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Te Bar number): Fill in court name and street address: Superior Court of California, County of 3 Date of order denying your request to waive court fees (month/day/year): (Check here if you have a copy of the order denying your request, and attach it to this form.) Fill in case number and case name: Case Number: Case Name: 4 5 I ask the court for a hearing on my fee waiver request so that I can bring more information about my financial situation. The additional facts that support my request.

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