Court Opinion

ID: 4046790
Source: CourtListenerOpinion
Date Created: 2016-09-29 00:15:02.50926+00
Date Added: 2024-06-11T14:30:31.412884
License: Public Domain

~RinJ\..tO j. At>oruJ~                                                             RECEIVED IN
                                                                             COURT OF CRIMINAL APPEALS
                  RE LA~o~,
                                                                                    MAY 15 2015
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     Plaintiff's name and ID Number

     .,-De__:!       DA--L~€& F?~¢-t-tLx'f'l
     Place of Confmement

                                                                                CASE   NO.-'--t_0_1_;_'1_~-~---
                                                                                             (Clerk will assign the number)
     v.
                                                                                APPLICATION TO PROCEED
                                                                                   IN .FORMA PAUPERIS

     Defendant's name and address

             I,    t5n.Au   Lro    ~Do~D      deClare, depose, and say I am the Plaintiff in the above entitled case. In support
     of my motion to proceed without 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. I believe I
     am entitled to relief.

             I, further declare the responses which I have made to the questions and instructions below are true.

              1.     . Have you reCeived, within the last 12 months, any money from any of the following sources?

                      a.   Business, profession or from self-employment?                          Yes   0            No~
                      b.   Rent payments, interest or dividends?                                  Yes   0            No L1
                      c.   Pensions, armuities or life insurance payments?                        Yes   0            No JZ(
                      d.   Gifts or inheritances?                                                 Yes   0            No~
                      e.   Family or friends?                                                     Yes   0            No~ ..
                      f.   Any other sources?                                                     Yes   0            No~
                      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~
                      If you aD.swered YES to any of the questions above, state the total value of the items owned.

                                                                    1
                                                                                                                     )~ATCIFP   (REV. 9/(Jl)

                                                                                                            ,   ..
       3.     Do you own real estate, stocks, bonds, note; automobiles, or other valuable property, excluding
              ordinary household furnishings and clothing?

                                              Yes   0          Noef'
              If you answered YES, describe the property and state its approximate value.

I understand a false statement in answer to any question in this affidavit will subject me to penalties for ·
perjury. I declare (certify, verify, or state) under penalty of perjury that the foregoing is true and correct
(28 u.s.c. §1746).

       Signed this the __«;_~_·   __day of !\-1&--:}                       . '20_15.

                              Signature of Plaintiff                       ID Number

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

                                                           2                                       ~ATCIFP      (REV. 9/02)
                        TEXAS DEPARTMENT OF CRIMINAL JUSTICE
                                   RECORDS RELEASE
                                    AUTHORIZATION

I, the below named and numbered offender, hereby authorize the Texas Department of Criminal
Justice to · release· records· pertaining ·· to·" my ··trust              fund          account,                as   requested by
Gu.r t oi ((!IIVl;~ / &ppec.{ Js                                (Identify Court, Attorney, or entity as
defined in Rule 3 9 2 !-Special Correspondence Rules)

I, offender  t)~o.u Ii 0 Jose AJo rVl 0 ' - TDCJ#                                            ·13/ 8t/l l
being presently incarcerated at the Da./ ~J'e:!j ~LA '{)·b!!J                              County, Texas
declare under penalty of peijury that the foregoing is true and correct

Executed on this the            1
                                    ., I    Ei
                                           day of               AIQlf'; l                                         20K
                        -------L----------                                                                           ~

By.   Q!wltlr A.     (Offender Signature)
                                                     Witness    -Cnrlu. iJ . lJlfYY\fY)\&Y
                                                                    (Approved-Witnessing Authority Signature)

INSTRUCTIONS:
1 The offe:nder completes above information, signs and dates the
    Records Release Authorization in the presence of the approved
    witnessing authority (Access to CourtS Representative)
2 The witnessing authority identifies the offender by ID card or
    records lmd, upon verification, witnesses the offender's signature
    by signing the Records Release Authorization, which the
    witnessing authority will maintain
3 The witnessing authority prints out a copy of the offender's
    ''TFBA" computer screen, certifies it, and retains a duplicate copy
    for their records
4 The offender is required to have an addressed, stamped envelope
   :prepared for mailfug 'The witnessing 'authority then places a copy
    of the c·~rtified "TFBA" printout in the addressed and stamped
    envelope and the envelope is sealed and placed in the outgoing
    mail

                                                                                             .          ·,
                                                                            .;.   • •   •• . :.;;; ~- ~ f '.t

ATC01- Authorization No.1 (10/01)
CSINIB02/CINIB02       TEXAS DEPARTMENT OF CRIMINAL JUSTICE            05/ll/l::'i
DH31/SD00116                 IN-FORMA-PAUPERIS DATA
JDCJ#': IZ11378697 SID#: 07508892 LOCATION: DALHAfH          INDIGENT DTE: 02/15/12
NAME: ADORNO,BRAULIO JOSE                  BEGINNING PERIOD:
PREVIOUS TDCJ NUMBERS:
CURRENT BAL:            0.00 TOT HOLD AMT:          0.00 3MTH TOT DEP:
f.MTH DEP:                   6MTH AUG BAL:               5MTH AVG DEP:
MONTH HIGHEST BALANCE TOTAL DEPOSITS        MONTH HIGHEST BALANCE TOTAL DEPOSITS

PROCESS DATE         HOLD AMOUNT   HOLD DESCRIPTION

                                   NO BANKING ACTIVITY
                                   WITHIN THE PAST 6
                                   MONTH PER I [JD.

STATE OF TEXAS COUNTY OF t!o.d~.
ON THIS THE    _ll
               DAY OF _1Y:Y1::~\____ ,,~
                                      _ , I CERTIFY THAT THIS DOCUMENT IS A TRUE,
COMPLETE,AND UNALTERED COPY-lADE BY ME OF INFORMATION CONTAINED IN THE
COMPUTER DATABASE REGARDING THE OFFENDER'S ACCOUNT. NP SIG:
PF1-HELP PF3-END ENTER NEXT TDCJ NUMBER:               OR SID NUMBER:

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