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List creditors and amount owed: 6. Signature of Plaintiff.A party may file a motion to proceed on appeal in forma pauperis in the court of appeals within 30 days after service of the notice prescribed in Rule 24(a)(4). ☐ Leave is denied to proceed in forma pauperis. The Court waive them and allow Affiant to proceed in forma pauperis. If you wish to ask the court to waive costs, here is what you must do: • Prepare the Affidavit and Application to Proceed In Forma Pauperis (DC (1)), as well. These documents use a variety of different names including Request to Waive Fees, Pauper's Affidavit, or Request to Proceed in Forma Pauperis. In forma pauperis is the Latin term for an indigent person. The Clerk should direct you to a judge who will review your Affidavit and Application to Proceed In Forma Pauperis. I am unable to pay the costs of litigation due to my financial situation. 3.