Edwards v. Tahoe Pacific Hospital

Filing 2

ORDERED that P shall file and Affidavit with this court providing the following information: 1. The sources and amounts of all income for the preceding 12 months including that from unemployment compensation or worker's compensation, if any; 2. P's place of employment; 3. P's marital status and, if married, the place of employment and income of her spouse; 4. Dependents, if any, and their relationship to P; 5. P's living expenses per month; 6. Amounts owed and monthly paymen ts, if any; and 7. Any and all other assets and liabilities, including real property, jewelry, automobile and the like. P is to file the Affidavit on or before 4:00 p.m. on Friday, May, 7, 2010 . Signed by Magistrate Judge Robert A. McQuaid, Jr on 4/13/2010. (Copies have been distributed pursuant to the NEF - DRM)

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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 4. 5. 6. 2. 3. DENOTRA EDWARDS, ) ) Plaintiff, ) ) vs. ) ) TAHOE PACIFIC HOSPITAL, ) ) Defendant. ) ____________________________) 3:10-CV-0209-RCJ (RAM) ORDER UNITED STATES DISTRICT COURT DISTRICT OF NEVADA Plaintiff has filed an Application to Proceed In Forma Pauperis (Doc. #1). In reviewing the request, the court finds that it does not have sufficient financial information to rule on the application. IT IS HEREBY ORDERED that Plaintiff file an Affidavit with this court providing the following information: 1. The sources and amounts of all income for the preceding twelve (12) months including that from unemployment compensation or worker's compensation, if any; Plaintiff's place of employment; Plaintiff's marital status and, if married, the place of employment and income of her spouse; Dependents, if any, and their relationship to Plaintiff; Plaintiff's living expenses per month; Amounts owed and monthly payments, if any; and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 7. Any and all other assets and liabilities, including real property, jewelry, automobile and the like. Plaintiff is to file the Affidavit with the Clerk of the Court on or before 4:00 P.M. on FRIDAY, MAY 7, 2010. DATED: April 13, 2010. ________________________________ UNITED STATES MAGISTRATE JUDGE 2

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