Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_15-cv-00209/USCOURTS-caed-1_15-cv-00209-0/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

RANDI PETERSEN,

Plaintiff,

v.

TULARE COUNTY SUPERIOR COURT, et 

al.,

Defendants.

Case No. 1:15-cv-00209---SAB

ORDER DENYING APPLICATION TO 

PROCEED IN FORMA PAUPERIS AND 

REQUIRING PLAINTIFF TO FILE LONG 

FORM APPLICATION

ECF NO. 3

TWENTY DAY DEADLINE

Plaintiff Randi Petersen (“Plaintiff”), appearing pro se in this action, filed the complaint 

in this action on February 9, 2015. (ECF No. 1.) Plaintiff did not pay the filing fee in this action 

and instead filed an application to proceed in forma pauperis pursuant to 28 U.S.C. § 1915. 

However, Plaintiff’s application is incomplete. Plaintiff provided no response to the questions 

pertaining to Plaintiff’s “[o]ther income.” Plaintiff also indicated that she lives in a household 

with two other people and share the cost of expenses. Plaintiff did not provide any information 

with respect to the income of the other members of her household.

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.

Case 1:15-cv-00209-TLN-SAB Document 4 Filed 02/11/15 Page 1 of 2
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Based upon the foregoing, it is HEREBY ORDERED that:

1. Plaintiff’s application to proceed in forma pauperis is DENIED without prejudice;

2. 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;

3. 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

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

IT IS SO ORDERED.

Dated: February 10, 2015 

UNITED STATES MAGISTRATE JUDGE

Case 1:15-cv-00209-TLN-SAB Document 4 Filed 02/11/15 Page 2 of 2