fees for these

proceedings or to give security therefor and that I believe I am entitled to relief.

In support of this application, I answer the following questions under penalty of perjury:

1. Have you ever before brought an action or appeal in a federal court while you were incarcerated or detained?

GYes GNo If "Yes," how many have you filed? .

Were any of the actions or appeals dismissed because they were frivolous, malicious, or failed to state a

claim upon which relief may be granted? GYes GNo If "Yes," how many of them? .

2. Are you currently employed at the institution where you are confined? GYes GNo

If "Yes," state the amount of your pay and where you work. 

3. Do you receive any other payments from the institution where you are confined? GYes GNo

If "Yes," state the source and amount of the payments. 

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Revised 4/9/06 2

4. Do you have any other sources of income, savings, or assets either inside or outside of the institution where

you are confined? GYes GNo

If "Yes," state the sources and amounts of the income, savings, or assets. 

I declare under penalty of perjury that the above information is true and correct.

DATE SIGNATURE OF APPLICANT

CONSENT TO COLLECTION OF FEES FROM TRUST ACCOUNT

I, , hereby consent to having the designated correctional officials at this

institution release to the Court my trust account information. I further consent to having the designated

correctional officials at this institution withdraw from my trust account the funds required to comply with the

order of this Court for the payment of filing fees in accordance with 28 U.S.C. § 1915(b).

My consent includes withdrawal from my account by correctional officials of partial initial payments to this

Court equal to 20% of the greater of:

(A) the average monthly deposits to my account for the six-month period preceding my filing of this

action, or

(B) the average monthly balance in my account for the six-month period preceding my filing of this

action.

My consent also includes monthly withdrawals from my account by correctional officials of an amount equal

to 20% of each month’s income. Whenever the amount in my account reaches $10.00, correctional officials will

withdraw that amount and forward it to the Court until the required filing fee is paid in full. I understand that I

am liable for paying the entire fee, even if my case is dismissed by the Court before the fee is fully paid.

DATE SIGNATURE OF APPLICANT

CERTIFICATE OF CORRECTIONAL OFFICIAL

AS TO STATUS OF APPLICANT’S TRUST ACCOUNT

I, , certify that as of the date applicant signed this application:

(Printed name of official)

The applicant’s trust account balance at this institution is: $

The applicant’s average monthly deposits during the prior six months is: $

The applicant’s average monthly balance during the prior six months is: $

The attached certified account statement accurately reflects the status of the applicant’s account.

DATE AUTHORIZED SIGNATURE TITLE/ID NUMBER INSTITUTION 

Case 2:12-cv-01829-GMS--DKD Document 14 Filed 03/12/13 Page 7 of 7