Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_16-cv-01732/USCOURTS-caed-1_16-cv-01732-0/pdf.json

Nature of Suit Code: 440
Nature of Suit: Other Civil Rights
Cause of Action: 42:1983 Civil Rights Act

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UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF CALIFORNIA

TIMOTHY CLEVELAND,

Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

Case No. 1:16-cv-01732-AWI-SAB

ORDER REQUIRING PLAINTIFF TO FILE 

LONG FORM APPLICATION TO 

PROCEED IN FORMA PAUPERIS

(ECF No. 2)

TWENTY DAY DEADLINE 

On November 16, 2016, Plaintiff Timothy Cleveland (“Plaintiff”) filed the complaint in 

this action. (ECF No. 1.) Plaintiff filed an application to proceed in forma pauperis without 

prepayment of the filing fee on the same day. (ECF No. 2.)

In order to proceed without prepayment of the filing fee, Plaintiff must submit an 

affidavit demonstrating that he “is unable to pay such fees or give security therefor.” 28 U.S.C. 

§ 1915(a)(1). Plaintiff indicates that he owns approximately 1/4 acre of land for farm operation. 

Notably, the in forma pauperis application asks Plaintiff to state the value of the property and 

Plaintiff declined to answer the question. Plaintiff indicates that he is not currently employed, 

but he does not state the date of his last employment, the amount of his take-home salary or 

wages and pay period, and the name and address of his last employer. Plaintiff’s application is 

insufficient for the Court to determine if he is entitled to proceed without prepayment of fees in 

this action. 

Case 1:16-cv-01732-AWI-SAB Document 3 Filed 11/18/16 Page 1 of 2
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Plaintiff is reminded that he must disclose any financial support he receives from others 

as part of his in forma pauperis application. All assets and sources of money must be disclosed. 

An in forma pauperis application must state sufficient information for the Court to determine the 

ability to pay the costs of litigation.

Accordingly, the Court will order Plaintiff to complete and file an Application to Proceed 

in District Court Without Prepaying Fees or Costs (Long Form) – AO 239. If Plaintiff is 

unwilling to complete and submit the long form application, Plaintiff must pay the filing fee in 

full.

Based upon the foregoing, it is HEREBY ORDERED that:

1. The Clerk of the Court is directed to forward an Application to Proceed in District 

Court Without Prepaying Fees or Costs (Long Form) – AO 239 to Plaintiff;

2 Within twenty (20) days of the date of this order, Plaintiff shall either (1) pay the 

$400.00 filing fee for this action, or (2) complete and file the enclosed 

Application to Proceed in District Court Without Prepaying Fees or Costs (Long 

Form) – AO 239; and

3. If Plaintiff fails to comply with this order, this action shall be dismissed.

IT IS SO ORDERED.

Dated: November 18, 2016 

UNITED STATES MAGISTRATE JUDGE

Case 1:16-cv-01732-AWI-SAB Document 3 Filed 11/18/16 Page 2 of 2