Document ID: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_05-cv-02376/USCOURTS-caed-2_05-cv-02376-0/pdf.json

Parties Involved:
Folsom State Prison
Defendant
Roland T. Koch
Plaintiff

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IN THE UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF CALIFORNIA

ROLAND T. KOCH,

Plaintiff, No. CIV S-05-2376 MCE KJM P

vs.

FOLSOM STATE PRISON, et al.,

Defendants. ORDER

 /

Plaintiff, a state prisoner proceeding pro se, has filed a civil rights action under 42

U.S.C. § 1983 together with a request for leave to proceed in forma pauperis under 28 U.S.C.

§ 1915. Plaintiff has not, however, filed his application for leave to proceed in forma pauperis on

the form used by this district. Use of the form assists plaintiff to establish and the court to

evaluate plaintiff’s in forma pauperis status in light of 28 U.S.C. § 1915 (b)(1) and (2). 

Accordingly, plaintiff’s application will be dismissed and plaintiff will be provided the

opportunity to submit the application on the appropriate form. Plaintiff is cautioned that he must

also provide a certified copy of his prison trust account statement for the six month period

immediately preceding the filing of his complaint. 

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Case 2:05-cv-02376-MCE -KJM Document 3 Filed 12/05/05 Page 1 of 2
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In accordance with the above, IT IS HEREBY ORDERED that:

1. Plaintiff’s application to proceed in forma pauperis is dismissed without

prejudice; 

2. The Clerk of the Court is directed to send plaintiff a new Application to

Proceed In Forma Pauperis By a Prisoner; and

3. 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

will result in a recommendation that this action be dismissed without prejudice. 

DATED: December 2, 2005.

______________________________________

UNITED STATES MAGISTRATE JUDGE

/koch2376.3d

Case 2:05-cv-02376-MCE -KJM Document 3 Filed 12/05/05 Page 2 of 2