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Calibri; \*Riched20 10.0.22621 IN THE [COURT NAME] COURT [Your County, State] CASE NO.: [Your Case Number] [YOUR NAME], Plaintiff, v. FLORIDA DEPARTMENT OF REVENUE, et al., Defendants. MOTION TO PROCEED IN FORMA PAUPERIS COMES NOW, the Plaintiff, [Your Name], and respectfully moves this Honorable Court for leave to proceed in forma pauperis in the above-captioned case, pursuant to [Florida Rule of Civil Procedure 1.090 or 28 U.S.C. 1915 (if federal case)], as I am unable to afford the filing fees and associated costs due to financial hardship. In support of this motion, Plaintiff states the following: Financial Hardship: I am currently unemployed/underemployed and have no significant income. My primary source of income is [TANF, disability, or any financial aid], which is insufficient to cover my living expenses. I do not have substantial savings or assets that would allow me to afford the court filing fees. Child Support Enforcement Actions Have Caused Severe Financial Hardship: I have been wrongfully incarcerated for child support arrears despite being financially unable to pay. My drivers license was suspended, preventing me from securing stable employment. My credit report has been damaged, making it difficult to obtain housing, transportation, or loans. The state continues to impose daily or weekly fees for reinstating my license, compounding my financial distress. Legal Basis for Waiver: Pursuant to Florida Statute 57.081 (for state cases) or 28 U.S.C. 1915 (for federal cases), indigent persons are entitled to proceed without prepaying court fees. Given my lack of income and the financial hardships imposed by Defendants actions, I qualify for in forma pauperis status. Certification: I certify under penalty of perjury that the information provided in this motion is true and correct to the best of my knowledge. I understand that if the court grants this motion, I am still responsible for other potential costs, such as service of process fees, unless waived by the court. WHEREFORE, Plaintiff respectfully requests that this Court: A. Grant this Motion to Proceed In Forma Pauperis, waiving all filing fees and court costs associated with this case. B. Provide any additional relief deemed just and proper. Dated: [Your Date] Respectfully submitted, [Your Name] [Your Address] [Your Phone Number] [Your Email]