Document ID: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_15-cv-00979/USCOURTS-caed-2_15-cv-00979-0/pdf.json

Parties Involved:
Sergent
Defendant
Deshone Smith
Plaintiff

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UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF CALIFORNIA

DESHONE SMITH,

Plaintiff,

v.

OFFICER SERGENT,

Defendant.

No. 2:15-cv-0979 DAD P

ORDER

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

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

U.S.C. § 1915. 

Plaintiff’s in forma pauperis application is incomplete. Plaintiff has not signed his 

application, and he has not submitted the second page of the application. The second page of the 

application contains a certificate portion, which must be completed by plaintiff’s institution of 

incarceration. Plaintiff also has not filed a certified copy of his prison trust account statement for 

the six month period immediately preceding the filing of the complaint. See 28 U.S.C. § 

1915(a)(2). The court will provide plaintiff with an opportunity to submit a completed in forma 

pauperis application and a certified copy of his trust account statement in support of his 

application.

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Case 2:15-cv-00979-GEB-DB Document 5 Filed 05/26/15 Page 1 of 2
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In accordance with the above, IT IS HEREBY ORDERED that:

1. Plaintiff’s motion to proceed in forma pauperis (Doc. No. 2) is denied without 

prejudice;

2. Plaintiff shall submit, within thirty days from the date of this order, a signed completed 

affidavit in support of his request to proceed in forma pauperis on the form provided by the Clerk 

of Court. Plaintiff shall also submit, within thirty days, a certified copy of his prison trust account 

statement for the six month period immediately preceding the filing of the complaint. Plaintiff’s 

failure to comply with this order will result in dismissal of this action without prejudice; and

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

Forma Pauperis By a Prisoner.

Dated: May 22, 2015

DAD:9:kly

smit0979.3c+new

Case 2:15-cv-00979-GEB-DB Document 5 Filed 05/26/15 Page 2 of 2