Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-3_15-cv-03012/USCOURTS-cand-3_15-cv-03012-0/pdf.json

Nature of Suit Code: 863
Nature of Suit: Social Security - DIWC/DIWW (405(g))
Cause of Action: 42:405 Review of HHS Decision (DIWC)

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United States District Court 

Northern District of Californi

a

UNITED STATES DISTRICT COURT 

NORTHERN DISTRICT OF CALIFORNIA 

SILVERIO G. PEREZ, 

Plaintiff, 

v. 

CAROLYN W. COLVIN, 

Defendant. 

Case No. 15-cv-031012 

ORDER RE APPLICATION TO 

PROCEED IN FORMA PAUPERIS 

( x ) IT IS ORDERED that the application to proceed in forma pauperis is GRANTED. 

Issuance of summons and service will be determined separately. 

( x ) The complaint having been found to comply with Title 28 USC § 1915, IT IS 

FURTHER ORDERED that the Clerk issue summons, and IT IS FURTHER ORDERED that the 

U.S. Marshal for the Northern District of California serve, without prepayment of fees, a copy of 

the complaint, any amendments, scheduling orders, attachments, plaintiff's affidavit and this order 

upon the defendant. 

( ) IT IS ORDERED that the application to proceed in forma pauperis is DENIED, and 

that the filing fee of $400.00 be paid no later than. Failure to pay the filing fee by that date will 

result in dismissal of the above-entitled action without prejudice. The plaintiff is hereby apprised 

of his/her responsibility to serve the complaint and any amendments, scheduling orders, 

attachments, pursuant to Rule 4, Federal Rules of Civil Procedure. Plaintiff has a continuing 

obligation to keep the Court informed of his or her current address. Failure to do so may result in 

dismissal of this action. 

( ) IT IS ORDERED that the application to proceed in forma pauperis is DENIED and 

the plaintiff is further ordered that: 

Case 3:15-cv-03012-WHA Document 5 Filed 07/06/15 Page 1 of 2
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United States District Court 

Northern District of Californi

a

( ) Filing fee waived in part: partial payment of $ due on << Enter date >>, remaining >

balance to be waived. 

( ) Partial payment of $ due on << Enter date >>, remaining balance due and payable >

on << Enter date >>.

( ) Partial payment of $ due on << Enter date >>, remaining balance due in >

installments as follows: . 

Failure to pay this amount will result in dismissal of the above-entitled action without 

prejudice. The plaintiff is hereby apprised of his/her responsibility to serve the complaint and any 

amendments, scheduling orders, attachments, pursuant to Rule 4, Federal Rules of Civil 

Procedure. Plaintiff has a continuing obligation to keep the Court informed of his or her current 

address. Failure to do so may result in dismissal of this action. 

Dated: July 2, 2015. 

______________________________________ 

WILLIAM ALSUP 

United States District Judge 

(Not to be used in PRISONER OR HABEAS CORPUS cases) NDC CSA-7 (rev. 4/22/2014) 

Case 3:15-cv-03012-WHA Document 5 Filed 07/06/15 Page 2 of 2