Document ID: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-azd-2_05-cv-02577/USCOURTS-azd-2_05-cv-02577-0/pdf.json

Parties Involved:
Tom Long
Respondent
Miguel Villalobos-Bermudez
Petitioner

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WO RP

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF ARIZONA

Miguel Villalobos-Bermudez, 

Petitioner, 

vs.

Tom Long,

Respondent. 

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No. CV-05-2577-PHX-MHM (BPV)

ORDER

On July 22, 2005, Miguel Villalobos-Bermudez (Petitioner), presently confined in the

Eloy Detention Center in Eloy, Arizona, filed with the Clerk of the Court in the Tucson

Division of this Court a “Petition For Writ Of Habeas Corpus By A Person In Federal

Custody (28 U.S.C. § 2241)" (Document #1) (Petition). The Petition was assigned the

Tucson case number of CV 05-461-TUC-FRZ. By Order filed August 26, 2005, this action

was transferred to the Phoenix Division of this Court because the allegations in the Petition

relate to Petitioner’s confinement in the Eloy Detention Center, which is located in Pinal

County, Arizona. The Clerk of the Court in the Phoenix Division assigned the case number

of CV 05-2577-PHX-MHM (BPV) to this action.

FILING FEE OR APPLICATION TO PROCEED 

Petitioner has neither paid the five dollar ($5.00) filing fee, nor filed an “Application

Case 2:05-cv-02577-MHM--BPV Document 4 Filed 11/10/05 Page 1 of 5
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The Court has prepared and approved the “Application To Proceed In Forma Pauperis By

A Prisoner (Habeas)” form to meet the requirements of LRCiv 3.5(b).

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To Proceed In Forma Pauperis By A Prisoner (Habeas)” with the Petition. Rule 3.5(b) of the

Local Rules of Civil Procedure (LRCiv) requires that “[i]f a habeas corpus petitioner desires

to prosecute the petition in forma pauperis, the petitioner shall file an application to proceed

[in forma pauperis] on a form approved by the Court, accompanied by a certification of the

warden or other appropriate officer of the institution in which the petitioner is confined as

to the amount of money or securities on deposit to the petitioner’s credit.” If a petitioner has

in excess of twenty-five dollars ($25.00) in his inmate account, LRCiv 3.5(b) also requires

payment of the five dollar ($5.00) filing fee. 

Because Petitioner has not paid the five dollar ($5.00) filing fee, or filed an

“Application To Proceed In Forma Pauperis By A Prisoner (Habeas),” Petitioner will be

given thirty (30) days from the filing date of this Order to file a properly executed and

certified “Application To Proceed In Forma Pauperis By A Prisoner (Habeas),” using the

form included with this Order,1

 or to pay the five dollar ($5.00) filing fee.

RULE 41 (b) WARNING

Petitioner is warned that if he fails to timely comply with every provision of this

order, this action will be dismissed pursuant to Rule 41(b) of the Federal Rules of Civil

Procedure. See Ferdik v. Bonzelet, 963 F.2d 1258 (9th Cir.) (District Court may dismiss

action for failure to comply with any order of the Court), cert. denied, 506 U.S. 915 (1992).

IT IS THEREFORE ORDERED:

(1) That Petitioner SHALL HAVE thirty (30) days from the filing date of this Order

to submit a properly executed and certified “Application To Proceed In Forma Pauperis By

A Prisoner (Habeas),” using the form included with this Order, or to pay the five dollar

($5.00) filing fee;

(2) That the Clerk of the Court is DIRECTED to enter a judgment of dismissal without

prejudice of this action, without further notice to Petitioner, if Petitioner fails to submit a

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properly executed and certified “Application To Proceed In Forma Pauperis By A Prisoner

(Habeas),” or pay the five dollar ($5.00) filing fee, within thirty (30) days from the filing date

of this Order;

(3) That a clear, legible copy of every pleading or other document filed SHALL

ACCOMPANY each original pleading or other document filed with the Clerk for use by the

District Judge or Magistrate Judge to whom the case is assigned. See LRCiv 5.4. Failure

to submit a copy along with the original pleading or document will result in the

pleading or document being stricken without further notice to Petitioner;

(4) That at all times during the pendency of this action, Petitioner SHALL

IMMEDIATELY ADVISE the Court of any change of address and its effective date. Such

notice shall be captioned “NOTICE OF CHANGE OF ADDRESS.” The notice shall contain

only information pertaining to the change of address and its effective date, except that if

Petitioner has been released from custody, the notice should so indicate. The notice shall not

include any motions for any other relief. Failure to file a NOTICE OF CHANGE OF

ADDRESS may result in the dismissal of the action for failure to prosecute pursuant to

Federal Rule of Civil Procedure 41(b);

(5) That the Clerk of the Court is DIRECTED to provide Petitioner with a current

Court-approved form for filing an “Application To Proceed In Forma Pauperis By A Prisoner

(Habeas).”

DATED this 8th day of November, 2005.

Case 2:05-cv-02577-MHM--BPV Document 4 Filed 11/10/05 Page 3 of 5
98-ifphab

Revised 6/98 1

Name and Prisoner/Booking Number

Place of Confinement

Mailing Address

City, State, Zip Code

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF ARIZONA

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Petitioner, ) CASE NO. 

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 vs. )

) APPLICATION TO PROCEED

 , ) IN FORMA PAUPERIS

Respondent(s). ) BY A PRISONER

) (HABEAS)

I, , declare, in support of my request to proceed in the above

entitled case without prepayment of fees under 28 U.S.C. § 1915, that I am unable to pay the fees for these

proceedings or to give security therefor and that I believe I am entitled to relief.

In support of this application, I answer the following questions under penalty of perjury:

1. Are you currently employed at the institution where you are confined? GYes GNo

If "Yes," state the amount of your pay and where you work. 

2. Do you receive any other payments from the institution where you are confined? GYes GNo

If "Yes," state the source and amount of the payments. 

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3. Do you have any other sources of income, savings, or assets either inside or outside of the institution where

you are confined? GYes GNo

If "Yes," state the sources and amounts of the income, savings, or assets. 

I declare under penalty of perjury that the above information is true and correct.

DATE SIGNATURE OF APPLICANT

CERTIFICATE OF CORRECTIONAL OFFICIAL

AS TO STATUS OF APPLICANT’S TRUST ACCOUNT

I, , certify that as of the date applicant signed this application:

(Printed name of official)

The applicant’s trust account balance at this institution is: $ .

DATE AUTHORIZED SIGNATURE TITLE/ID NUMBER INSTITUTION 

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