Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_12-cv-02751/USCOURTS-caed-2_12-cv-02751-0/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 42:1983 Civil Rights Act

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IN THE UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF CALIFORNIA

ANDRE L. REVIS,

Plaintiff, No. 2:12-cv-2751 EFB P

vs.

DALE SYERSON, et al.,

Defendants. ORDER

 /

Plaintiff is a state prisoner proceeding without counsel in an action brought under 42

U.S.C. § 1983. He requests leave to proceed in forma pauperis.

To proceed with a civil action a plaintiff must pay the $350 filing fee required by 28

U.S.C. § 1914(a) or request leave to proceed in forma pauperis and submit a properly completed

affidavit and trust account statement required by 28 U.S.C. § 1915(a). 

Plaintiff has submitted his trust account statement, but has not filed an affidavit using the

form application for this district. Accordingly, plaintiff’s in forma pauperis application is denied

without prejudice to filing the application on the proper form. 

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The Clerk of the Court is directed to send plaintiff a new Application to Proceed In

Forma Pauperis By a Prisoner. Plaintiff shall submit, within thirty days from the date of this

order, a completed application to proceed in forma pauperis. Plaintiff’s failure to comply with

this order may result in this action being dismissed without prejudice. 

So ordered. 

DATED: November 8, 2012.

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