CSINIH02/CINIBQi2 TEXAS DEPARTNENT OF**CRI~ln!AL** JU5TICE R147/ALE1031 IN-FORNA-PiU'ERIS DATA TDCJfi: 0173731!11 SiiRI: 03213784 LOCATION: RANSEY 06/02/15 10:24:02**I;~DIG8;T** DTE:**~1/21/14 :-:Ai~E:**  OIAZ, JIMMY**BEGINi'~ING** PERIOD: 12/01/14 PREVIOUS TDCJ NUMBERS: 00475593 00721195 01201534**~RRENT** BAL: 0. 00 TOT HOLD ANT: 0. e-0**~i'1TH** TOT DEP: 0. 00 6MTH DEP: 0.0ll f.[i!TH AVG BrtL: 0.00 f:lilTH AVG DEP: G.00 MONTH HIGF.EST BALAJ\'CE TOTAL DEP03ITS XONTH HIGHEST BALANCE TOTAL DEPOSITS**~~5/15** 0.00 0.00 02/:5 0.00 0.Q:O 04/15**0.0~** 0.021 01/15 0.00 0.00**~3/15** 0.00**0.~** 12/14**0.~0** 0.00 PROCESS DATE HOLD Ai't.OU:-JT HDLD**DES'CR~~TIGJ**

STATE OF TEXAS COUNTY CF 8 RA L6 RJ 

### A Otl THIS**THE~'AY OFV\4~~** **~()if** I CERTIFY THAT THIS DOCUMENT IS A TRUE COtf.PLET£ 1**Ai~D** UNALTERED COPY**!r~DE** BY ME CF**n;roRt~ATIGtl** CONTAWEO IN -:-;;t:: ..**(2~ COt~PUTER**  DATABASE REGARDit\6 THE OFFENDER'S ACCOL!!H. NP SIG:**,...ec.....~** PFl-HELP PF3-END ENTER NEXT TDCJ NUMBER: OR SID i,ul•IBER:
__ _**CSINIBQJ2/CINIB~i2** TEXAS DEPhRnlHH OF CRIP1!1'\AL JU3TICE R147/ALE1031**IN-FOffi~A-PAUPERIB** DATA**06/~2/15** 10:24:02 TDCJfl:**017373~1** SIDfl: \B213784 LOCATION: RAi4SEY MDIGEm DTE: llll/21114**~Ai4E:** OIAZ 1 JifliJilY BEGIN;>JING PERIOD: 12/01/14**PREVI~JS** TDCJ**~UMBERS:** 00475593**0~72119~** 01201534 CURRENT BAL: 0. 00 TOT HOLD ANT: 0. 00 3i1TH TOT DEP: 0. 00 f.MTH DEP: 0.**0~1** £tolTH AVG BF1L: 0. 00 f.NTH AV6 DEP: G. 00 WJNTH HIGHEST**BALA~CE** TOTAL DEP03ITS :rlOifiH HIGHEST BALANCE TOTAL DEPOSITS iG/15 0. 00 0. 00**02/~5** 0. 00 0. fl:0 04/15 0.**0~** 0. 021 0111s e. oo 0. 00 03/15 0.00 0.00 12/14 0.00 0.00 PROCESS DATE HOLD AXOUNT HULD**DESCR:~·TICJ**

STATE OF TEXAS COUNTY OF 8 RA 'Z6 

### FJ 

### A ON THIS**THE~~AY OFJUK.~.&()ifi**  CERTIFY THAT THIS DOCUI4ENT !S A TRUE COMPLETE, AND UNALTERED COPY**fr~DE** BY t4E CF Ir:FORMATIGt4**CONTAit~ED** IN -:-i;t ..**£2~** COI4PUTER DATABASE REGARDING THE OFFENDER'S ALXOUNT. NP SIG:**...ec,....~** PFl-HELP PF3-END ENTER NEXT TDCJ NUMBER: OR SID ,,Ulq!lER:
__ _

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# . J. 

# lbm1 bHrtz J:f 

# r?lf**~** 

# .. )/ Plaintiff's name and 

### II} Number

# I.Anl~l'Jlllnn l1o0 nfll1 

# ttl . . Place of Confinemeni&shnr.:111. 

## f:f

# 195~3

·.- .•. ,. ·-. 

# ·- CASE NO.
_________ _ ....... _

... (Clerk will assign the number)

... APPLICATION TO PROCEED IN FORMA PAUPERIS

·,, ... f.' 

## l IIi:**~** { I; , declare, depose, and say I am the Plaintiff in the above entitled case. In support of my motwn o pro eed williout being required to prepay fees, costs, or give security therefor, I state because of my poverty, I am unable to pay in advance the filing fee for said proceedings or to give security for the filing fee. !believe I am entitled to relief. · · · I, further declare the responses which! have made .to the questions.and instructions below are true. L Have you received, within the last 12 months, any money from any of the following sources? a. Business, profession or from self-employment? b. Rent payments, interest or dividends? c. Pensions, annuities or life insurance payments? d. Gifts or inheritances? e. Family or friends? f. Any other sources? YesO Yes 0 Yes 0 Yes 0 Yes 

### o· Yes 0 No 0 No 0 No 0 No 0 No 0 No 0 If you answered YES to any of the questions above, describe each source of money and state the amount received from each during the past 12 months.

2. Do you own cash, or do you have money in a checking or savings account, including any funds in prison accounts? · '""'"'"' · Yes 0 No 0 / If you answered YES to any of the questions above,**stat~** total value of the items .owned.**~-** ...

!**~ATCIFP** (REV. 9/02)**~-.--** ... -....::t..---4._

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### J ::r.**''-~t'** "**\.J~** 3. Do you own real

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. · . . ·, . .**Ye~** D No [j

. If you answered YES,**descri~I'Jtperty** and state its approximate value.

I unders'tand a false statement in .answer to any question in this affidavit will subject me to penalties for perjury. I declare (cettify,}'erify, or state) under .. penalty of perjury that the foregoing is true and correct (28 

### u.s.c. §1746).. . . . .



# .,. ..**~** 

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# 15 ,20_._.·

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YOU MUST ATTACH A CURRENT SIX (6) MONTH HISTORY OF YOUR INMATE TRUST ACCOUNT. · YOU CAN ACQUIRE THE APPROPRIATE INMATE ACCOUNT CERTIFICATE FROM THE LAW LIBRARY AT YOUR PRISON UNIT.

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### . , STATE COUNSEL.FOR OFFENDERS A DIVISION OF TEXAS DEPARTMENT OF CRIMINAL JUSTICE**~** January 13, 2012 Jimmy D:laz . TDCJ #1737301 Ramsey 1 Unit 1100 FM 655 Rosharon, Texas 77583 Dear Mr. Diaz : P.O. Box 4005 Huntsville, Texas 77342-4005 (936) 437-52003

The ·TDCJ**com~uter** indicates you are presently serving the following offenses: Cause No. Offense Sentence Begin Date Jail Time Credit L •'•65575 Haeeassment PS 07-16-11 37 State ID No.: TX TX03213784 2. -!;65576 Tamper Phys Evid 07-16-11 37 State ID No.: TX TX03213784 3. 63746 Burg of Habit 06-28-11 37 State ID No. : TX TX03213784**-!~ese** are considered your holding cases because it will keep you in TDCJ the longest. Sincerely,
T.K.Partin Legal Assistant-Appellate Services cc: File

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