Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-azd-2_14-cv-00830/USCOURTS-azd-2_14-cv-00830-0/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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WO 

IN THE UNITED STATES DISTRICT COURT 

FOR THE DISTRICT OF ARIZONA 

Patrick James Zotika, 

Plaintiff, 

 vs. 

Steven Jackson, et al., 

Defendants. 

No. CV 14-0830-PHX-SMM (DKD) 

 O R D E R 

Plaintiff Patrick James Zotika, who is confined in the Maricopa County Lower 

Buckeye Jail, filed a pro se civil rights Complaint pursuant to 42 U.S.C. § 1983 and an 

Application to Proceed In Forma Pauperis (Doc. 2). The Court will deny the deficient 

Application to Proceed and will give Plaintiff 30 days to pay the filing and administrative 

fees or file a complete Application to Proceed In Forma Pauperis. 

I. Payment of Filing Fee 

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

$50.00 administrative fee in a lump sum or, if granted the privilege of proceeding in 

forma pauperis, pay the $350.00 filing 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 

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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 $ 350.00 filing 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 $400.00 filing and administrative fees or file a complete 

Application to Proceed In Forma Pauperis. 

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. 

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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 Application to Proceed In Forma Pauperis (Doc. 2) is denied 

without prejudice. 

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

$400.00 filing and administrative fees 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 $400.00 filing and administrative fees 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. 

 (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 20th day of August, 2014. 

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