Document ID: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_16-cv-01193/USCOURTS-caed-1_16-cv-01193-0/pdf.json

Parties Involved:
Charito C. Anabeza
Plaintiff
Commissioner of Social Security
Defendant

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UNITED STATES DISTRICT COURT 

EASTERN DISTRICT OF CALIFORNIA 

CHARITO C. ANABEZA,

Plaintiff,

v.

CAROLYN W. COLVIN, 

Acting Commissioner of Social Security,

Defendant. /

Case No. 1:16-cv-01193-SKO

ORDER TO AMEND APPLICATION TO 

PROCEED IN FORMA PAUPERIS

(Doc. 2)

ORDER 

Plaintiff Charito C. Anabeza, appearing in propria persona, filed a complaint on August 

11, 2016, along with an application to proceed in forma pauperis pursuant to 28 U.S.C. § 1915. 

Plaintiff’s application fails to set forth answers to question number 2(a) regarding income received 

from her current employment, pay period, and the name and address of her employer, and fails to 

set forth an answer to question number 3(c) regarding receipt of any money in disability or 

workers compensation payments in the last 12 months. 

 Accordingly, IT IS HEREBY ORDERED that: 

1. Within 28 days from the date of this order, Plaintiff shall file an amended 

application to proceed in forma pauperis that fully responds to all applicable 

questions, including questions number 2 and 3; and 

2. The Clerk of Court is DIRECTED to serve Plaintiff with a copy of this order and a 

new in forma pauperis application form. 

IT IS SO ORDERED. 

Dated: August 18, 2016 /s/ Sheila K. Oberto 

 . UNITED STATES MAGISTRATE JUDGE 

Case 1:16-cv-01193-SKO Document 3 Filed 08/18/16 Page 1 of 1